David Perna, D.C.

A Randomized Clinical Trial Comparing Medication, Acupuncture, and Spinal Manipulation SpineJuly 15, 2003; 28(14):1490-1502Lynton G. F. Giles, DC, PhD; Reinhold Muller, PhDFROM THE ABSTRACT:Study Design.A randomized controlled clinical trial was conducted.Objective.To compare medication, needle acupuncture, and spinal manipulation for managing chronic (>13 weeks duration) spinal pain because the value of medicinal and popular forms of [..]

Cost effectiveness of physical treatments for back pain in primary care UK BEAM Trial Team (Andrea Manca)British Medical Journal329:1381 December 11, 2004FROM ABSTRACTObjectiveTo assess the cost effectiveness of adding spinal manipulation, exercise classes, or manipulation followed by exercise (“combined treatment”) to “best care” in general practice for patients consulting with low back pain.DesignStochastic cost utility [..]

An Instructional Course Lecture,American Academy of Orthopaedic SurgeonsTHE JOURNAL OF BONE AND JOINT SURGERYVOLUME 86-A · NUMBER 8 · AUGUST 2004BY DARREL S. BRODKE, MD, AND STEPHEN M. RITTER, MDTHESE AUTHORS NOTE:Low back pain is often a difficult problem to solve.“There is a paucity of evidence from the health professional literature regarding its cause, management, and [..]

Patient Characteristics, Utilization, and CostsArchives of Internal MedicineOctober 11, 2004;164:1985-1992Antonio P. Legorreta, MD, MPH; R. Douglas Metz, DC; Craig F. Nelson, DC, MS; Saurabh Ray, PhD; Helen Oster Chernicoff, MD, MSHS; Nicholas A. DiNubile, MDFROM ABSTRACT:Background: Back pain accounts for more than $100 billion in annual US health care costs and is the second leading [..]

British Medical Journal;326:911; April 26, 2003 Ingeborg B C Korthals-de Bos, Jan L Hoving, Maurits W van Tulder, Maureen P M H Rutten-van Mölken, Herman J Adèr, Henrica C W de Vet, Bart W Koes, Hindrik Vondeling, Lex M Bouter, FROM ABSTRACT: Objective: To evaluate the cost effectiveness of physiotherapy, manual therapy, and care by [..]

The Journal of Orthopaedic MedicineVolume 21(l), 1999, pp. 22-25S Khan, J Cook, M Gargan G BannisterUniversity Department of Orthopaedic Surgery, Bristol, UKFROM INCLUDED ABSTRACTObjective:To determine which patients with chronic whiplash will benefit from chiropractic treatment.Design:Retrospective review by structured telephone interviews of 93 consecutive patients seen in chiropractic clinic.Setting:Independent chiropractic clinic in a large city.Subjects:93 patients, [..]

InjuryVolume 27, Issue 9, November 1996, Pages 643-645N. Woodward, J. C. H. Cook, M. F. Gargan and G. C. BannisterUniversity Department of Orthopaedic Surgery, Bristol, UKFROM ABSTRACTForty-three percent of patients will suffer long-term symptoms following ‘whiplash’ injury, for which no conventional treatment has proven to be effective.A retrospective study was undertaken to determine the effects [..]

The LancetJuly 28, 1990, p. 220The editors of THE LANCET review the June 2nd 1990 British Medical Journal article by Meade [immediately above], Low back pain of mechanical origin:randomized comparison of chiropractic and hospital outpatient treatment.The study used 741 patients. The editors of THE LANCET note:The article “showed a strong and clear advantage for patients [..]

British Medical JournalJune 2, 1990T W Meade, Sandra Dyer, Wendy Browne, Joy Townsend, A 0 FrankFROM ABSTRACTObjectiveTo compare chiropractic and hospital outpatient treatment for managing low back pain of mechanical origin.DesignRandomised controlled trial. Allocation to chiropractic or hospital management by minimization to establish groups for analysis of results according to initial referral clinic, length of [..]

Canadian Family PhysicianMarch 1985, Vol. 31, pp. 535-540H. Kirkaldy-Willis and J. D. CassidyDr. Kirkaldy-Willis is a Professor Emeritus of Orthopedics and director of the Low-Back Pain Clinic at the University Hospital, Saskatoon, Canada.FROM ABSTRACT:Spinal manipulation, one of the oldest forms of therapy for back pain, has mostly been practiced outside of the medical profession.Over the [..]

Chiropractic spinal adjustments and manual therapy primarily affect the spinal discs and facet (zygapophysial) joints. The studies below indicate that it is these joints that are responsible for chronic spinal pain.The first study was Dr. Vert Mooney’s Presidential Address of the International Society for the Study of the Lumbar Spine. It was delivered at the [..]

The most accepted theory to explain the benefits of chiropractic in the treatment of pain is the Gate Theory of Pain, originally presented by Melzack and Wall in 1965. The June 2002 issue of the British Journal of Anaesthesia presents a modern review of the Gate Theory in an article titled: Gate Control Theory of pain [..]