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For decades, physical therapists, osteopaths and chiropractors have manipulated the spine in countless patients with low back pain. Joseph Brence reviews current literature that examined the effects of manipulation.
Recent neurophysiologic literature is tackling the "chicken and the egg" debate of pain vs. movement dysfunction and suggests that some of the patients we see may not be experiencing pain as a symptom, but instead a disease.
Joseph Brence summarizes an article from the Journal of Manual and Manipulative Therapeutics on how manual therapy evokes a placebo response which may reduce pain.