Facet gapping Model

Spinal Manipulation Superior

Spinal manipulation found Superior to NSAIDS and Placebo

In Spine, Apr 1, 2013, a group of researchers looked at spinal manipulation in a subgroup of admitted patients, excluding specific criteria outside the nonspecific LBP group.1

Spinal Manipulation

Treatment options for LBP range from physical therapy to diverse manipulation techniques and medicine with analgesics or nonsteroidal anti-inflammatory drugs. None of these therapeutic modalities is more effective than the others. As a result, there is currently no unambiguous recommendation based on evidence for the management of acute nonspecific LBP. To close this gap, the current study was started to compare the effectiveness of spinal adjustments with that of the NSAID diclofenac, which was also randomized and controlled in patients with acute LBP. For everyone, paracetamol analgesia was a vital drug.

Given the relative risk of NSAID side effects, diclofenac was determined to be acceptable by utilizing a limited dose for a brief period.

The trial’s central hypothesis was that spinal manipulation is as effective at treating acute LBP as NSAIDs, if not more so, and that active intervention is more beneficial than rescue medication.

What was the Result of Spinal Manipulation?

Spinal manipulation has never been studied in a double-blinded, randomized, controlled manner, and the results outperform placebo and NSAID. HVLA manipulation can be suggested as a treatment for acute nonspecific LBP.