JAMA: Spinal Manipulation Treatment for Low Back Pain Associated with Modest Improvement in Pain, Function
The Journal of American Medical Association performed a systemic review of 26 RCT or randomized clinical trials and found the spinal manipulative treatment was statistically significant in improving acute low back pain for up to 6 weeks. This is also compared to sham treatments or other "alternative" treatments. Alternative in this case means "analgesics, muscle relaxants, exercises, physical therapy." The results were comparable to "analgesics, muscle relaxants, exercises, physical therapy" in efficacy and "modest." These studies did include "blind" studies which means that the experiment tried to eliminated experimenter or patient subject bias in removing labels while the experiment is performed.
Question Is the use of spinal manipulative therapy in the management of acute (≤6 weeks) low back pain associated with improvements in pain or function?
Findings In this systematic review and meta-analysis of 26 randomized clinical trials, spinal manipulative therapy was associated with statistically significant benefits in both pain and function, of on average modest magnitude, at up to 6 weeks. Minor transient adverse events such as increased pain, muscle stiffness, and headache were reported in more than half of patients in the large case series.
Meaning Among patients with acute low back pain, spinal manipulative therapy was associated with modest improvements in pain and function and with transient minor musculoskeletal harms.
ChiroWorks Care Center
Anthony Tsai, D.C.
Chiropractor in San Jose, CA
Graston Technique Certified
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