What is happening when the spine is manipulated?


For decades, physical therapists, osteopaths and chiropractors have manipulated the spine in countless patients with low back pain.  Despite proposed theories to explain the effects and prediction rules to forecast who will receive benefit, little evidence has been produced to tell us what is actually occurring when the back is manipulated.   A prospective case series, published in last months edition of Spine , investigated the immediate and short-term effects of a high-velocity, low amplitude spinal manipulation on those with low back pain.
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