From Fringe to First-Line: 50 Years of Evidence Now Defining Spinal Manipulation as Standard Care

Spinal Chat with The PCA di Pennsylvania Chiropractic Association

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From Fringe to First-Line: 50 Years of Evidence Now Defining Spinal Manipulation as Standard Care

In this episode of PCA Deep Dive, we explore a recent 2024 narrative review from the Journal of Clinical Medicine, focusing on spinal manipulation and chiropractic practice. Analyzing over 50 years of research and more than 6,000 studies, we examine the modern evidence on spinal manipulative therapy (SMT) and its role, safety, and clinical value in musculoskeletal care. We discuss the evolving academic focus from defensive research to high-quality methods, such as randomized controlled trials (RCTs) and systematic reviews, leading to robust clinical practice guidelines (CPGs) that strongly support SMT for conditions such as low back pain (LBP), neck pain, cervicogenic headaches, and tension-type headaches. We also address histo ... 

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