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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]
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]
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 ]
Spinal manipulation appears to provide similar effects to other recommended treatments for chronic low back pain. [57] There is no evidence it is more effective than other therapies or sham, or as an adjunct to other treatments, for acute low back pain [58] "Back school" is an intervention that consists of both education and physical exercises.
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