Spinal Manipulation for Lower Back Pain: What the Evidence Shows

Lower back pain is one of the most common reasons people seek medical care, and one of the most researched conditions in chiropractic. Studies show that spinal manipulation, also known as chiropractic adjustment, is a safe and effective way to relieve lower back pain without drugs or surgery.

What Is Spinal Manipulation?
Spinal manipulation is a hands-on technique chiropractors use to restore normal joint motion in the spine. When joints get “stuck” or restricted, it can cause pain, stiffness, and inflammation. Adjustments help the spine move the way it’s designed to, improving function and reducing pain.

What the Evidence Says

• The American College of Physicians recommends spinal manipulation as a first-line treatment for acute and chronic lower back pain.

• A 2019 BMJ review found that spinal manipulation is as effective as exercise and better than medication for many cases of lower back pain.

• Studies show patients who receive chiropractic care report faster recovery times and lower recurrence rates.

Benefits of Spinal Manipulation

• Reduces pain and muscle tension

• Improves spinal mobility and posture

• Decreases inflammation

• Promotes natural healing without medication

Is It Safe?
Yes. When performed by licensed chiropractors, spinal manipulation is considered very safe. Mild soreness afterward is normal and typically fades within a day.

“The research consistently shows that spinal manipulation helps patients recover faster and stay pain-free longer. It’s one of the most proven tools we have for back pain.” — Dr. Michael Atunzu