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When self-care options do not result in improvement, medical doctors should consider recommending non-drug treatments shown to be of benefit.  For acute low back pain the only treatment with proven benefits in this category is spinal manipulation. – The Guidelines Issued by The American College of Physicians (ACP)  and The American Pain Society (APS) for the management of Low Back Pain – Annals of Internal Medicine, October 2007

For patients with acute low back pain, spinal manipulation was significantly better than nonsteroidal anti-inflammatory drug and clinically superior to placebo – Spine Journal, April 2013

Manual Therapy (spinal manipulation/mobilization) followed by specific active exercises, significantly reduces functional disability and tends to induce a larger decrease in pain intensity, compared to a control group. These results confirm the clinical relevance of manual therapy as an appropriate treatment for chronic low back pain – BMC Musculoskeletal Disorders, August 2012

Chiropractic care (Spinal Manipulative Therapy) is recommended as the first and primary treatment for Acute Low Back Pain – Spine Journal, December 2010

Moderately strong evidence supports the use of Spinal Manipulation in acute back pain – The Journal of the American Academy of Orthopaedic Surgeons, Aug 2006

Recommendations can be made with some confidence regarding the use of Spinal Manipulation as a viable option for the treatment of both Low Back Pain and Neck Pain –Spine Journal, May-June 2004

In acute nonspecific lower-back pain (0-4 weeks duration of pain) there is moderate to strong evidence that treatment with a limited number of sessions of Spinal Manipulative Therapy is effective for pain relief – Clinical Orthopaedics and Related Research, Feb 2006

Spinal Manipulation is effective for the treatment of Chronic Low Back Pain – Spine Journal, August 2011

“Maintenance” Spinal Manipulation is effective at preventing pain and disability due to Chronic Low Back Pain – Spine Journal, August 2011

Intensive Spinal Manipulation is effective for the treatment of Chronic Low Back Pain – JMPT Oct 2004

Spinal manipulation/mobilization is effective in adults for: acute, subacute, and chronic low back pain – Journal of Chiropractic & Osteopathy, Feb 2010

“Maintenance” Spinal Manipulation following the completion of a treatment plan helps to maintain the benefits of care – JMPT, Oct 2004

Specific structured exercise and Spinal Manipulation both offer significant pain relief and functional improvement for those with chronic low back pain within 8 weeks of care –Spine Journal, Oct 2011

Spinal Manipulation improves muscle function for the muscles of the low back – JMPT, Nov 2000

With the management of chronic low back pain, Spinal Manipulation may provide short-term pain relief with a primary care plan focused on patient education, self-care, and back exercises – Current Sports Medicine Reports, Jan-Feb 2010

Chiropractic Adjustments (Spinal Manipulations) help to relieve Back Pain and Sciatica due to Disc Herniation – Spine Journal, March-April 2006

Spinal Manipulation is an effective therapy for treating Chronic Low Back Pain – Annals of Internal Medicine, October 2007

Chiropractic adjustments (spinal manipulation) help to relieve low back pain during pregnancy – JMPT, July-August 2008

Chiropractic Spinal Manipulation is safe and helps to reduce intensity of low back pain during pregnancy – Journal of Midwifery & Women’s Health, Jan-Feb 2006

At both 5 month and 12 month follow-up, manipulative treatment with stabilizing exercises was more effective in reducing pain intensity and disability than the physician consultation alone – Spine Journal, October 2003

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