Featured Research

from universities, journals, and other organizations

Evidence does not back-up spinal manipulation for acute lower back pain, review finds

Date:
September 21, 2012
Source:
Health Behavior News Service, part of the Center for Advancing Health
Summary:
Manipulating or "adjusting" the spine is a popular way to treat occasional or acute lower back pain and is covered by many health insurance plans, but a recent review finds no evidence to suggest it is more effective than other therapy options.

Manipulating or "adjusting" the spine is a popular way to treat occasional or acute lower back pain and is covered by many health insurance plans, but a recent review by The Cochrane Library finds no evidence to suggest it is more effective than other therapy options.

Related Articles


According to the National Institutes of Health, lower back pain affects eight out of 10 people, and is commonly caused by injury or overuse. Spinal manipulation (SMT), a technique used by chiropractors, osteopaths, naturopaths and some medical doctors, is used to improve the range of motion of the joints in the spine.

"SMT is a worldwide, extensively practiced intervention; however, its effectiveness for acute lower back pain is not without dispute," said lead reviewer Sidney Rubinstein, senior researcher at the VU University Medical Center in Amsterdam.

The reviewers studied the results from 20 randomized controlled trials representing 2,674 participants with lower back pain of less than six weeks duration. Reviewers concluded that SMT neither reduced pain nor sped recovery faster than treatment options such as exercise, the use of NSAID pain medications or physiotherapy. Surprisingly, the review also found no evidence to suggest that SMT was more effective than therapies known to be ineffective. "This last finding would suggest more research is needed," said Dr. Rubinstein. If SMT is just as effective as accepted interventions, it should be better than ineffective therapies, such as using ultrasound or heat therapy.

"Such reviews may be confusing because they are not comparing apples to apples," said Mitchell Freedman, D.O., director of Physical Medicine and Rehabilitation at the Rothman Institute at Thomas Jefferson University Hospital in Philadelphia. "For a start, there are different kinds of manipulation, some more aggressive and some limited to stretching. Also, while spinal manipulation is not useful in all circumstances, it can be in some. You do need to look across a whole spectrum."

Another complicating factor is the nature of acute lower back pain. Defined as lasting six weeks or less, it tends to go away on its own in almost 90 percent of all cases."Studies do promote the use of manipulation in subacute to chronic pain which is different from acute pain," said Freedman.


Story Source:

The above story is based on materials provided by Health Behavior News Service, part of the Center for Advancing Health. The original article was written by Joan Vos MacDonald, Contributing Writer. Note: Materials may be edited for content and length.


Journal Reference:

  1. Sidney M Rubinstein, Caroline B Terwee, Willem JJ Assendelft, Michiel R de Boer, Maurits W van Tulder. Spinal manipulative therapy for acute low-back pain. Cochrane Database of Systematic Reviews, 2012, Issue 9. Art. No.: CD008880 DOI: 10.1002/14651858.CD008880.pub2

Cite This Page:

Health Behavior News Service, part of the Center for Advancing Health. "Evidence does not back-up spinal manipulation for acute lower back pain, review finds." ScienceDaily. ScienceDaily, 21 September 2012. <www.sciencedaily.com/releases/2012/09/120921161412.htm>.
Health Behavior News Service, part of the Center for Advancing Health. (2012, September 21). Evidence does not back-up spinal manipulation for acute lower back pain, review finds. ScienceDaily. Retrieved December 22, 2014 from www.sciencedaily.com/releases/2012/09/120921161412.htm
Health Behavior News Service, part of the Center for Advancing Health. "Evidence does not back-up spinal manipulation for acute lower back pain, review finds." ScienceDaily. www.sciencedaily.com/releases/2012/09/120921161412.htm (accessed December 22, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Monday, December 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Touch-Free Smart Phone Empowers Mobility-Impaired

Touch-Free Smart Phone Empowers Mobility-Impaired

Reuters - Innovations Video Online (Dec. 21, 2014) A touch-free phone developed in Israel enables the mobility-impaired to operate smart phones with just a movement of the head. Suzannah Butcher reports. Video provided by Reuters
Powered by NewsLook.com
Earthworms Provide Cancer-Fighting Bacteria

Earthworms Provide Cancer-Fighting Bacteria

Reuters - Innovations Video Online (Dec. 21, 2014) Polish scientists isolate bacteria from earthworm intestines which they say may be used in antibiotics and cancer treatments. Suzannah Butcher reports. Video provided by Reuters
Powered by NewsLook.com
Existing Chemical Compounds Could Revive Failing Antibiotics, Says Danish Scientist

Existing Chemical Compounds Could Revive Failing Antibiotics, Says Danish Scientist

Reuters - Innovations Video Online (Dec. 21, 2014) A team of scientists led by Danish chemist Jorn Christensen says they have isolated two chemical compounds within an existing antipsychotic medication that could be used to help a range of failing antibiotics work against killer bacterial infections, such as Tuberculosis. Jim Drury went to meet him. Video provided by Reuters
Powered by NewsLook.com
Hugging It Out Could Help You Ward Off A Cold

Hugging It Out Could Help You Ward Off A Cold

Newsy (Dec. 21, 2014) Carnegie Mellon researchers found frequent hugs can help people avoid stress-related illnesses. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins