Additional evidence was provided by a second study published in the Journal of Occupational and Environmental Medicine. In this study, 894 injured workers were followed for a period of one year. During that year, four different types of therapies were made available to the workers: medical management, physiotherapy, chiropractic, and no therapy. Episodes of repeat disability were recorded during the year following the initial injury. In summary, physiotherapy had the highest percentage of re-injured workers followed by those receiving medical management or no treatment at all. The lowest incidence of repeat injury was found among those workers who had received chiropractic maintenance care.
For several years I have been advocating maintenance care to my patients who suffer from chronic and recurrent low back pain as it has been my observation that those patients that stick to a preventative treatment plan tend to suffer far less than those who only seek care when things get really bad. It is great to see these results being studied and published in prestigious medical journals.