Spinal manipulation
Spinal manipulation is an intervention performed on spinal articulations, synovial joints, which is asserted to be therapeutic. These articulations in the spine that are amenable to spinal manipulative therapy include the z-joints, the atlanto-occipital, atlanto-axial, lumbosacral, sacroiliac, costotransverse and costovertebral joints. National guidelines come to different conclusions with respect to spinal manipulation with some not recommending it, and others recommending a short course in those who do not improve with other treatments.
| Spinal manipulation | |
|---|---|
A chiropractor performing a spinal manipulation of the thoracic spine on a patient. | |
| Alternative therapy | |
| NCCIH Classification | Manipulative and body-based |
| Legality | Legal in adults, treatment of children varies by jurisdiction |
| MeSH | D020393 |
A 2012 Cochrane review found that spinal manipulation was no more effective than other commonly used therapies. There is not sufficient data to establish the safety of spinal manipulations.
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