Does Spinal Manipulative Therapy Work for Lower Back Pain?

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Dr. Shim discusses two studies that look at the effectiveness of Spinal Manipulative Therapy for treating lower back pain and how it compares to alternatives.

Citations:

Rubinstein SM, Terwee CB, Assendelft WJ, de Boer MR, van Tulder MW. Spinal manipulative therapy for acute low-back pain. Cochrane Database Syst Rev. 2012 Sep 12;(9):CD008880. PubMed PMID: 22972127

Rubinstein SM, de Zoete A, van Middelkoop M, Assendelft WJJ, de Boer MR, van Tulder MW. Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: systematic review and meta-analysis of randomised controlled trials. BMJ. 2019 Mar 13;364:l689. PubMed PMID: 30867144
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Thank you Dr Shim. Once again a very good informative video. I am currently waiting for a L5/S1 decompression operation. I am tempted to see a chiropractor in the meantime. But, in the past I have only gained some very brief relief from pain for a lot of money. I found that manipulation, whilst helpful to the muscles in the back in general, it was never really going to help with the pressure of a bone spur/ herniated disc on a root nerve. Most of the home exercises I have been offered have made the pain much worse!

TonyG-iutd
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Can you please talking about Spinal decompression? For herniated disc’s.. supposedly, when you pull the spine and decompress the disc, it can cause a bulging or even a ruptured disc to go back into place and heal.. I have 3 herniated disc’s l3-l5 are damaged causing lots of pain

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