Spinal Manipulation
Spinal manipulation is based on the theory that back pain is caused by problems with the muscles and other tissues in the spine and trunk region.
Different practitioners use different types of manipulation, ranging from massage and slow pressing or twisting to rapid movement or forceful pressure on the head, shoulders, back, or hips.
Understanding Back Pain -- Diagnosis and Treatment
Before a doctor can begin treating back pain, he or she may do tests to diagnose what is causing the patient's problem. Unless you are totally immobilized from a back injury, your doctor probably will test your range of motion and nerve function and touch your body to locate the area of discomfort. Blood and urine tests will make sure the pain is not caused by an infection or other systemic problem if that's something your doctor suspects. X-rays are useful in pinpointing broken bones or other skeletal...
Read the Understanding Back Pain -- Diagnosis and Treatment article > >
If you have tight muscles or muscles that spasm, your practitioner may first use heat, ultrasound, or electrical current to relax your muscles before manipulating the spine.
One visit is usually enough
People who benefit from spinal manipulation usually notice improvement after one visit. Additional visits aren't usually needed. At most, 2 to 3 weeks of this type of treatment is considered to be enough to treat sudden low back pain.
Spinal manipulation helps relieve short-term low back pain for many people. It doesn't work for everyone. Most chiropractors, physical therapists, and others who do this type of treatment will work with your medical doctor to make sure you are getting the right treatment.
Although some practitioners encourage long-term spinal manipulation for "maintenance" or "preventive" reasons, this practice has no proven value.
Practitioners who can do manipulation
Chiropractors are not your only choice for providing spinal manual treatment. Other practitioners who can do this include:
Health insurance coverage varies for this type of treatment, so it's wise to check, before starting treatment, to find out whether your practitioner of choice is covered.
Related Information
- Low Back Pain
WebMD Medical Reference from Healthwise

