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Nashua 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 new report attracted the attention of Moriarty Chiropractic as it details the current status of spinal manipulation delivery. Your Nashua chiropractor endeavors to be the spinal manipulation healthcare provider, your back pain specialist, in Nashua.


Medicare patients are of the older persuasion. They face conditions like back pain and neck pain due to spinal stenosis. What’s the first line of treatment suggested? Spinal manipulation. Which profession historically delivers the majority of spinal manipulation (SMT) care? Chiropractic. Osteopathy provided SMT more heavily in its beginning professional years. Some massage therapists and physical therapists are now. Chiropractors are still most commonly known for their providing spinal manipulation. Medicare sees it as well. A new study of the clinicians who use spinal manipulation tried to discover more about this since spinal manipulation was a suggested first-line treatment for low back pain. They found that 97% to 98% of the spinal manipulation providers were chiropractors. They served anywhere from 20 back pain sufferers out of 100,000 population in a state to 260 per 100,000 in another state. Not every location has enough chiropractors. Other spinal manipulation providers take care of 1 in 100,000 to 8 in 100,000. Spinal manipulation clinicians are desired. Unfortunately, the number of Medicare-active chiropractors fell from 47,102 in 2007 to 45,543 in 2015. Other types of clinicians who deliver spinal manipulation increased from 700 to 1441. Even though chiropractors are the majority of spinal manipulation providers to Medicare beneficiaries, the overall supply of them is falling while the supply of non-chiropractors offering spinal manipulation is growing. (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 that founded federal accreditation for chiropractic, always told the “young doctors” - as he referred to the chiropractic students he mentored - “never stop delivering the chiropractic spinal adjustment.”


Chiropractic schools strive to include evidence-based treatment techniques into the teaching curriculum of chiropractors of the future. A recent survey of faculty at one chiropractic school found that 81% of them were skilled 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 instructed via elective courses. Nearly all, 96%, of the survey responders deemed preclinical technique courses were a beneficial idea. 81% reported that they thought elective technique courses were valuable. (2) Certainly, exposure to well-documented and researched techniques in chiropractic school is vital to set up a future chiropractor’s foundation for a productive 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. Moriarty Chiropractic welcomes all the research documentation – biomechanical and clinical – behind the Cox® Technic used in this Nashua chiropractic clinic.

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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 relieve low back pain for this military veteran. 

Schedule your next Nashua chiropractic appointment with Moriarty Chiropractic today. Entrust your back pain and neck pain into the hands of your chiropractor at Moriarty Chiropractic who delivers spinal manipulation every day, follows the research and protocols for safe, gentle, and relieving treatment based on research evidence. We look forward to seeing you!

Moriarty Chiropractic uses spinal manipulation daily as a representative of the chiropractic profession which is recognized as being the profession of spinal manipulation practitioners.