Once Again Another Study Shows Manipulation Helps Back Pain

Posted in Chiropractic, Manual Therapy Works at 3:58 PM by Dr. Greathouse

Hey it works! Study after study demonstrates this and it’s safe too.

So, if you have back or neck pain, give it a go.


01 April 2013 – Volume 38 – Issue 7 – p 540–548

doi: 10.1097/BRS.0b013e318275d09c

Randomized Trial


Study Design. A randomized, double-blinded, placebo-controlled, parallel trial with 3 arms.

Objective. To investigate in acute nonspecific low back pain (LBP) the effectiveness of spinal high-velocity low-amplitude (HVLA) manipulation compared with the nonsteroidal anti-inflammatory drug diclofenac (anti-inflammatory) and with placebo.

Summary of Background Data. Few studies have evaluated the effectiveness of spinal manipulation in comparison to nonsteroidal anti-inflammatory drugs or placebo regarding satisfaction and function of the patient, off-work time, and rescue medication.

Methods. The subjects were randomized to 3 groups:

(1) spinal manipulation and placebo-diclofenac;

(2) sham manipulation and diclofenac;

(3) sham manipulation and placebo-diclofenac.

Results. Comparing the 2 intervention groups, the manipulation group was significantly better than the diclofenac group (Mann-Whitney test: P = 0.0134). No adverse effects or harm was registered.

Conclusion. In a subgroup of patients with acute nonspecific LBP, spinal manipulation was significantly better than nonsteroidal anti-inflammatory drug diclofenac and clinically superior to placebo.

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