What research supports the use of spinal manipulation for chronic back pain?
A British ten year study concluded that chiropractic treatment was significantly more effective, particularly with patients with chronic and severe pain. [Emphasis added] A second study appeared in the British Medical Journal in 1992, confirming the results of the first study. It concluded that, “Manipulative therapy and physiotherapy are better than general practitioner and placebo treatment. Furthermore, manipulative therapy is slightly better than physiotherapy after 12 months.” Despite exercise failure to cure back pain, exercise is still recommended in a quality treatment program. Current research demonstrates that continuance of exercise was associated with a better outcome along with other treatment options. “For the management of chronic back pain, trunk exercise in combination with manipulation or NSAIDs seems beneficial and worthwhile.” Another study compared spinal manipulation, needle acupuncture, and NSAIDs for the treatment of chronic back pain. After 30 days, spinal mani
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