Topic Overview

Spinal manipulation is based on the theory that back pain is caused by problems with the muscles and other tissues in the spine and trunk region.

Spinal manipulation involves working on the head, shoulders, neck, back, or hips to help relieve back pain. It can range from massage and slow pressing to a quick thrust.

If you have tight muscles or muscles that spasm, your practitioner may first use heat, ultrasound, or electrical current to relax your muscles before manipulating your spine.

Manipulation is generally safe, but it is not recommended for people who have nerve-related problems that are very severe or getting worse.^{1, 2}

Practitioners who can do manipulation

Chiropractors are not your only choice for providing spinal manual treatment. Other practitioners who can do this include:

• Osteopaths .
• Physiatrists .
• Physical therapists .

Health insurance coverage varies for this type of treatment, so it's wise to check, before starting treatment, to find out whether your practitioner of choice is covered.