Did you know that in “adjustment”, or more precisely in spinal manipulation therapy, which is often used in chiropractic, osteopathy and physiotherapy, it makes no difference to the success of the treatment whether a specific vertebra is targeted or a non-targeted approach is used?

This argues against the assumption that certain vertebrae are blocked or have slipped out of position and therefore need to be repositioned.

The success of the treatment largely takes place on a neurophysiological level, with a chain of reactions in the body resulting in pain relief and a change in perception. However, nothing is changed in the long term. Accordingly, it is not necessary to have a regular “adjustment”, especially not as a preventive measure. However, spinal manipulation therapy can certainly be used as part of a biopsychosocial treatment approach.

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Sørensen PW, Nim CG, Poulsen E, Juhl CB. Spinal Manipulative Therapy for Nonspecific Low Back Pain: Does Targeting a Specific Vertebral Level Make a Difference?: A Systematic Review With Meta-analysis. J Orthop Sports Phys Ther. 2023 Sep;53(9):529-539. doi: 10.2519/jospt.2023.11962. PMID: 37506306.