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Abstract
Objective
To survey the effectiveness of spinal manipulation in the treatment of low back pain in the primary care setting.
Design
Patients presenting with low back pain to their regular general practitioner were assessed and, where there was no contra-indication, were treated at once by spinal manipulation by the author during the course of the normal consultation.
Results
During the course of one year’s regular general practice, 105 episodes of low back pain were seen. 70 episodes were treated by spinal manipulation and in 31 cases there appeared to be a beneficial positive result immediately.
Discussion
The problems of operator bias and the placebo effect are discussed, and the effect of early intervention in primary care.