By Ben Forer

Jan 4, 2012 6:20pm

Neck Pain: Chiropractors, Exercise Better Than Medication, Study Says

gty neck pain tk 120104 wblog Neck Pain: Chiropractors, Exercise Better Than Medication, Study Says

Symphonie/Getty Images

When it comes to neck pain the best medicine is no medicine at all according to a new study published in the Annals of Internal Medicine.

 

The study, funded by the National Institutes of Health, tracked 272 patients with recent-onset neck pain who were treated using three different methods:
  1. Medication
  2. Exercise
  3. A Chiropractor

 

After 12 weeks the patients who used a chiropractor or exercised were more than twice as likely to be pain free compared to those who relied on medicine.

 

The patients treated by a chiropractor experienced the highest rate of success with 32 percent saying they were pain free, compared to 30 percent of those who exercised. Only 13 percent of patients treated with medication said they no longer experienced pain.

 

“Doesn’t surprise me a bit,” Dr. Lee Green, professor of family medicine at the University of Michigan told ABC News. “Neck pain is a mechanical problem, and it makes sense that mechanical treatment works better than a chemical one.”

 

Dr. John Messmer who specializes in family medicine at Penn State College of Medicine agrees.

 

“I always prescribe exercises and/or physical therapy for neck pain,” he wrote. “I also tell patients that the exercises are the treatment and the drugs are for the symptoms.”

 

The exercises prescribed to patients in the study were simple and designed to be performed at home with the help of instructional photos.

 

SHOWS:

User Comments

Your pictures for neck exercises need an explanation of how to

Posted by: karen | January 4, 2012 January 4, 2012, 6:59 pm

Osteopathic Physicians have been healing people with neck & back pain using manipulation for over 100 years. Why is it that osteoapathic manipulation is never mentioned but chiropractic medicine is. There are 3 large osteopathc medical schools between NY, (NYCOM) PA (PCOM) & NJ (UMDNJCOM), I think they should also be acknowledged and being able to heal neck & back pain along with other ailments.
I had a frozen shoulder after surgery back in 2002. After 3 months of physical therapy, I still could not lift my arm. I had 30 minutes of Osteoapathic Manipulation and was able to lift my arm with no problem and it has been fine since. Please give credit where credit is due.
Thank you.

Posted by: Susan | January 4, 2012 January 4, 2012, 7:03 pm

Could not agree more! My chiropractor keeps me free of pain, my body tells me when I need to see him even before the pain is here. Listen to your body and amazing thing happen. Drugs hide the pain, treat the symptoms,but do not get at the heart of of the problem, the Chiropractor does just that and helps the body to function at it highest level.

Posted by: Tanya | January 4, 2012 January 4, 2012, 7:04 pm

It makes me really sad to see that this study and World News is promoting Chiropractics as a way to treat neck pain. I, like many others, used to use Chiropractics as a way to treat my neck pain and headaches until the repeated adjustments to my neck cause a dissection of my vertebral artery and a stroke at 32 years old. Chiropractic is NOT the way. After two weeks of vision loss, weakness and numbnees is my right side I started physical therepy which helped more than anything!

Posted by: Gillian | January 4, 2012 January 4, 2012, 7:07 pm

I am shocked that you would report such a thing about chiropractic without a disclaimer to the fact that it neck maipulation can result in a vertebral artery dissection leading to stroke or even death in most cases. There were studies done on this also. I went to the chriopractor for such a problem until one time i had a dissection that ended in a stroke. I had to re-learn everything and adjust my entire life because of this. Had i known then what i know now I would have never gone the chrio way. The exercises work trust me. I have since gotten them myself from a physical therapist. It takes about a week or so but they really do work. Please be aware there are many cases of stroke from dissection out there it’s not just me.

Posted by: Stroke2008 | January 4, 2012 January 4, 2012, 7:09 pm

I have chronic neck pain and would love to try your exercises but without explanation, I don’t think I can do them safely. In this case, a picture needs 1,000 words! (or at least a few to describe what to do) Thanks

Posted by: Jim Devine | January 4, 2012 January 4, 2012, 7:41 pm

Could you explain what each photo is showing you to do? I have chronic neck pain, have seen a doctor and was prescribed medication. I’d like to go the exercise route (correctly done) for relief.

Posted by: Jim Devine | January 4, 2012 January 4, 2012, 7:43 pm

I had neck pain that was lasting about 4 weeks that got so bad I couldn’t sleep. My PCP put me on an NSAID and I went into acute kidney failure. . .I had to see a nephrologist and I was hospitalized for 4 weeks until they got my kidney function back up.

And I still had the neck pain! Saw a chiropractor after I got out and I am much better.

