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The scientific evidence suggests spinal manipulation is effective in reducing pain and speeding recovery within the first month of symptoms. ​                       

- Clinical Practice Guidelines, AHCPR

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There is strong evidence that manipulation is more effective for chronic low-back pain than usual care by a general practitioner, by bed rest, by analgesics, by a placebo treatment, and/or by massage.  "...improvement in all patients at three years was about 29% more in those treated by chiropractors than in those treated by the hospitals. The beneficial effect of chiropractic on pain was particularly clear."                                         

-Spine, Van Tulder and Bouter​

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