Treatment of Rheumatoid Arthritis Through Chiropractic Care: Advantages and Security Measures
In recent years, there has been growing interest in the potential role of chiropractic care as a complementary approach for managing rheumatoid arthritis (RA). While the evidence supporting this practice is limited, some studies suggest that chiropractic techniques may offer benefits for individuals with RA.
Mechanism and potential benefits: Chiropractic treatments, such as spinal adjustments and joint manipulation, may help reduce nerve compression and stimulate mechanoreceptors that modulate pain and inflammatory pathways. Some research indicates that these adjustments might even stimulate the vagus nerve, reducing systemic pro-inflammatory cytokines associated with RA [2][4].
Research evidence: A small Canadian study found that short-term chiropractic care lowered inflammatory markers in patients with chronic pain, suggesting reduced systemic inflammation relevant to RA [4]. Other studies note improvement in joint tenderness and muscle function with chiropractic care tailored to avoid harsh manipulations in inflamed joints [5].
Safety considerations: Chiropractic care for RA is applied cautiously, using gentle techniques to avoid exacerbating joint inflammation or damage, especially in severely affected joints [5].
Current limitations: Most evidence consists of small studies, mechanistic research, and expert observations rather than robust randomized controlled trials. No large-scale, definitive clinical trials demonstrating efficacy and safety specifically for RA have been reported yet.
Complementary approaches: Chiropractic care is often combined with dietary modifications targeting inflammation (e.g., turmeric, omega-3 fatty acids) to support overall management [2][5].
However, it is essential to approach chiropractic care for RA with caution. Chiropractic manipulation may make RA symptoms worse for those with active inflammation in their joints. If a person tries chiropractic and experiences any worsening of their symptoms, they should stop their sessions and contact a doctor for advice.
Furthermore, it is crucial to note that there is no high-quality evidence to suggest that chiropractic is a safe or effective treatment for RA. The inflammatory nature of RA may make chiropractic care potentially unsafe for some individuals.
In summary, recent insights support a plausible role for chiropractic care as a complementary approach to reduce inflammation and improve mobility in RA, but strong clinical evidence beyond case studies and small trials remains limited. Patients considering chiropractic care for RA should do so under medical guidance and ensure techniques are adapted to their condition's severity [2][4][5]. Anyone who believes they could have RA should speak with a doctor for a diagnosis. It is always advisable to consult a healthcare professional before attempting any new treatment for RA.