I spoke to him about the stroke issue and I am willing to accept the risks (about 1 in 1,000,000) given my sensitivity/allergies to medicines.

I am way more careful about what I swallow nowadays. Weird things definitely happen.

Posted by: Christopher | January 4, 2012 January 4, 2012, 7:54 pm

I’m glad to see people above commenting (mostly) positive on Physical Therapy (PT). I’ll just add that a 2008 study showed success rates for neck pain treated with PT at 62%. To me, that’s twice the chance of getting better than with the other methods.

Posted by: James Spencer | January 4, 2012 January 4, 2012, 8:07 pm

The best exercise I have done for neck and shoulder pain is Nordic Walking which is becoming more and more popular where I live. I had chronic shoulder pain for over a year and it went away after two days of Nordic Walking because it worked those muscles. It is cheap and a good way to exercise your whole body.

Posted by: EJW | January 4, 2012 January 4, 2012, 8:33 pm

I was suprised to see this on tonight. I have been in therapy and these are exactly the exercises I was given for my neck pain. I have problems with the discs in my neck and am in a lot of pain. While going to therapy it was wonderful with heat, exercises and manipulation but I am unable to continue since the copays are 50.00 a session with my insurance. The exercises will have to do for now and it was good to see something else confirming the same thing I’m doing. They really do help when I keep them up. You have to be vigilant. I was also given stretch bands to help with the muscles going from my neck into my shoulders.

Posted by: JA GREEN | January 4, 2012 January 4, 2012, 8:57 pm

I can’t even open the pdf file. Something is wrong. But I will say. I have used a chiropractor for over 40 years. My current one does not use sharp adjustments, but more gentle pressing motion. I do agree that some of the rougher adjustments often caused me more pain in the past.

Posted by: Retired | January 4, 2012 January 4, 2012, 9:32 pm

Those that may be looking at the exercises should ask their PCP for a referral to a Physical Therapist as well. Posting a list of exercises without much direction on how to target certain muscles, how to adapt the exercises to the patients that may have other complications and more importantly without acknowledging that doing JUST these exercises without correcting the root problem won’t do it is not the best way to go. For example, If you work at a desk job maybe you need an ergonomic assessment at your workplace or just someone with the clinical expertise to figure out what can be changed/done to help better deal with your pain and PREVENT more issues to your neck from occurring. This study looks at patients in a more acute/sub-acute phase (2-12 weeks)…what do you do if it’s already a chronic issue? The article (pdf file) is free to look at and it may give some of you an insight that there was a little more done by the “therapists” than just the exercises posted.
There are PTs that also have training or specialize in manual techniques (i.e. spinal manipulations). I can already hear the chiropractors angry yells BUT remember as with any profession (chiros, PTs, osteopath doc) you have to look for the ones with the right credentials and experience. You can find a bad egg any profession. A PT is likely the more readily available clinician that can see you to deal with an issue like this but hey whatever works right?
Neck pain is an issue that at some point likely affects most people to a different extent. I wish ABC news could at least do a better job directing the public to the right resources regardless of the fact that the segment was reporting on this specific study. For those of you that would like more research on neck pain try and visit these sites at apta.org or jospt.org. I’m obviously biased as a PT myself but this might be a good opportunity to ask your primary care physician or look up a PT that can help make the right recommendations/referrals as needed.

Posted by: Eddie M. | January 4, 2012 January 4, 2012, 9:36 pm

Chiropractic is a scam and ever since they made insurance cover it, health ins has gone up. Sublaxation theory is ridiculous.

Posted by: Jim Bob jr. | January 4, 2012 January 4, 2012, 9:38 pm

I cannot believe that physical therapy was not mentioned during the news story. I know the study was done to compare chiropractors and medication; however, as Christopher states, a 2008 study showed improvement in 62% of patients who received physical therapy (PT) as compared to the 32% in the chiropractic study. Posting exercises is not as helpful as having a PT teach the exercise, since they are trained in the correct alignment. Many patients THINK they are doing an exercise correctly, but are not, when observed by a trained eye. I have instructed many physicians, who were unaware they were doing an exercise incorrectly. Just posting an exercise could do more harm than good, if done incorrectly (especially easy when working with the neck and shoulder.

Posted by: Susan Hastings | January 4, 2012 January 4, 2012, 9:49 pm

As a California certified massage therapist, I’m a little disappointed that the benefits of massage therapy was excluded from the study and segment. In the segment massage was visually depicted while Chiropractic care was spoken of. “Give credit where credit is due.”

Posted by: Michael Tomaszewski | January 4, 2012 January 4, 2012, 10:09 pm

DUH!

