For some time now, physical therapists have been trying to find better ways to treat patients with low back pain. By better we mean more effective treatment with successful results. And successful refers to getting relief from pain that doesn’t come back.

A group of well-known therapists started by developing a clinical prediction rule (CPR). The rule is used to predict which patients are most likely to have a good response to treatment. This group of therapists has developed a clinical prediction rule that has been tested and found to be valid and reliable for treating low back pain using one particular thrust manipulation technique.
Notably, the people who underwent early treatment with spinal manipulation did best early in their care.
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