The Ontario Government’s Study on Low Back Pain Relief

By Dr. Laina Shulman

The Manga Report is a large study that was commissioned by the Ontario government to look at the effectiveness and cost-effectiveness of low back pain therapy by MDs, Chiropractors and Physiotherapists.

Pran Magna was a health economist at the University of Ottawa who undertook this review of the research evidence and government health statistics. His summary points are emphatic:

As compared to medical and physiotherapy treatment in Ontario, chiropractic

Low Back Pain and Chiropractic Care

Low Back Pain and Chiropractic Care

care is significantly better in:

  • Effectiveness
  • Safety and far fewer side effects
  • Cost effectiveness
  • Quicker return to work after injury
  • Patient satisfaction

He made a strong recommendation for the Ontario government to utilize chiropractors in the treatment of low back pain patients. He estimated that:

Doubling the proportion of patients who visit chiropractors from 10% to (only) 20% would save the government $348 million per year in direct costs and $1.85 billion in indirect costs.

What did the Ontario government do when they learned this undeniable truth? They delisted chiropractic care from OHIP anyway due to the pressure and strong lobbying from the drug companies and medical association. That is crazy but true.

If you suffer from low back pain or sciatica or know someone who does, please contact us today. We will get to the underlying cause and ensure you are back to feeling your best as soon as possible.


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