Spinal Manipulation is well supported by research to help to alleviate musculoskeletal pain and disability. The goal of spinal manipulation is to restore the motion in the joints to allow them to open and close effectively. High velocity, low amplitude manipulation involves a single thrust into the barrier of the restricted joint. This frequently is followed by an audible popping sound. It has been proven, through research, that after a manipulation increased strength and decreased tone in muscles, as well as decreased pain have been shown.
UK BEAM Trial (2004) BMJ: This study concluded that spinal manipulation over a 12 week period produced statistically significant benefits relative to best care in general medical practice at both 3 and 12 months. It also concluded that spinal manipulation is a cost effective addition to best care for back pain in general practice.
Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society (Chou et al, 2007): Recommendation #7 of the study stated that for patients who do not improve with self-care options, clinician should consider the addition of nonpharmacologic therapy with proven benefits-for acute low back pain, spinal manipulation; for chronic or subacute low back pain, intensive interdisciplinary rehabilitation, exercise, acupuncture, massage therapy, and spinal manipulation.