A new role for spinal manual therapy and for chiropractic? Part II: strengths and opportunities - Chiropractic & Manual Therapies

MSK disordersTo point out that MSK conditions are a massive health problem has become cliché, but it is nonetheless an indisputable fact [19, 20]. We shall use LBP as the primary example:Paracetamol and Non-Steroidal Anti-Inflammatory drugs have no convincing clinical effect on spinal pain over placebo [24,25,26]. For spinal fusion surgery, there are also no placebo controlled trials, and effects are similar to conservative care [33]. This suggests a need for someone (a healthcare professional) rather than something (a treatment) to play a pivotal role for long-term management. In addition, familiarity with the complex workings of national healthcare systems, multidisciplinary healthcare settings, and networks will be necessary.