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Back pain: Will chiropractic treatment help?

Back pain — How well does chiropractic care stack up against more conventional treatments?

By Mayo Clinic staff

For many people, low back pain follows a fairly predictable course. Nagging back pain lasts a few weeks — maybe letting up temporarily when you take a pain reliever — and then it goes away.

So where does chiropractic care fit into the picture? That's up to you to decide.

What the research says

Clinical trials indicate that chiropractic care is as safe and effective as conventional treatments — which may include pain medication, rest or exercise. But that may not be saying much. Low back pain typically improves within a matter of weeks, even for people who seek no treatment at all.

Low back pain is often caused by injuries or strains, and there's no magic cure. It simply takes time for your back to heal. But treatment of some type — either chiropractic or conventional — might make you more comfortable as you wait for this healing to occur.

What does a chiropractor do?

Chiropractic treatment is based on the concept that restricted movement in the spine may lead to pain and reduced function. Spinal adjustment (manipulation) is one form of therapy chiropractors use to treat restricted spinal mobility. The goal is to restore spinal movement and, as a result, improve function and decrease back pain.

During an adjustment, chiropractors use their hands to apply a controlled, sudden force to a joint — pushing it beyond its normal range of motion. The joint's movement may be accompanied by a popping or cracking sound.

Chiropractors may also use massage and stretching to relax muscles that are shortened or in spasm. Many use additional treatments as well, such as ultrasound, electrical muscle stimulation and exercises.

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Feb. 7, 2008

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