Bone disease can relieve musculoskeletal pain

Osteopathy, first developed in the late 1800s in the United States, is based on the principle that the structure (anatomy) and function (physiology) of a person’s body are interconnected. It aims to correct the imbalance in this relationship.

Similar to other forms of complementary medicine, chiropractic has grown in popularity over the past decade, especially for the treatment of musculoskeletal disorders. Therefore, the researchers wanted to evaluate its safety and effectiveness for different conditions.

They scour the study database for systematic review and meta-analysis of data (meta-analysis) of relevant randomized controlled clinical trials, published through November 2021. .

Only trials performed by osteopathic physicians or osteopathic physicians were included.

The search uncovered nine systematic reviews or meta-analyses conducted between 2013 and 2020, involving 55 primary trials and 3740 participants.

Treatment of musculoskeletal disorders

Systematic reviews have reported the use of chiropractic in a variety of conditions, including acute and chronic nonspecific low back pain, chronic nonspecific neck pain, and chronic noncancerous pain cancer, primary headaches, and IBS.

Meta-analyses report that chiropractic is more effective than other approaches in reducing pain and improving physical function in nonspecific acute/chronic back and neck pain and unrelated chronic pain to cancer.

Other comparisons included sham treatment (placebo), sham chiropractic, touch therapy, no treatment, waiting list, conventional treatment, physical therapy, or other forms of complementary medicine.

But the small sample size, conflicting findings, and wide variation in study design mean there is evidence for the effectiveness of osteopathic treatment when used in children with a variety of conditions, from Attention-deficit hyperactivity disorder in asthma and infant colic, and treatment of migraines and IBS, is limited or inconclusive.

No serious therapy-related adverse events were reported in the 7 systematic reviews that evaluated them, although only two identified how to measure them.

“Conversely, inconclusive evidence derived from [systematic reviews] analyzed the effectiveness of chiropractic on childhood conditions, primary headaches, and IBS,” they added. However, given the low number of studies, some of which are of medium quality, our review highlights the need for better studies. [systematic reviews] as well as clinical trials (which must follow specific guidelines for non-pharmacological treatments) to confirm and expand the usability [osteopathy] under certain conditions as well as its safety,” they concluded.

Source: Eurekalert

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