If you have back pain or another painful condition, seek a medical evaluation before pursuing acupuncture, spinal manipulation
, or massage, to rule out any potentially serious conditions that might require other treatment.
This review was more damning: It found that spinal manipulation
was no better than sham interventions.
Out of 26 trials, the researchers found that 15 reported"moderate-quality" evidence that spinal manipulation
brought patients modest pain relief over six weeks.
An investigation into the production of intra-articular gas bubbles and increase in joint space in the zygapophyseal joints of the cervical spine in asymptomatic subjects after spinal manipulation
Even with a previous history of spinal manipulation
of the injured area and a doctor/patient relationship, a verbal consent to provide SMT on the field with brief explanation is still necessary and prudent.
includes high-velocity thrust technique applied on synovial joint when range of motion achieved at the end (passively) with "crack" sound.
Supervised exercise with and without spinal manipulation
performs similarly and better than home exercise for chronic neck pain: a randomized controlled trial.
The American Chiropractic Association stresses that when an adverse reaction does occur, it is often the result of the procedure being performed by someone inadequately trained in spinal manipulation
, rather than by a licensed chiropractor.
(SMT), a technique used by chiropractors, osteopaths, naturopaths and some medical doctors, is used to improve the range of motion of the joints in the spine.
Guidelines from the National Institute for Health and Clinical Excellence (NICE 2009) suggest that spinal manipulation
, offered by Chiropractors, is often a very effective long term solution for relieving back pain.
The author is a chiropractor who uses naturopathic techniques that include everything from herbal medicine and homeopathy to massage, spinal manipulation
, acupuncture, nutrition, lifestyle counseling, and mind-body medicine.
In acute low back pain (<4 weeks), spinal manipulation
often is useful.