Spinal High-Velocity Low Amplitude Manipulation in Acute Nonspecific Low Back Pain

SPINE Volume 28, Number 7, pp 540-548 (April 2013)

Kyle Jensen, DC
Owner

NSAID’s remain one of the de facto first-line treatment options for people with low back pain, with over 30 billion doses taken each year in the US alone. Over the past few years, most guidelines have recommended an initial course of non-pharmacological care for spinal complaints. Additionally, research showcasing the efficacy and
safety of spinal manipulation continues to mount.

A few years ago, the esteemed journal SPINE published a randomized, double-blinded, placebo-controlled, parallel trial to compare spinal manipulation against NSAIDs for low back pain. In this landmark study, the group that received spinal manipulation showed both statistical and clinically relevant benefits compared to NSAIDs.

Our practice is focused on providing the best evidence-based care for our patients, including spinal manipulation when indicated. We’ve found that patients with low back pain achieve fantastic results when spinal manipulation is added to their active care plan.


“This is the first time that spinal manipulation was investigated in a double-blinded randomized controlled design showing clear superiority compared with placebo and NSAID.”

“HVLA manipulation can be recommended for the therapy for acute nonspecific LBP.”

“Final evaluation showed manipulation being significantly better than NSAID and clinically superior to placebo.”

We believe patients have better outcomes when their health professionals
work together.

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