Research: Manipulation/Mobilization for Neck & Back Pain

Thursday, June 11th, 2015
chiropractor in amarillo blog on neck pain and low back pain
Unfortunately, there has not been enough research to show the true effectiveness of manipulation/mobilization in the case of neck pain. Until recently, it has been mostly anecdotal, meaning that we see people improve almost immediately most of the time but solid research showing this just hasn’t been performed.

Realizing the vacuum, many researchers are starting to pick up the pace on this and we are starting to see more and more research addressing this issue. It is starting to look better and better for Doctors of Chiropractic.


The paper did not focus on cervical pain but rather it included cervical pain in a more broad paper. The authors wanted to proved a summary of what was already out there in regards to how effective manual treatment has been for musculoskeletal complaints as well as non-musculoskeletal complaints. 


  • This study was a systematic review of randomized clinical trials
  • The strength and the quality of the evidence was based on a grading system.
  • 26 categories of conditions involved in a Randomized Clinical Trial were identified for manual therapy
  • 13 were identified for musculoskeletal complaints
  • 4 kinds of chronic headache
  • 9 non-musculoskeletal conditions were identified


Spinal manipulation/mobilization is effective in adults for

  • Acute low back pain
  • Subacute low back pain
  • Chronic low back pain
  • Migraine
  • Cervicogenic headache
  • Cervicogenic dizziness
  • Several extremity joint conditions
  • Acute neck pain (thoracic adjustment)
  • Subacute neck pain (thoracic adjustment)

There was inconclusive evidence on whether cervical manipulation/mobilization by itself is effective for acute/subacute neck pain. This is precisely why Doctors of Chiropractic commonly combine other treatment modalities for neck pain like massage, exercise, and physiotherapeutic modalities. This is also why there needs to be more research on cervical pain and manipulation.

Just another reason to call a chiropractor TODAY

Research and clinical experience shows that, in about 80%-90% of headaches, neck, and back pain, in comparison to the traditional medical model, patients get good or excellent results with Chiropractic. Chiropractic care is safe, more cost-effective, it decreases your chances of having surgery, and it reduces your chances of becoming disabled.  We do this conservatively and non-surgically. In addition, we can do it with minimal time requirements and minimal hassle on the part of the patient. And, if the patient develops a “preventative” mindset going forward from initial recovery, we can likely keep it that way while raising your general, overall level of health!

We have seen time and time again the amazing effectiveness of chiropractic for issues such as neck out of alignment, hips out of alignment, back alignment, lower back alignment hip out of alignment, back out of alignment, etc… We have just about seen it all.

Please feel free to leave a comment and tell me your thoughts. I’d love to hear what you think.

And….SHARE, SHARE, SHARE!!   We cannot make a difference without your help.

Till next time……

The Amarillo Chiropractor Blog is written by Dr. Jeff Williams.

Amarillo TX Amarillo Pain & Accident Chiropractic Clinic provides customized chiropractic care to the Amarillo, Canyon, Pampa, Happy, White Deer, Dumas, Groom, Conway, Panhandle, Claude, Clarendon, Borger, Tulia, Hereford, Fritch, Bushland, and Vega communities. Visit our main website at for customized Chiropractic in Amarillo TX.

Choose several options to schedule your appointment: call (806) 355-3000 or click the button below for our contact info.

by Jeff S. Williams, D.C.
Chiropractor in Amarillo
Accident Chiropractic
Creek Stone Integrated Care