Many studies have concluded that manual therapies commonly used by chiropractors are generally effective for the treatment of lower back pain1-2, as well as for treatment of lumbar herniated disc for radiculopathy and neck pain, among other conditions.
When patients with non-specific chronic low back pain are treated by chiropractors, the long-term outcome is enhanced by obtaining maintenance spinal manipulation after the initial intensive manipulative therapy.
The core of chiropractic usually involves treatment of common lower back pain conditions through manual therapy.
Chiropractic Adjustment is a manual manipulation. A high-velocity, short lever arm thrust is applied to abnormal vertebra with the goal of improving functionality, reducing nerve irritability and restoring range of motion in the back.
When joints are manipulated it can cause a popping or cracking sound as the gas caused by oxygen, nitrogen, and carbon dioxide is released from the joint to relieve pressure.
There are many different manipulative techniques that can be utilized in chiropractic, and there is a certain skill level and “art” involved with high velocity, low amplitude adjustment or manipulation.
The most common reaction to a chiropractic adjustment is aching or soreness in the spinal joints or muscles. Application of an ice pack often reduces the symptoms relatively quickly.