Researchers from the University of Pittsburgh in Pennsylvania reviewed the evidence for chiropractic… and more.

First, the details.

  • This review is based on The Scientific Commission of the Council on Chiropractic Guidelines and Practice Parameters (CCGPP).
  • 8 systematic reviews, 3 meta-analyses, 5 published guidelines, and 1 consensus document were identified.
  • The Manual, Alternative, and Natural Therapy Index System and Index to Chiropractic Literature databases yielded an 38 more articles on nonpharmacologic therapies such as acupuncture, chiropractic, nutritional/herbal supplements, massage, etc.

And, the results.

  • Strong evidence supports aerobic exercise and cognitive behavioral therapy.
  • Moderate evidence supports acupuncture, massage, muscle strength training, and spa therapy (balneotherapy).
  • Limited evidence supports spinal manipulation, movement/body awareness, vitamins, herbs, and dietary modification.

The bottom line?
It’s not clear why the article is titled, “Chiropractic management of fibromyalgia syndrome: a systematic review of the literature.”

1/6/09 21:36 JR

Hi, I’m JR

John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at, a complementary and alternative medicine website.