Chapter

Physical approaches to the management of back pain: II. Manipulative therapy

Jonathan Field and Dawn Carnes

in Back Pain

Published on behalf of Oxford University Press

Published in print September 2012 | ISBN: 9780199609772
Published online October 2012 | e-ISBN: 9780191740886 | DOI: http://dx.doi.org/10.1093/med/9780199609772.003.0006

Series: Oxford Pain Management Library

Physical approaches to the management of back pain: II. Manipulative therapy

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• Chiropractic and osteopathy are commonly associated with manipulative therapy however the majority of patients will receive other types of evidence based care as well • In most regions, including the UK these professions are state registered ensuring standards, patient safety and overseeing continuing professional development • The use of manual therapy (joint manipulation, mobilization and massage) is recommended as an effective treatment option by guidelines for the management of acute and chronic back pain • The risk of a major adverse event following manipulation is rare (>0.01%). Some short lasting stiffness or discomfort after treatment is not unusual especially following the first session.

Chapter.  2306 words. 

Subjects: Clinical Medicine ; Pain Medicine

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