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Cervical manipulation, commonly known as neck manipulation, is a procedure involving adjustment of the upper seven vertebrae of the spinal column. This procedure is most often utilized by chiropractors , as well as osteopathic physicians who practice osteopathic manipulation . [ 1 ]
All techniques claim effects similar to other manual therapies, ranging from decreased muscle tension to reduced stress. Studies show that most patients go to chiropractors for musculoskeletal problems: [15] 60% with low back pain, and the rest with head, neck and extremity symptoms. (p.
Treatment is usually for neck or low back pain and related disorders. [ 45 ] For acute low back pain, low quality evidence has suggested no difference between real and sham spine manipulation, [ 46 ] and moderate quality evidence has suggested no difference between spine manipulation and other commonly used treatments, such as medication and ...
Back and neck pain are the specialties of chiropractic but many chiropractors treat ailments other than musculoskeletal issues. [7] There is a range of opinions among chiropractors: some believed that treatment should be confined to the spine, or back and neck pain; others disagreed. [63]
Chiropractic subluxation should not be confused with a medical subluxation, which is a "significant structural displacement" visible on static imaging studies such as X-rays. [8] Chiropractic is a field of alternative treatment outside scientific mainstream medicine, whose practitioners (chiropractors) are not medical doctors.
By the mid-1990s there was a growing scholarly interest in chiropractic, which helped efforts to improve service quality and establish clinical guidelines that recommended manual therapies for acute low back pain. [7] Some people believe chiropractic has little more than a placebo effect, while some randomized trials of spinal manipulation have ...
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