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Spinal manipulation in the treatment of musculoskeletal pain

Paul Shekelle, MD
Howard Vernon, DC, FCCS (Hons), PhD
Julie M Fritz, PT, PhD
Section Editor
Steven J Atlas, MD, MPH
Deputy Editor
Howard Libman, MD, FACP


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:

(See "Treatment of acute low back pain".)

(See "Subacute and chronic low back pain: Nonpharmacologic and pharmacologic treatment".)

(See "Subacute and chronic low back pain: Nonsurgical interventional treatment".)

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Literature review current through: Nov 2017. | This topic last updated: Mar 14, 2016.
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