The research behind the care.

1. 1

   Paige NM, et al. Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain: Systematic Review and Meta-analysis. JAMA. 2017;317(14):1451–1460.

   Adverse events from spinal manipulation are typically minor and transient, most commonly short-lived soreness.

2. 2

   de Zoete A, et al. Spinal manipulative therapy for adults with chronic low back pain (updated review). Cochrane Database of Systematic Reviews.

   Spinal manipulative therapy is an extensively practised, evidence-assessed intervention; current guidelines favour active, non-pharmacological approaches first.

3. 3

   Coulter ID, et al. Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis. The Spine Journal. 2018;18(5):866–879.

   Moderate-quality evidence that manipulation and mobilisation reduce pain and improve function in chronic low back pain.

4. 4

   Núñez-Cabaleiro P, Leirós-Rodríguez R. The effectiveness of manual and exercise therapy on headache intensity and frequency among patients with cervicogenic headache: a systematic review and meta-analysis. Chiropractic & Manual Therapies. 2022;30:42.

   Moderate-to-large short-term effects in favour of manual therapy for headache frequency and intensity.

5. 5

   Lauersen JB, Andersen TE, Andersen LB. Strength training as superior, dose-dependent and safe prevention of acute and overuse sports injuries: a systematic review and meta-analysis. British Journal of Sports Medicine. 2018;52(24):1557–1563.

   Strength training reduced sports injuries to roughly one-third of baseline, with a clear dose-response relationship.

6. 6

   Association Between Chiropractic Use and Opioid Receipt Among Patients With Spinal Pain: A Systematic Review and Meta-analysis. Pain Medicine. 2020.

   First-contact conservative care for spinal pain is associated with a lower likelihood of opioid receipt.

Research describes what helps groups of people on average; your assessment tells us what is right for you. We will always be honest about what the evidence does and does not support for your specific situation.