Best Practices for Chiropractic Management of Patients With Chronic Musculoskeletal Pain: A Clinical Practice Guideline
5 Chronic Pain Conditions Covered
SOURCE
https://pmc.ncbi.nlm.nih.gov/articles/PMC7578188/
REFERENCE
41
NICE
REFERENCE
123
organisation
Journal of Integrative and Complementary Medicine
TITLE
Best Practices for Chiropractic Management of Patients With Chronic Musculoskeletal Pain: A Clinical Practice Guideline
5 Chronic Pain Conditions Covered
SOURCE
https://pmc.ncbi.nlm.nih.gov/articles/PMC7578188/
DISC COMMENTARY
This formal clinical practice guideline, published in the Journal of Integrative and Complementary Medicine, sets out best practice for chiropractic management of chronic musculoskeletal pain, covering five common conditions: low back pain, neck pain, tension headache, hip or knee osteoarthritis, and fibromyalgia.
What was studied?
The guideline reviewed evidence for treating chronic musculoskeletal pain using a biopsychosocial framework, covering self-management, active and passive treatments, outcome tracking, and options including spinal manipulation, acupuncture, exercise, cognitive behavioural therapy and mindfulness.
What did they find?
The guideline recommends treating chronic pain with a biopsychosocial approach rather than a narrow structural view, particularly for moderate-to-severe cases. It prioritises self-management and active treatment introduced early, recommends a psychological component for significant pain, and calls for validated outcome measures.
Why it matters
This is one of the clearest formal statements of a whole-person, combined-treatment philosophy for long-term pain, treating chronic pain as more than a mechanical problem needing a broad, evidence-matched toolkit.
Why we included it
It captures a wider principle running through the Guide: long-term pain responds best to a whole-person approach spanning physical, psychological and social factors, rather than being treated as a single structural fault to fix.
We use cookies to help you navigate efficiently and perform certain functions. You can choose which categories to allow below. Cookies categorised as Necessary are always active.
We also use third-party cookies for analytics and advertising. These are only stored with your consent. You can update or withdraw consent at any time via the cookie icon at the bottom-left. This site operates under UK GDPR, the Data Protection Act 2018, and the Privacy and Electronic Communications Regulations (PECR). Cookie Policy • Privacy Policy
Always Active
Necessary cookies are required for core site features including security, network management, and consent storage.
Cookie
Duration
Description
hmdg_cookie_consent
180 days
Stores your cookie consent preferences.
PHPSESSID
Session
WordPress session identifier.
wordpress_logged_in_*
Session
WordPress login authentication.
Functional cookies enable enhanced features such as live chat and remembering preferences.
Cookie
Duration
Description
wp-settings-*
1 year
Stores user interface preferences.
Analytics cookies help us understand visitor behaviour. Controls analytics_storage for Google Analytics 4.
Cookie
Duration
Description
_ga
2 years
Google Analytics — distinguishes users.
_ga_*
2 years
Google Analytics 4 — session persistence.
_gid
24 hours
Google Analytics — distinguishes users.
_gat
1 minute
Google Analytics — throttles request rate.
Performance cookies collect aggregate, anonymous data about site performance.
Cookie
Duration
Description
_gat_gtag_*
1 minute
Google Tag Manager — rate throttle.
Marketing cookies track visits to deliver relevant ads. Controls ad_storage, ad_user_data, and ad_personalization.
What was studied?
The guideline reviewed evidence for treating chronic musculoskeletal pain using a biopsychosocial framework, covering self-management, active and passive treatments, outcome tracking, and options including spinal manipulation, acupuncture, exercise, cognitive behavioural therapy and mindfulness.
What did they find?
The guideline recommends treating chronic pain with a biopsychosocial approach rather than a narrow structural view, particularly for moderate-to-severe cases. It prioritises self-management and active treatment introduced early, recommends a psychological component for significant pain, and calls for validated outcome measures.
Why it matters
This is one of the clearest formal statements of a whole-person, combined-treatment philosophy for long-term pain, treating chronic pain as more than a mechanical problem needing a broad, evidence-matched toolkit.
Why we included it
It captures a wider principle running through the Guide: long-term pain responds best to a whole-person approach spanning physical, psychological and social factors, rather than being treated as a single structural fault to fix.