From a little more complex approach though, it is also important to address the soft tissue surrounding the vertebral spine. In essence, when a patient presents with “Chronic” lower back pain, it is often times the soft tissue (muscle, ligaments, etc..) that become effected as well. So, I like to also take an active rehabilitation approach to this type of presenting issue.
The chiropractic adjustments will help align the spine back to optimal levels, but addressing the soft tissue thru stretching and strengthening exercises are paramount to creating long term relief from a condition such as chronic low back pain.
In summary, if it is determined that the patients presenting issue is neuromuscular in nature, then the adjustments in conjunction with rehabilitation exercises will provide the most benefit.
Then, after a thorough neuromuscular examination we can often determine how involved the soft tissues are in relation to these changes, and how they may effect pain levels, range of motion and, ultimately, effects on activities of daily living.
Moving forward, when all these factors are taken into consideration, it gives the doctor a better understanding of the patients particular subjective and objective issues and allows them to create a treatment plan specific to that patient.
Unfortunately, as necessary as pain meds may be for the very short term, we believe in correcting the source of the problem and not masking the symptoms, as pain meds will often do. This approach gives the patient a better long term outcome, which is always the primary goal.
I hope you found this explanation helpful.