Chiropractic Research

MRC trial in 1991 and its follow-up in 1995, which showed that chiropractic is the most effective treatment for low back pain.LINK to research. 

Research article indicating that manipulation was effective and also cost-effective for back pain. LINK to research.

Manipulation for treatment of chronic and acute pain. LINK to research.

Effectiveness and cost effectiveness of Chiropractic for low back pain: LINK to research.

 Cost effectiveness of Chiropractic compared to orthopedic, rhematology and surgery:  The Manga Report:


"Chiropractic care is a cost-effective alternative to the management of neuromusculoskeletal conditions. It is also safer, increasingly accepted by the public as reflected in the growing utilization and high patient retention rates and there is much and repeated evidence that patients prefer chiropractic over other forms of care for the more common musculoskeletal conditions. The integration of chiropractic into the health care system should serve to reduce health care costs, improve accessibility to needed care, and improve health outcomes. There is an extensive body of literature demonstrating that chiropractic care for NMS disorders is effective though there (are) studies that question or dispute this finding. Suffice to say that there is not nearly as much nor as convincing evidence for the effectiveness of medical management of these conditions. Additionally, there is a strong and compelling consensus that chiropractic is safer, and patient satisfaction is higher than for other professions."

"The Economic Case for the Integration of Chiropractic Services into the Health Care System", by Pran Manga, Ph.D., University of Ottawa, Ottawa, Ontario, Canada.

Funded By The Ontario Ministry Of Health

written by:

1 Pran Manga, Ph.D.: Professor and Director, Masters in Health Administration Program, University of Ottawa; and President, Pran Manga and Associates Inc., Ottawa.

2 Douglas E. Angus, M.A.: Adjunct Professor, University of Ottawa and Project Director, The Cost-Effectiveness of the Canadian Health Care System, Queen's - University of Ottawa Economic Projects.

3 Costa Papadopoulos, MHA: Health Care Consultant and Associate of Pran Manga and Associates, Inc.

4 William R. Swan, B.Comm.: Consultant in Health Care Economics.

August 1993