Low back pain remains one of the most common symptoms seen by both physicians and Physical Therapists. Physical Therapy remains the gold standard for the conservative treatment of low back pain due to its’ clinical effectiveness and cost savings vs. other forms of treatment including usual care. In our Boulder Physical Therapy practice we consistently...
Spinal manipulation is one of the oldest forms of medical treatment dating to at least Hippocrates. Currently, three professions, including physicians, chiropractors, and Physical Therapists, practice this form of intervention. Medical evidence for this treatment is focused mainly on the treatment of musculoskeletal diagnoses including neck pain, headache, and low back pain. In general the...
Neck pain is a common condition coming in just behind Low Back Pain in prevalence presenting to primary care physician and Physical Therapy practices. Neck pain is most effectively treated with a combination of manual therapy, including joint mobilization and spinal manipulation, as well as, mobility and strengthening exercises. Consistent with our musculoskeletal diagnoses manual...
Spinal manipulation, dating at least to Hippocrates’ writings, is one of the oldest known medical treatments. Currently, these treatments are commonly performed by Physical Therapists, chiropractors, and physicians to treat a variety of musculoskeletal pains. Evidence supporting spinal manipulation is primarily found in three areas: headache, neck pain, and low back pain. This data supports...
Headaches are a common condition reaching greater than 30 billion dollars each year in health care costs. The majority of headaches are multifactorial in nature but can commonly be broken down into tension/myofascial headache, migraine, cluster, and cervicogenic headaches. This finally category of headache includes pain referred to the head by the upper neck joints...
Manipulation, along with strength training, remains one of the most effective treatments for patients with sacroiliac (SI) pain. Spinal manipulation by a Physical Therapist provides a unique stimulus to the nervous system creating a complex therapeutic response in the patient. Researchers continue to investigate the mechanisms behind its’ effectiveness including central and peripheral nervous system...
Tension-type headaches are headaches related to muscle trigger points or muscle tenderness in the head and neck and are the most common type of headache in adults. In our Boulder physical therapy practice, we utilize hands-on techniques addressing muscles and joints of the upper cervical region for headaches. A recent systematic review and meta-analysis (Jiang...
Thoracic manipulation by Physical Therapists has previously been shown to improve pain and function in patients with elbow, shoulder, and neck pain. Authors continue to research the mechanisms behind its’ effectiveness including a beneficial cascade of events in the peripheral and central nervous system, as well as, a possible biomechanical change in the spinal joints....
The Journal of the American Medical Association recently reviewed the evidence on the utilization of spinal manipulation for patients with acute back pain. Authors reported moderate evidence to support its’ use to both decrease pain and improve function. The majority of research on spinal manipulation is currently being performed by Physical Therapists to determine best...