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Spinal manipulation, dating at least to Hippocrates’ writings, is one of the oldest known medical treatments. Currently, these treatments are commonly performed by Physical Therapists, chiropractors, and physicians to treat a variety of musculoskeletal pains. Evidence supporting spinal manipulation is primarily found in three areas: headache, neck pain, and low back pain. This data supports...

Low back pain remains one of the top reasons patients seek treatment from physicians and Physical Therapists. Acute low back pain defined as lasting < 12 weeks is effectively treated by Physical Therapists with spinal manipulation, directional exercise, and strength training. Patient outcomes are significantly improved when patients are provided with treatments consistent with their...

Low back pain is one of the most common reasons why people visit a Physical Therapist. At our Boulder and Lafayette Physical Therapy clinics, we effectively treat this condition with education, spinal manipulation, and exercise. This latter intervention has the greatest long-term effect on both existing symptoms and reducing the risk of recurrence. In the...

SI Joint Manipulation Works, Just Not How You Think

If you’ve been told spinal manipulation “puts your SI joint back into place,” that explanation doesn’t hold up under imaging, even though the treatment itself works. Manipulation, alongside targeted strength training, remains one of the most effective interventions for sacroiliac (SI) pain. The question researchers have spent decades on isn’t whether it works. It’s why....

A significant portion of musculoskeletal pain can be attributed to our muscles themselves. Many authors have described persistent muscular pain (myalgia), but Janet Travell and David Simon’s work on trigger points is most frequently referenced. These irritable, sensitive bands (knots) within a muscle are frequent targets of lacrosse balls, soft tissue workers, and Physical Therapy...

Neck pain is an area consistently under treated by clinicians.  There are countless passive temporary remedies for neck pain including massage, manipulation, and dry needling, but only high level exercise is able to reduce the long term effects of neck pain.  When patients remain under passive care for their neck pain they will experience more...