Facts and Statistics
Although chiropractors care for more than just back pain, many patients visit chiropractors looking for relief from this pervasive condition. In fact, 31 million Americans experience low-back pain at any given time.1
A few interesting facts about back pain:
Low back pain is the single leading cause of disability worldwide, according to the Global Burden of Disease Study 2010.
One-half of all working Americans admit to having back pain symptoms each year.2
Back pain is one of the most common reasons for missed work. In fact, back pain is the second most common reason for visits to the doctor’s office, outnumbered only by upper-respiratory infections.
Most cases of back pain are mechanical or non-organic—meaning they are not caused by serious conditions, such as inflammatory arthritis, infection, fracture or cancer.
Americans spend at least $50 billion each year on back pain—and that’s just for the more easily identified costs.3
3 Experts estimate that as many as 80% of the population will experience a back problem at some time in our lives.4
What Causes Back Pain?
The spine is a complicated structure of bones, joints, ligaments and muscles. You can sprain ligaments, strain muscles, rupture disks, and irritate joints, all of which can lead to back pain.
While sports injuries or accidents can cause back pain, sometimes the simplest of movements—for example, picking up a pencil from the floor— can have painful results. In addition, arthritis, poor posture, obesity, and psychological stress can cause or complicate back pain. Back pain can also directly result from, or cause diseases of the internal organs, such as kidney stones, kidney infections, blood clots, or bone loss.
Used primarily by Doctors of Chiropractic (DCs) for the last century, adjustments have been largely ignored by most others in the healthcare community until recently. Now, with today's growing emphasis on treatment and cost-effectiveness, manipulation is receiving more widespread attention. Chiropractic spinal manipulation is a safe and effective spine pain treatment. It reduces pain, decreases medication, rapidly advances physical therapy, and requires very few passive forms of treatment, such as bed rest.5
In fact, after an extensive study of all currently available care for low back problems, the Agency for Health Care Policy and Research—a federal government research organization—recommended that low back pain sufferers choose the most conservative care first. And it recommended spinal manipulation as the only safe and effective, drugless form of initial professional treatment for acute low back problems in adults.6
A patient information article published recently in the Journal of the American Medical Association also suggested chiropractic care as an option for people suffering from low back pain--and noted that surgery is usually not needed and should only be tried if other therapies fail.7
Chiropractic is the fastest-growing and second-largest primary health care profession.
There are approximately 95,000 doctors of chiropractic (DCs) in active practice in the world. More than 10,000 students are currently enrolled in chiropractic education just in the United States.
The practice of Chiropractic is recognized and regulated by law in over 40 countries.
In North America, Doctors of Chiropractic are licensed to practice in all states and provinces.
The Bermuda Chiropractic Association recognizes that vaccination and immunization are established public health practices in the prevention of infectious diseases. Vaccination is not within the scope of chiropractic practice. The appropriate sources for patient consultation and education regarding vaccination and immunization are public health authorities and health professionals with a scope of practice that includes vaccination.
1. Jensen M, Brant-Zawadzki M, Obuchowski N, et al. Magnetic Resonance Imaging of the Lumbar Spine in People Without Back Pain. N Engl J Med 1994; 331: 69-116.
2. Vallfors B. Acute, Subacute and Chronic Low Back Pain: Clinical Symptoms, Absenteeism and Working Environment. Scan J Rehab Med Suppl 1985; 11: 1-98.
3. This total represents only the more readily identifiable costs for medical care, workers compensation payments and time lost from work. It does not include costs associated with lost personal income due to acquired physical limitation resulting from a back problem and lost employer productivity due to employee medical absence. In Project Briefs: Back Pain Patient Outcomes Assessment Team (BOAT). In MEDTEP Update, Vol. 1 Issue 1, Agency for Health Care Policy and Research, Rockville,
4. In Vallfors B, previously cited.
5. Time to recognize value of chiropractic care? Science and patient satisfaction surveys cite usefulness of spinal manipulation. Orthopedics Today 2003 Feb; 23(2):14-15.
6. Bigos S, Bowyer O, Braen G, et al. Acute Low Back Problems in Adults. Clinical Practice Guideline No.14. AHCPR Publication No. 95-0642. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services, December, 1994.
7. Goodman D, Burke A, Livingston E. Low Back Pain. JAMA. 2013; 309(16):1738.