For low back pain, spinal manipulation isn’t a magic trick for everybody. This study helped identify the kinds of patients most likely to improve quickly: recent onset pain, no symptoms below the knee, low fear about movement, at least one hip with good internal rotation, and some lumbar stiffness. In other words, the question isn’t “Does manipulation work for everyone?” but “Who is the right fit for it?” That’s more evidence-based and a lot less chaotic. Reference: Flynn T, Fritz J, Whitman J,
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