This therapy involves using the hands or another unit to apply force and manipulate the joints in the spine.
CAM Therapy
Spinal manipulation therapy is a form of complementary and alternative medicine (CAM) therapy.
It’s the most widely used CAM therapy for children and adults in the United States.
ljubaphoto / Getty Images
Benefits
The most reported benefit of spinal manipulation therapy is reduced chronic back pain.
Yet many people who use spinal manipulation report that they find additional benefits, though not yet proven.
But as with any therapy, there is an element of risk.
The most reported side effects include temporary soreness at the manipulation site and exhaustion.
However, that area is usually not addressed when receiving treatment for lower back pain.
The study also concluded that it’s not currently possible to provide guidelines regarding the safety of spinal manipulation.
High-quality research studies regarding the risks and benefits of spinal manipulation are needed.
Two common approaches include spinal manipulation and spinal mobilization.
Spinal Mobilization: Low-Force Chiropractic Techniques
Low-force chiropractic techniques are a gentler approach used by the therapist.
Patients who are uncomfortable with twisting or forceful thrusting may also prefer this therapy.
Contraindications
Spinal manipulation is not for everyone.
Some of the benefits include reduced chronic back pain, improved body function, and short-term pain relief.
Sometimes the use of multiple approaches to pain management can be more effective than using a single treatment.
But as with any therapy, there is some degree of risk.
The most reported side effects are temporary soreness at the manipulation site, tiredness, and headache.
Rare but serious effects can include vertebral dissection and stroke.
The appointment usually lasts about 30 minutes.
However, the spinal manipulation itself will take less time.
It’s often impossible to know what areas specifically need attention without diagnostic information, such as anX-ray.
It’s also possible to hurt yourself while attempting self-alignment.
National Center for Complementary and Integrative Health.Spinal manipulation: what you oughta know.
National Institute for Complementary and Integrative Health.Four things to know about spinal manipulation for low back pain.
2019;364:l689.
2021;29(1):8. doi:10.1186/s12998-021-00362-9.
Erratum in:Chiropr Man Therap.
2017;6(1):64. doi:10.1186/s13643-017-0458-y
Spine Health.Understanding spinal manipulation.
