According to the research After low back pain, neck pain and headache constitute the largest such research category, comprising at least 10 trials. Of 6 trials of neck pain, 2 sham trials show benefits with manipulation; 2 equivalency trials show manipulation to be superior to conventional therapy; and in the 2 comparison trials in which manipulation is additive to conventional treatment in 1 arm, 1 trial shows benefits of manipulation, and 1 shows no difference in treatment results. Whereas in a recent meta- analysis, it was believed that conclusions “must be made cautiously because of the small number of trials,” it could still report that “there is early evidence to support the use of manual treatments in combination with other treatments for short term [neck] pain relief.”
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