Low back pain remains a significant healthcare problem, one that challenges patients, clinicians and policymakers alike. Spinal manipulative therapy (SMT) is widely used as a mainstay treatment for low back pain and has been the subject of several randomized, controlled trials which have been summarized in earlier reviews by the authors and have acted as a basis for recommendations in current clinical guidelines (many of which we have reviewed on RRS Education!).

Despite the existing evidence and support within clinical guidelines, recommendations regarding the use of SMT for low back pain are not without dispute. While considered a front-line treatment in some jurisdictions, SMT is also viewed as a complimentary treatment amongst a broader treatment package in others. Recent guideline summaries have actually recommended SMT as a second line therapy.

The purpose of the current review is to update an earlier Cochrane review by the same authors, which found no clinically relevant difference between SMT and other effective interventions for low back pain (this still means SMT is beneficial, for the record!). The review sought to examine the effectiveness of SMT on pain relief and improvement of function at the short, intermediate and long-term follow-ups. This paper appeared in a major medical journal and had some very important and promising results - an upgrade regarding recommendations for SMT for CLBP…LOG IN OR SUBSCRIBE TO ACCESS THE FULL REVIEW!


“Spinal Manipulation for Chronic Low Back Pain – British Medical Journal Systematic Review & Meta-Analysis”

This paper was published in the British Medical Journal (2019) and this Review is posted in Recent Reviews, Lumbar Spine - Manipulation/Mobilization, Low Back Pain and the 2019 Archive.
smt bmj srma

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