In a more stringent study on the efficacy of chiropractic spinal manipulation and mobilization on Low back pain and neck pain, it was found out that the combination of both has significant positive effects on both anomalies comparable to the intake of prescription NSAID’s, general practitioner care and Placebo. It was also found out that SMT and mobilization have significant long term effects on Low back pain and neck pain. The purpose of this study (Gert Bronfort, PhD, DCa, Mitchell Haas, DC, MAb, Roni L. Evans, DC, Msa, Lex M. Bouter, PhD) is to reevaluate studies conducted in the past claiming the relevancy of chiropractic care and mobilization in treating the said anomalies.

Chiropractic Spinal Manipulation on Chronic Low Back Pain and Neck Pain

Spinal manipulation is the introduction of pressure or manual thrusts on the spine joints just above the passive range of the joint motion. While mobilization is the application of pressure on the passive range of the joint motion without a manual thrust. The combination of both suggests neck and low back pain relief, in different categorization such as chronic, acute and a mix of both. To determine the efficacy of Spinal manipulation and Mobilization in this study, its efficacy were determined through a comparison between other interventions such as patients intake of prescription NSAID’s, general practitioner care with placebo, and physical therapy.

Chronic low back pain and chiropractic spinal manipulation

This study suggests that Chiropractic care (spinal manipulation) has relevant short term and long term effects on chronic low back pain experienced by patients, as long as it is partnered with mobilization. SMT was cited as better alternative to traction, exercise and corset. The combination of chiropractic spinal manipulation and mobilization also shows superior efficacy than physical therapy.

Chronic Neck Pain and Chiropractic Care

The study suggests chiropractic care combined with mobilization exercises showed relevant long term positive effects on chronic neck pain more than prescription NSAID’s and general practitioner care with placebo. The study also cited chiropractic spinal manipulation as one of the best alternative to other chronic neck pain remedies such as physical therapy.

Chiropractic Spinal Manipulation’s Side effect on Chronic neck and low back pain

This study pointed out that there are no serious adverse side effects found on the use of chiropractic spinal manipulation and mobilization besides slight soreness on local muscles and joints. 

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