6, 15, 16 More significantly these problems are associated with increased disability by impeding a person’s capacity to perform everyday mobility tasks such as walking, stooping, lifting, or reaching. 10– 14 As a result, spine conditions reflect a growing portion of health services use and expenditures, particularly under Medicare. ![]() Spine-related problems are common in the general adult population, and there is evidence of increasing prevalence as people age. ![]() 2, 7– 9 Prevalence of chiropractic use is likely higher in the population of Medicare beneficiaries with back and neck conditions, but how much higher is not known. 6 While informative, these estimates are not reflective of the population that commonly seeks care from doctors of chiropractic (DCs)-namely, persons seeking treatment for spine-related health conditions. 4, 5 For younger Medicare beneficiaries chiropractic prevalence rates are closer to national rates, ranging between 6%–7%. 1– 3 Among Medicare beneficiaries age 70 years and up chiropractic use is less prevalent, with two studies indicating annual rates ranging between 4.1% and 5.4%. ![]() National surveys and other data show chiropractic use prevalence rates among those age 18 and up ranging between 5.6% – 8.6% in the U.S.
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