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Home Chiropractic Research Chiropractic: Efficacy, Safety and Satisfaction Training Primary Care Physicians to Give Limited Manual Therapy For Low Back Pain: Patient Outcomes

Training Primary Care Physicians to Give Limited Manual Therapy For Low Back Pain: Patient Outcomes

In recent years, a growing number of primary care physicians have been practicing manual therapy techniques, including spinal manipulation. According to the results of this study,  patients treated by these doctors experience only a "very modest benefit."

Investigators looked at the effectiveness of manual therapy performed by 31 generalists physicians (who completed a limited manual therapy training course) on 295 patients with back pain.

Findings showed that no differences were found between patients treated with manual therapy and controls in Roland­ Morris scores over time, mean functional days to recovery, days absent from work, or patient satisfaction. However, patients who received manual therapy did recover faster - especially those who underwent more intensive treatments.

Curtis P, Carey TS, Evans P, Rowane MP, Mills Garrett J, Jackman A.   Spine 2000;25(22):2954-2961.