Journal of manipulative and physiological therapeutics
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J Manipulative Physiol Ther · Nov 2008
ReviewChiropractic management of low back pain and low back-related leg complaints: a literature synthesis.
The purpose of this project was to review the literature for the use of spinal manipulation for low back pain (LBP). ⋯ As much or more evidence exists for the use of spinal manipulation to reduce symptoms and improve function in patients with chronic LBP as for use in acute and subacute LBP. Use of exercise in conjunction with manipulation is likely to speed and improve outcomes as well as minimize episodic recurrence. There was less evidence for the use of manipulation for patients with LBP and radiating leg pain, sciatica, or radiculopathy.
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J Manipulative Physiol Ther · Nov 2008
ReviewChiropractic management of low back disorders: report from a consensus process.
Although a number of guidelines addressing manipulation, an important component of chiropractic professional care, exist, none to date have incorporated a broad-based consensus of chiropractic research and clinical experts representing mainstream chiropractic practice into a practical document designed to provide standardized parameters of care. The purpose of this project was to develop such a document. ⋯ A broad-based panel of experienced chiropractors was able to reach a high level (80%) of consensus regarding specific aspects of the chiropractic approach to care for patients with low back pain, based on both the scientific evidence and their clinical experience.