Posted by: JLH | January 4, 2012 January 4, 2012, 10:27 pm

Kuddos, common sense info, but brave to report it knowing the backlash you will get from the typical old school medical community. Now if they would just do a study showing improvement outcomes with a combined exercise and chiropractic program vs. medication we would see the real gains people are realizing coming out of their local chiropractors offices.

Posted by: M. Castro | January 5, 2012 January 5, 2012, 1:12 am

After over 100 years of field proven results and countless peer reviewed and published studies performed at major Universities and government research centers; with the highest levels of safety records in health care; why does the television MD say that he is reluctant to recommend something that hasn’t been tested? Medicine sweeps their mistakes under the rug daily as people die by the thousands with no mention. Need I even ask why the news media is biased and full of misinformation; just count the drug commercials during the evening news. But Americans continually prove that they are beyond stupid.

Posted by: ES | January 5, 2012 January 5, 2012, 4:10 am

Head and neck pain….”the daily grind”
About half or more of the neck and head pain in this country comes from the stress of life and the grinding and clenching of the teeth. These symptoms can be lessened or eliminated by a properly fitting bite guard that fits on the upper front teeth in the freeway space and prevents the back teeth from touching. This will relax the jaw The pain and symptoms will be relieved,

Posted by: Randy Widen DDS | January 5, 2012 January 5, 2012, 10:30 am

Recent MEDICAL studies have proven their is no risk of stroke associated with Chiropractic manipulation. This is just an urban myth. The study was published in the journal Spine a few years ago. The public needs to be much more concerned with the fact that prescription drug errors is a top leading cause of DEATH in the county. PT has its place, just as Medicine, Massage, and chiropractic does. Just because one field is better at treating one condition better than others does not negate the rest and vise-versa

Can’t we all just get along?

Thanks and happy New Year, and yes I am a Chiropractor AND I do work very closely with local MDs, PTs, and Massage Therapists for the mutual benefit of the PATIENT not the provider.

Posted by: Scott | January 5, 2012 January 5, 2012, 10:35 am

For over 30 years I took (daily) a minimum of 10 extra-strength Aspirin, Tylenol, or Advil. Over the years various Doctors tried various prescription meds, nothing really worked (a Chiropractor helped sometimes).
8 years ago I found a solution, and Doctors now just shrug their shoulders (in disbelief). I no longer take any medication for neck pain…. the solution I found… water. As long as I drink a minimum of 96 ounces of liquid a day I’m fine, if I drink much less then that, within 24 hours the pain returns. No doctor had thought I was ever dehydrated, blood-work and overall health have always been normal.

Posted by: Bill | January 5, 2012 January 5, 2012, 10:44 am

It looked to me as though they were actually doing therapeutic massage. As Susan wrote, Please give credit where credit is due. Massage therapy is probably the most helpful and gentlest was of treating back and neck pain.

Posted by: Deborah Godin | January 5, 2012 January 5, 2012, 2:09 pm

Properly prescribe medications kill thousands of peoe every year and the media and big pharma along with the AMA never mention it but we should look at these doctor malpractice insurance. There ISA direct correlation between risk and insurance premiums. For all those people that keep saying how dangerous Chiropractic is I would love to see the insurance premiums side by side. Oh and before we try to argue the scope of practice Chiropractic Physicians are considered primary care physicians in most states so maybe we shod just compare them to family practice MD/DO’s. I know for sure a DC that is in full time practice pays less than $1200/yr for malpractice. Must not be to big of a risk.

Posted by: Kendall | January 5, 2012 January 5, 2012, 3:39 pm

I have been treated by a Chiropractor for years and have benefited tremendously. As with medical doctors, financial advisors or architects your experience will reflect the skill of the practitioner. Do your research on the doctor, stop living with pain and get off the the pharmaceutical companies income statement. 
Consider, if a doctor prescribes a medication which requires perpetual use and office visits for pain, you’ll be spending your money perpetually. That is what drives your insurance and cost of care up. Conversely, addressing the displacement of you bones/joints which causes the pain may cure the problem. Which in effect stops the income of the practitioner, insurance company, and pharmaceutical companies. Who stands to gain from this situation? 

Posted by: RHB | January 5, 2012 January 5, 2012, 6:42 pm

Also, look into MAT–muscle activation techniques. Very worthwhile.

Posted by: Mary | January 5, 2012 January 5, 2012, 7:15 pm

This thing about stroke and chiropractic adjustments is a myth perpetuated by the AMA. There was a large study done by this and published in the medical journal Spine. (if you want to verify look it up on pubmed). The study showed that the risk of stroke occuring in a chiropractic office was equal to the risk of stroke in a medical doctors office(and they dont even touch you). The end result is that this type of stroke is spontaneous and can be caused by star gazing and getting your hair washed at the beauty parlor. chiropractic is safe- drugs are not.

