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Spinal manipulation and exercises such as yoga and tai chi, which help you to relax and improve your physical function, also may be helpful, although the data supporting their use to relieve chronic low-back pain are not as strong, the ACP notes.
Spinal manipulation - along with other less traditional therapies such as heat, meditation and acupuncture - seems to be as effective as many other more medical therapies we prescribe, and as safe, if not safer.
The guidelines advise non-drug options first including tactics such as heat wraps, acupuncture, massage, exercise and spinal manipulation.
For chronic low back pain, the guideline strongly recommends starting with nondrug therapies, including exercise, multidisciplinary rehabilitation, acupuncture, mindfulness-based stress reduction, tai chi, yoga, motor control exercise, progressive relaxation, electromyography biofeedback, low-level laser therapy, operant therapy, cognitive-behavioral therapy, or spinal manipulation.
As with the gate-control theory, during the act of the spinal manipulation, there is an increase in the afferent output from the surrounding muscle spindles.
The analysis provides estimates of selected wellness-related reasons for, and outcomes from, the use of three complementary health approaches: natural product supplements; yoga; and spinal manipulation.
Though recently shown to be of negligible effect in the early stages of low back pain, you might have luck with spinal manipulation for acute pain if you don't improve after the initial self-care steps listed above.
Spinal manipulation for the pain is frequently used.
A wide range of services provided to include: general physiotherapy, spinal manipulation, orthotic development plus foot typing, functional capacity exams, and ergonomic work assessments.
1] However, this literature review focuses only massage and spinal manipulation in the treatment of LBP.