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La Grande Spinal Manipulation is Delivered Most by Chiropractors

August 17, 2021

Spinal manipulation and back pain go hand in hand. Into whose hands? Chiropractors’, most commonly! A recent report drew the attention of Dr. Paulette Hugulet, DC, LLC as it details the current status of spinal manipulation delivery. Your La Grande chiropractor endeavors to be the spinal manipulation healthcare provider, your back pain specialist, in La Grande.

PROVIDERS OF SPINAL MANIPULATION

Medicare patients are of the older persuasion. They encounter conditions like back pain and neck pain due to spinal stenosis. What’s the first line of treatment suggested? Spinal manipulation. Which profession historically gives the majority of spinal manipulation (SMT) care? Chiropractic. Osteopathy did so more heavily in its beginning professional years. Some massage therapists and physical therapists do now. Chiropractors are still most commonly known for their delivery of spinal manipulation. Medicare recognizes it, too. A recent study of the clinicians who use spinal manipulation tried to find out more about this since spinal manipulation was a recommended first-line treatment for low back pain. They found that 97% to 98% of the spinal manipulation providers were chiropractors. They treated anywhere from 20 back pain sufferers out of 100,000 population in a state to 260 out of 100,000 in another state. Not every location has enough chiropractors. Other spinal manipulation providers care for 1 in 100,000 to 8 in 100,000. Spinal manipulation clinicians are used. Unfortunately, the number of Medicare-active chiropractors declined from 47,102 in 2007 to 45,543 in 2015. Other types of clinicians who provide spinal manipulation increased from 700 to 1441. Even though chiropractors are the largest group of spinal manipulation providers to Medicare beneficiaries, the overall supply of them is falling while the supply of non-chiropractors offering spinal manipulation is rising. (1) Developer of Cox® Technic, Dr. James Cox remembers Dr. Joseph Janse, president of the National College of Chiropractic for 38 years and founder of the Council for Chiropractic Education which established federal accreditation for chiropractic, always told the “young doctors” - as he called the chiropractic students he mentored - “never stop delivering the chiropractic spinal adjustment.”

SPINAL MANIPULATION TECHNIQUES TAUGHT IN CHIROPRACTIC SCHOOLS

Chiropractic schools strive to include evidence-based treatment techniques into the teaching curriculum of future chiropractors. A recent survey of faculty at a chiropractic school found that 81% of them were trained in diversified technique and 52% in Cox® Technic. Most of the faculty agreed that diversified (93%), Cox (89%), Thompson (74%), SOT (54%) and Activator (52%) techniques would be valuable techniques for their future chiropractors to be taught via elective courses. Nearly all, 96%, of the survey responders considered preclinical technique courses were a beneficial idea. 81% reported that they thought elective technique courses were valuable. (2) Surely, exposure to well-documented and researched techniques in chiropractic school is vital to set up a future chiropractor’s foundation for a successful clinical practice in terms of easing the pain of spine pain patients. Basing the choice of which techniques to incorporate into the curriculum on those that have the best evidence behind them is key. Dr. Paulette Hugulet, DC, LLC welcomes all the research documentation – biomechanical and clinical – behind the Cox® Technic delivered in this La Grande chiropractic clinic.

CONTACT Dr. Paulette Hugulet, DC, LLC

Listen to this PODCAST with Dr. Katrina Wieland on The Back Doctors Podcast with Dr. Michael Johnson as she illustrates how the Cox® Technic System of Spinal Pain Management helped ease low back pain for this military veteran. 

Make your next La Grande chiropractic appointment with Dr. Paulette Hugulet, DC, LLC today. Entrust your back pain and neck pain into the hands of your chiropractor at Dr. Paulette Hugulet, DC, LLC who delivers spinal manipulation every day, follows the research and protocols for safe, gentle, and pain alleviating treatment based on research evidence. We look forward to seeing you!

Dr. Paulette Hugulet, DC, LLC uses spinal manipulation on a daily basis as a representative of the chiropractic profession which is recognized as being the profession of spinal manipulation practitioners.