Posted by: AMC | January 5, 2012 January 5, 2012, 8:57 pm

There has been an incredibly in depth 10 + year study involving medical doctors, doctors of chiropradctic, Phd’s, concerning a causal relationship between cervical manipulation and stroke that
failed to do so. It was determined that there were instances where a dissection was already occurring (which brought the patient to there doctor) and that in many instances it was not even a chiropractor that rendered the manipulation that subsequently supposedly caused the stroke. It is time to end this smear campaign against chiropractic and stick to the science – Do you realize how safe chiropractic/spinal manipulation is compared to medication – simply research the malpractice cost for a doctor of chiropractic compared to a prescribing doctor. Continuing to put out this false information and claims about chiropractic and stroke is untruthful, misguided and wrong.

Posted by: Adam Moyer | January 6, 2012 January 6, 2012, 11:05 am

Did anyone notice there is no picture for the scapular retraction that you are suppose to repeat 5x?

Posted by: Becca Clark | January 6, 2012 January 6, 2012, 3:32 pm

Congrats to the PT’s for loading up on the comments here! Lots of negatives on Chiropractic (i.e., the old Stroke scare) and positives for themselves. Last time I checked only chiropractic physicians have FOUR years of manipulation training. Scares me to think of having someone manipulating my neck after a weekend seminar. But I’ll give credit where credit is due, negative press does work!

NEWS FLASH: We patient’s are beginning to see through the smoke screen. If chiropractic care was as bad as we’ve been led to believe they would have been out of business long ago.

How long before a rebuttal from the drug industry?

Posted by: Cindy | January 8, 2012 January 8, 2012, 8:26 am

some factual answers to many of the posts on this topic. 1. Yes, Osteopathic doctors used to be trained to do spinal manipulation and a FEW still do, it is optional in their training. 2. With regard to the stroke issue, the facts are clear and well documented…strokes occur at the same rate of patients leaving a medical doctor’s office as leaving a chiropractor’s office MINIMAL, about one in a million. They simply occur and there is minimal increased risk by having an experienced chiropractor treat you. No profession is without risks. Medical doctors are one of the highest causes of unnecessary deaths in the country but the benefits out weigh the risks so we go to medical doctors. 3. You are thousands of times at greater risk of developing serious side-effects, even death, by taking medications than being treated by an experienced chiropractor, even OTC medications such as Aleve and Tylenol. 4. This is not the first study to say this. Numerous studies over recent years have documented that manipulation especially when combined with active rehabilitation (exercises including PT) is much more effective ( and safer and more cost-effective) than traditional medical intervention. 5. For visceral problems, see your MD, for mechanical problems, manual medicine is best.

Posted by: Glenn | January 8, 2012 January 8, 2012, 7:28 pm

So chiro’s no better than exercise was the conclusion.
Arguments from popularity, antiquity, or authority do no not impress when the evidence is lacking.

Posted by: rork | January 12, 2012 January 12, 2012, 7:55 am

Chiropractic is safe and an Ontario Canada study of thousands showed you are more likely to have a dissection after seeing your medical doctor than you were from a chiropractor. I was in a car accident. Two different MDs wrote nothing but pain med Rx;s with no results. I got disgusted and made an appointment with a chiropractor. I walked into the chiropractor’s office one Saturday with neck and shoulder pain and walked out pain free. I felt dizzy for about 5 minutes after the adjustment but it went away.

Posted by: Allan | January 24, 2012 January 24, 2012, 1:47 am

chiro are the biggest snakeoil salesman…look up neck911 to see how many Deaths n serious injuries neck manipulations have caused….chiros pays their injured clients to buy there silence….
veterbral dissection happen w whiplash or chiros…this is how bond killed his enemies….think! its NOT WORTH RISK…..after my v.d. strroke my neck didnt hit caused of halting neck manipulations….use phy. therapy or massage…..this is per real m.d. stroke doctors….it aint worth it! trust me i kno

Posted by: andy | February 7, 2012 February 7, 2012, 9:33 pm

Hi. I would like to say that I have been going to Chiropractors for 30 yrs snd I’m not finding them to be the best when your going thru a real bad back spasm that just will not cooperate to adjust. I would agree that getting a proper massage would help the muscles and bones heal much better. I have 3 bulging discs, sciatica & neck injuries. Also wondering though if too many neck manipulations can cause it to get stiff?

Posted by: Jan Harris | February 21, 2012 February 21, 2012, 7:24 pm

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