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A 2005 American systematic review of economic evaluations of conservative treatments for low back pain found that significant quality problems in available studies meant that definite conclusions could not be drawn about the most cost-effective intervention. [170] The cost-effectiveness of maintenance chiropractic care is unknown.
There is no evidence that chiropractic spinal adjustments are effective for any medical condition, with the possible exception of treatment for lower back pain. [2] The safety of manipulation, particularly on the cervical spine has been debated. [3] Adverse results, including strokes and deaths, are rare. [4] [5]
In 1992, chiropractors were estimated to perform over 90% of all manipulative treatments given for low back pain treatment in the USA. [48] A 2012 survey in the US found that 99% of the first-professional physical therapy programs that responded were teaching some form of thrust joint manipulation. [49]
Medicare covers up to 12 acupuncture treatments for chronic low back pain in a 90-day period. However, if the back pain does not improve, Medicare will not cover further treatments.
A chiropractor performs an adjustment on a patient. Spinal adjustment and chiropractic adjustment are terms used by chiropractors to describe their approaches to spinal manipulation, as well as some osteopaths, who use the term adjustment. Despite anecdotal success, there is no scientific evidence that spinal adjustment is effective against ...
Low back pain or lumbago is a common disorder involving the muscles, nerves, and bones of the back, in between the lower edge of the ribs and the lower fold of the buttocks. Pain can vary from a dull constant ache to a sudden sharp feeling. [ 4 ]
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