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We all wish there was a great treatment regimen for our patients with back pain. However, most studies have shown that it really does not matter what you do, as most patients will get better in 6 weeks.
A recent study published in JAMA looked at the role of spinal manipulation to improve pain and function in adults with low back pain. They looked at 26 randomized controlled trails and found that there was modest benefit for spinal manipulation and it was similar to using NSAIDs.
So spinal manipulation may or may not work for some patients. Something to consider along with physical therapy if patients are not getting relief with home remedies.
References
http://jamanetwork.com/journals/jama/article-abstract/2616395