Randomized clinical trial into the effectiveness of Naturopathic treatment for low back pain.

by Orest Szczurko1,Kieran Cooley1, Jason W. Busse2, Dugald Seely1, Bob Bernhardt1, Gordon H. Guyatt2, Qi Zhou2, and Edward J. Mills2*

Peter Tugwell, Academic Editor, University of Ottawa, Canada



Chronic low back pain represents a substantial cost to employers through benefits coverage and days missed due to incapacity. We sought to explore the effectiveness of Naturopathic care on chronic low back pain.


This study was a randomized clinical trial. We randomized 75 postal employees with low back pain of longer than six weeks duration to receive Naturopathic care (n=39) or standardized physiotherapy (n=36) over a period of 12 weeks. The study was conducted in clinics on-site in postal outlets. Participants in the Naturopathic care group received dietary counseling, deep breathing relaxation techniques and acupuncture. The control intervention received education and instruction on physiotherapy exercises using an approved education booklet. We measured low back pain using the Oswestry disability questionnaire as the primary outcome measure, and quality of life using the SF-36 in addition to low back range of motion, weight loss, and Body Mass Index as secondary outcomes.


Sixty-nine participants (92%) completed eight weeks or greater of the trial. Participants in the Naturopathic care group reported significantly lower back pain (−6.89, 95% CI. −9.23 to −3.54, p=<0.0001) as measured by the Oswestry questionnaire. Quality of life was also significantly improved in the group receiving Naturopathic care in all domains except for vitality. Differences for the aggregate physical component of the SF-36 was 8.47 (95% CI, 5.05 to 11.87, p=<0.0001) and for the aggregate mental component was 7.0 (95% CI, 2.25 to 11.75, p=0.0045). All secondary outcomes were also significantly improved in the group receiving Naturopathic care: spinal flexion (p<0.0001), weight-loss (p=0.0052) and Body Mass Index (−0.52, 95% CI, −0.96 to −0.08, p=0.01).


Naturopathic care provided significantly greater improvement than physiotherapy advice for patients with chronic low back pain.

© Szcurko et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 


PLoS ONE. 2007; 2(9): e919.

Published online 2007 September 19. doi: 10.1371/journal.pone.0000919.

Controlled-Trials.com ISRCTN41920953

Articles from PLoS ONE are provided here courtesy of Public Library of Science

1Division of Clinical Epidemiology, Canadian College of Naturopathic Medicine, Toronto, Ontario, Canada

2Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada