Management of U.S. Veterans presenting with axial spondyloarthritis to a chiropractic clinic: a case series.

Q3 Health Professions

Journal of the Canadian Chiropractic Association Pub Date : 2026-08-01 Epub Date: 2026-08-31

Zachary E Scott, Kevin W Meyer, Clinton J Daniels

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引用次数: 0

Abstract

Background: Axial spondyloarthritis (axSpA) is an immune-mediated condition characterized by signs and symptoms of inflammatory back pain (IBP) affecting the spine and sacroiliac (SI) joints, peripheral arthralgia, enthesitis, and systemic extra-articular complications. While chiropractic treatment is effective for chronic mechanical low back pain, evidence is limited for management of patients with axSpA. This report describes the chiropractic management of three U.S. Veterans with chronic spine pain and axSpA.

Case presentation: All patients were co-managed with rheumatology, and each presented at different points of disease progression. All three cases improved in terms of pain, function, or quality of life. No adverse events were reported.

Summary: Patients with axSpA pursue chiropractic services, but the role of chiropractors in the management of patients with axSpA is unclear. This report outlines the experiences of three patients treated in a VA chiropractic clinic. Further research is needed to evaluate the effectiveness and safety of chiropractic treatment of individuals with axSpA.

本刊更多论文

美国退伍军人轴型脊柱炎的管理，以脊椎指压诊所：一个病例系列。

背景：轴性脊柱炎（axSpA）是一种免疫介导的疾病，其体征和症状为影响脊柱和骶髂关节（SI）的炎症性背痛（IBP）、外周关节痛、骨髓炎和全身关节外并发症。虽然捏脊疗法对慢性机械性腰痛有效，但对axSpA患者的治疗证据有限。本报告描述了三名患有慢性脊柱疼痛和axSpA的美国退伍军人的整脊治疗。病例介绍：所有患者与风湿病共同治疗，每个患者在疾病进展的不同阶段提出。这三个病例在疼痛、功能和生活质量方面都有所改善。无不良事件报告。摘要：axSpA患者寻求脊椎指压治疗服务，但脊椎指压治疗师在axSpA患者管理中的作用尚不清楚。本报告概述了三个病人的经验，治疗在VA脊椎诊所。需要进一步的研究来评估捏脊治疗axSpA患者的有效性和安全性。

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来源期刊

Journal of the Canadian Chiropractic Association Health Professions-Chiropractics

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： The Journal of the Canadian Chiropractic Association (JCCA) publishes research papers, commentaries and editorials relevant to the practice of chiropractic.