Cervical Manipulation… Is the Juice Worth the Squeeze? (Part 1)

Another thoughtful and detailed blog post from John Snyder about the controversy that continues to surround cervical manipulation. The comments are worth a read too!

Orthopedic Manual Physical Therapy

Neck pain is a debilitating and all too common issue worldwide. According to a systematic review published by Cote et al, the annual prevalence of neck pain in Quebec City is 48%, 27% in Norway, and 34% in the UK. Subsequently, a limitation in activities of daily living was found in between 11-14% of individuals. An additionally alarming statistic is that 50% of these individuals who suffer from neck pain still have symptoms 12 months after onset. Silverstein et al looked at workers compensation claims in the state of Washington between the years of 1990 and 1998. According to their data, 40.1/10,000 full-time equivalents (FTEs) reported claims for soft-tissue neck pain. This same study found that 19.1/10,000 FTEs missed 4 or more days of work secondary to neck pain. This tells us that neck pain is anything but a ‘self limiting’ disorder, but what are we doing to treat…

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