Increased energy, focus and efficiency.

The team at Southside Clinic will assess your individual case and work with you to develop the most appropriate action plan going forward. This may include hands on treatment, referral to the GP or other health professional, referral for imaging such as an MRI or X-ray, individual exercise prescription and/or general nutritional advice.

Research and Evidence:

Bronfort G, Assendelft WJ, Evans R, Haas M, Bouter L. (2001).  Efficacy of spinal manipulation for chronic headache: a systematic review. J Manipulative Physiol Ther. 2001 Sep;24(7):457-66.

Manipulation appears to have a better effect than massage for cervicogenic headache. It also appears that spinal manipulation has an effect comparable to commonly used first-line prophylactic prescription medications for tension-type headache and migraine headache.

Chaibi A, Tuchin PJ, Russell MB. (2011). Manual therapies for migraine: a systematic review J Headache Pain. 2011;12(2):127-133.

The random controlled trials suggest that massage therapy, physiotherapy, relaxation and spinal manipulative therapy might be equally effective as propranolol and topiramate in the prophylactic management of migraine. However, these had many methodological shortcomings and therefore, future, well-conducted trials are needed.

Gross A, Langevin P, Burnie SJ, Bédard-Brochu M, Empey B, Dugas E, Faber-Dobrescu M, Andres C, Graham N, Goldsmith C, Brønfort G, Hoving J, LeBlanc F. (2015) Manipulation and mobilisation for neck pain contrasted against an inactive control or another active treatment. Published Online: 23 SEP 2015 on Cohrane Library

Findings suggest that manipulation and mobilisation present similar results for every outcome at immediate/short/intermediate-term follow-up. Multiple cervical manipulation sessions may provide better pain relief and functional improvement than certain medications at immediate/intermediate/long-term follow-up. Since the risk of rare but serious adverse events for manipulation exists, further high-quality research is needed to guide clinicians in their optimal treatment choices.

Licciardone JC, Brimhall AK, King LN. (2005). Osteopathic manipulative treatment for low back pain: a systematic review and meta-analysis of randomized controlled trials. BMC Musculoskeletal Disorders

OMT significantly reduces low back pain. The level of pain reduction is greater than expected from placebo effects alone and persists for at least three months. Additional research is warranted to elucidate mechanistically how OMT exerts its effects, to determine if OMT benefits are long lasting, and to assess the cost-effectiveness of OMT as a complementary treatment for low back pain.

Licciardone JC, Kearns CM, Minotti DE. (2013). Outcomes of osteopathic manual treatment for chronic low back pain according to baseline pain severity. Man Ther. Dec;18(6):533-40.

The large effect size for OMT in providing substantial pain reduction in patients with chronic LBP of high severity was associated with clinically important improvement in back-specific functioning. Thus, OMT may be an attractive option in such patients before proceeding to more invasive and costly treatments.

Licciardone JC, Minotti DE, Gatchel RJ, Kearns CM, Singh KP. (2013). Osteopathic manual treatment and ultrasound therapy for chronic low back pain: a randomized controlled trial. Annals of Family Medicine. Mar-Apr;11(2):122-9.

The osteopathic manipulative treatment regimen met or exceeded the Cochrane Back Review Group criterion for a medium effect size in relieving chronic low back pain. It was safe, parsimonious, and well accepted by patients.

Posadzki P, Ernst E. (2012). Spinal manipulations for tension-type headaches: a systematic review of randomized controlled trials. Complement Thera Med. 2012 Aug;20(4):232-9.

The evidence that spinal manipulation alleviates tension type headaches is encouraging, but inconclusive. Further research is needed.