* Use spinal manipulation
therapy (SMT) as one part of a comprehensive treatment regimen for back or neck pain that includes physical therapy, moist heat, ice, acupuncture, massage and other conservative treatments.
Physicians are traditionally wary of spinal manipulation
(applying pressure on bones and joints), in part because the practitioners are often not doctors and also because a few chiropractors have claimed they can address conditions that have little to do with the spine.
"Most treatments whether they be NSAIDs or muscle relaxants or spinal manipulation
therapy have, on average, small effects," Shekelle said.
Changes in biochemical markers of pain perception and stress response after spinal manipulation
. Journal of orthopaedic & sports physical therapy.
Our study is the first of its kind to provide greater than 13 years of follow-up to spinal manipulation
surgery and its outcomes on a case of ISD.
Masud et al., "Cerebral metabolic changes in men after chiropractic spinal manipulation
for neck pain," Alternative Therapies in Health and Medicine, vol.
As with the gate-control theory, during the act of the spinal manipulation
, there is an increase in the afferent output from the surrounding muscle spindles.
* Though recently shown to be of negligible effect in the early stages of low back pain, you might have luck with spinal manipulation
for acute pain if you don't improve after the initial self-care steps listed above.
The main procedure is "spinal manipulation
," or "adjustments" which restore mobility by applying force into joints that became restricted--as a result of injury--caused by a traumatic event or through repetitive stresses--causing inflammation, pain, and diminished function.
In terms of nonsurgical include pharmacology (opiods, paracetamol, antidepressants), physical rehabilitation, and traditional and complementary medicine (T and CM) (massage, spinal manipulation
, exercises, acupuncture, electrical modalities), and cognitive behavioral therapy.
Currently, NICE recommends the use of a complementary and alternative treatment in a limited number of instances, including: Alexander Technique for Parkinson's disease; ginger and acupressure for reducing morning sickness and acupuncture and manual therapy, including spinal manipulation
, spinal mobilisation and massage for persistent low back pain.
(SM) is a common form of intervention used by a wide range of practitioners used to relieve pain and disability of the musculoskeletal system.