The Manga Report In 1993, the Ontario Ministry of Health commissioned and funded a study to examine the effectiveness and cost-effectiveness of chiropractic management of low back pain. The report concluded that there is an overwhelming body of evidence indicating that chiropractic management of low back pain is the most cost-effective, and that there would be highly significant cost savings if more management of low back pain was transferred to chiropractors.
“There would be highly significant cost savings if more management of low-back pain was transferred from physicians to chiropractors… Users of chiropractic care have substantially lower health care costs, especially inpatient costs, than those who use medical care only.”
This report also recommended that there should be a shift in policy to encourage chiropractic services for most patients with low back pain and that chiropractic services should be fully insured under the Ontario Health Insurance Plan.
In The Australian Study (Ref*), This workers’ compensation study published in the Chiropractic Journal of Australia compared chiropractic and medical management of 1,996 cases of work-related mechanical low back pain. The number of compensation days (paid days off from work) taken by claimants was found to be significantly lower, an average of 6.26 days for chiropractic patients and 25.56 days for medical patients. The average cost was $392 and for medical management, $1,569, four times greater than chiropractic management.
Ref* – Mechanical Low-Back Pain: A Comparison of Medical and Chiropractic Management Within the Victorian Work Care Scheme. Ebrall, PS. Chiropractic Journal of Australia – 1992;22:47-5