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Does Spinal Manipulation Actually Work For Lower Back Pain?! Part 3 | Expert Physio Reviews!

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  • Opublikowany 23 mar 2023
  • In part three of this tutorial series, we review and consider if there are any real long-term clinical benefits of manual therapy in the treatment of chronic lower back pain.
    Manual Therapy Series
    Part 1- Manual Therapy: • Does Manual Thera...
    Part 2- Manual Therapy vs. Fake Therapy: • Does Manual Thera...
    *Senna and Machaly, 2011: pubmed.ncbi.nlm.nih.gov/21245...
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Komentarze • 30

  • rosa mackenzie
    rosa mackenzie 4 miesięcy temu

    Love this series- Thank you !!!
    Always so well explained and researched. Your time making these videos on this channel is much appreciated!

  • GreenB
    GreenB 3 miesięcy temu

    This is why I love the "McKenzie philosophy" about self-management. Even today Manual Therapy is more a kickstart for active movements. Good video as always.

  • erika kelsi
    erika kelsi 4 miesięcy temu +1

    Everything I've learned about chronic pain in uni and spending time in a physio pain clinic seems to point a lot more to neural reprogramming versus manual therapies in terms of gaining long term results! There's a fantastic recent "Feel Better, Live More" podcast with Dr Howard Schubiner on chronic pain, super informative and eye opening.

    • Clinical Physio
      Clinical Physio  4 miesięcy temu +1

      Thank you so much! And yes totally - there is so much more to it than manual therapies!

  • Service Desk
    Service Desk 3 miesięcy temu

    Like the vid: I think what has to be noted here is that spinal manipulation takes 10-15 min and a rehab regime takes 30 - 40 mins; some people can't exercise due to pain, so here spinal manipulation help withdraw the clients away from painful and into a state to rehab without time constraints rehab.
    Sadly, there has yet to be another PASSIVE manual therapy technique in literature to generate this benefit for chronic pain LB pain. You can lie there and get statistical help - while this is not the healthiest way to look at body maintenance, a spinal manipulation is undoubtedly a tool for any manual therapist.
    You mentioned "A-lot-of-therapy", but 3 sessions per week = 30min of therapy. Would this not be the same as a weekly rehab session of 30min with a physical therapist. Regarding your money counting, an excellent physical therapist at our clinic will charge £60 - £90 | London (30 - 45 mins). On the other hand, spinal manipulation can be done in our clinic for as little as £27 per spinal manipulation, which is the exact cost over 4 weeks. Basically, good care/hands-on therapy has a cost;
    Most Chiro and Osteos will add rehab in. We add it after treatment two once we see the body's capacity to react to the first session of spinal manipulation. It would be best if spinal manipulation is only done with adjunct rehab included, at least at some point in the management plan.

  • MK
    MK 4 miesięcy temu +3

    Although I agree with what you're saying 100%. Is a study with only 60 participants split into 3 groups of 20 really that generalisable?

    • Clinical Physio
      Clinical Physio  4 miesięcy temu

      @MK thank you so much my friend! Hope we can keep helping you!

    • MK
      MK 4 miesięcy temu +1

      @Clinical Physio Looking forward to your next video. As a physio student I've found your videos to be very helpful

    • Clinical Physio
      Clinical Physio  4 miesięcy temu +3

      Totally respect what you are saying my friend - and you are right, it isn’t highly generalisable! There wasn’t a huge amount out there that I could find on spinal manipulation in chronic pain to make it stronger evidence, but there is certainly more for next video on acute pain!

  • Homeless In Toronto
    Homeless In Toronto 3 miesięcy temu

    Very good question!

  • mataloha
    mataloha 3 miesięcy temu

    This should be considered common sense. ‘Manipulation’ is a passive therapy that can help you feel better. You still have to consider the stress that injured you though.

  • Prabhat Mudhaliar
    Prabhat Mudhaliar 3 miesięcy temu

    Can you make a video on useful electrotherapy tools which have evidence in practice?

    • Clinical Physio
      Clinical Physio  3 miesięcy temu

      @Prabhat Mudhaliar thank you so much / please do have a look at our shockwave video 👍🏼

    • Prabhat Mudhaliar
      Prabhat Mudhaliar 3 miesięcy temu

      @Clinical Physio yes sir.
      Could you please make a video on that and share your knowledge...in my region we tend to use modalities of ift,tens, ultrasound and swd. I really wanted to know things out of the standard books...and your videos are very helpful.

    • Clinical Physio
      Clinical Physio  3 miesięcy temu

      Hi! We have a video on shockwave therapy which has been released… but apart from that, the big question is “is there evidence for using electro therapy in practice?”

  • Smärtfritt Fysioterapikliniken

    You are great Khalid👌🏻

  • Sania Shahbaz
    Sania Shahbaz 4 miesięcy temu

    Great 😃👍

  • Manjinder Singh
    Manjinder Singh 4 miesięcy temu


  • Rasika Rane
    Rasika Rane 4 miesięcy temu

    What country currency is that Khalid? 😅

    • Clinical Physio
      Clinical Physio  4 miesięcy temu

      @Rasika Rane that’s a very close guess!!!! Not wild at all!!!

    • Rasika Rane
      Rasika Rane 4 miesięcy temu

      @Clinical Physio wild guess, is it Dirhams ? The act was really funny 😎😅

    • Clinical Physio
      Clinical Physio  4 miesięcy temu

      😂 I’ll save the answer for if anyone knows it!