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In 1992, chiropractors were estimated to perform over 90% of all manipulative treatments given for low back pain treatment in the USA. [48] A 2012 survey in the US found that 99% of the first-professional physical therapy programs that responded were teaching some form of thrust joint manipulation .
A chiropractor performs an adjustment on a patient. Spinal adjustment and chiropractic adjustment are terms used by chiropractors to describe their approaches to spinal manipulation, as well as some osteopaths, who use the term adjustment. Research has shown that chiropractic care is effective for musculoskeletal conditions.
For acute low back pain, low quality evidence has suggested no difference between real and sham spine manipulation, [46] and moderate quality evidence has suggested no difference between spine manipulation and other commonly used treatments, such as medication and physical therapy. [46] [47] [48]
The American Chiropractic Association, in an email to Women’s Health, calls it “a safe and effective non-drug treatment for common forms of neck pain and headache.”
In 2002–03, the majority of those who sought chiropractic did so for relief from back and neck pain and other neuromusculoskeletal complaints; [19] most do so specifically for low back pain. [ 19 ] [ 224 ] The majority of U.S. chiropractors participate in some form of managed care. [ 8 ]
A 2009 defense of chiropractic, written by chiropractor Alan Breen, stated there is consistent evidence that manual therapies such as chiropractic manipulations are "helpful and generally produce moderate but significant and sustained improvement for back pain" [90] and dismissed the suggestion that chiropractic does more harm than good as ...