Agree
Chiropractor
Hi
Research varies on discussion on effectiveness though consensus is a combination of both manipulative therapy and exercise. The combination of the two address first the acute pain and secondly the underlying functional weakness.
on a side note although different practitioner can do spinal manipulation, it chiropractors who receive the most amount of training on the matter.
Hope this helps
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This is a wide open question without defining what is causing the ‘chronic back pain’. Simply, treatment must be directed to the cause and until this is known, investigation is incomplete.
If you are asking about continuing low back pain of a mechanical nature where no significant pathology is identified, then Dr Miller is correct in identifying that functional weakness should be addressed and may be helped with manipulative therapy.
A range of activities strengthening core strength are available with classes and personal supervision available by physiotherapists and personal trainers. Weight loss may be considered in some cases and a nutritionist or dietitian might be consulted.
Bedding, the workplace, home furniture, foot function and a host of other factors may need addressing whenever these are shown to be aggravating the issue. In short, anything that may be shown to affect the biomechnical function of the low back is open for scrutiny and not just the treatment types.
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