There’s a ton of solid research in the physical therapy literature supporting spinal manipulation in the early phases after the onset of low back pain.
Physical therapists rely on a clinical prediction rule (CPR) to determine the potential result of providing spinal manipulation for people with acute low back pain.
We anticipate a 95% result when people present with all five elements of the CPR. These include recent onset (within 4 weeks), no pain below the knee, lack of mobility in at least one spinal joint, normal hip rotation, and confidence that movement won’t create more problems.
In these instances, spinal manipulation is the best medicine. Not providing this treatment in these instances is borderline negligent.
For more information on the use of spinal manipulation in physical therapy, check out my video interview with Dr. Randale Sechrest of the Montana Spine and Pain Center.
For more information on helpful ways to take care of back pain, be sure to visit my new online resource called BackCare101.com.


Muscle strength and balance are an integral part of a healthy body. I believe in the philosophy that body alignment and joint biomechanics is the cornerstone for proper movement. Utilizing body balance, structural realignment, and core strength building are all very important to your overall health and future wellness.
Your points are well taken, Dr. Traina, and right on the money. Thanks for your input and insights into helping people with back pain.