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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. [49]
National guidelines vary; some recommend the therapy for those who do not improve with other treatment. [49] It may be effective for lumbar disc herniation with radiculopathy , [ 50 ] [ 51 ] as effective as mobilization for neck pain, [ 52 ] some forms of headache, [ 53 ] [ 54 ] and some extremity joint conditions.
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Chiropractic authors and researchers Meeker and Haldeman write that the core clinical method that all chiropractors agree upon is spinal manipulation, although chiropractors much prefer to use the term spinal "adjustment", a term which reflects "their belief in the therapeutic and health-enhancing effect of correcting spinal joint abnormalities."