The use of spinal manipulation in the treatment of low back pain: a review of goals, patient selection, techniques, and risks.

Abstract

Spinal manipulation is routinely obtained for low back pain by much of the general public, but there remains a lack of understanding of its rationale and effectiveness in the medical community. Because of the increasing use of manipulation, it is advantageous for back specialists to gain a better understanding of these techniques in order to counsel patients on the associated risks and benefits of manipulation. The purpose of this review is to present the specific goals of spinal manipulation, with emphasis on proper patient selection, specific techniques, and associated risks.