New Review of the Scientific Evidence Supporting the Use of Spinal Manipulation for Acute Low Back Pain

              


The October 2010 issue of The Spine Journal includes a new review of the scientific evidence supporting spinal manipulative therapy (SMT) for low back pain.  The results were quite favorable and reflect a growing body of evidence supporting SMT over medications and other conservative options.  SMT research demonstrates “equivalent or superior improvement in pain and function when compared with other commonly used interventions, such as physical modalities, medication, education, or exercise, for short, intermediate, and long-term follow-up.”  The authors conclude by recommending that other health care providers consider SMT as a viable option if self care or education fails to provide pain relief.

A review of national and international guidelines conducted earlier this year by Koes et. al. pointed out the disparities between guidelines with respect to spinal manipulation and the use of drugs for both chronic and acute low back pain.  Another review of guidelines published in June 2010 also noted a great degree of similarity between guidelines and that “Recommendations for management of acute LBP emphasized patient education, with short-term use of acetaminophen, nonsteroidal anti-inflammatory drugs, or spinal manipulation therapy.” Although there is always a need for more evidence, the evidence over the last few years is providing much stronger support for SMT and that evidence is slowly finding its way into major clinical guidelines both in the United States and internationally



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