Spinal manipulation in the treatment of musculoskeletal pain
- Paul Shekelle, MD
Paul Shekelle, MD
- Professor of Medicine
- UCLA Medical School
- Howard Vernon, DC, FCCS (Hons), PhD
Howard Vernon, DC, FCCS (Hons), PhD
- Canadian Memorial Chiropractic College
- Julie M Fritz, PT, PhD
Julie M Fritz, PT, PhD
- Department of Physical Therapy, University of Utah
Spinal manipulation is a technique used by chiropractors, physical therapists, and osteopathic clinicians, primarily to provide relief for musculoskeletal pain related to the back and neck. It has also been used for other conditions, which are discussed briefly below.
This topic will focus on a description of spinal manipulation and a discussion of its effectiveness. Other discussions concerning the treatment of the patient with back and/or neck pain is presented separately:
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- Shekelle PG, Adams AH, Chassin MR, et al. Spinal manipulation for low-back pain. Ann Intern Med 1992; 117:590.
- Hurwitz EL, Aker PD, Adams AH, et al. Manipulation and mobilization of the cervical spine. A systematic review of the literature. Spine (Phila Pa 1976) 1996; 21:1746.
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- Cassidy JD, Boyle E, Côté P, et al. Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-crossover study. Spine (Phila Pa 1976) 2008; 33:S176.
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- SPINAL MANIPULATION
- Types of manipulation
- Postulated mechanisms of benefit
- LOW BACK PAIN
- NECK PAIN AND HEADACHE
- Efficacy of manipulation for neck pain
- Efficacy of manipulation for headache
- OTHER CLINICAL CONDITIONS
- RISKS OF SPINAL MANIPULATION
- Minor complaints
- Serious adverse events
- SUMMARY AND RECOMMENDATIONS