Spinal manipulation, also called spinal adjustment, is a treatment that uses pressure on a joint of the spine. It is used to improve pain and function. Manipulation can be done with the hands or a special device. The careful, controlled force used on the joint can range from gentle to strong, and from slow to rapid. Sometimes other joints of the body are also worked on to help treat the spine.
Start with your primary-care physician; back pain is so common that most
family docs have seen lots of it. Your PCP is also a good person to return to
if, later, you get conflicting treatment advice from specialists. He or she can
help you evaluate what would be your best next step.