| Terry O'Brien General Manager of Back
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| | safely from the outset in many patients.
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| Trouble UK says that, "Physical therapy
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| | These are the patients who often feel
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| has a significant benefit for mechanical
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| | that something in their back has `jammed'
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| back pain. Studies show that, for
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| | and feel the need for physical therapy.
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| patients presenting with acute back pain,
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| | Such patients who have received relief,
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| spinal mobilisation and/or manipulation
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| | sometimes instantaneously, in the past
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| is more effective than placebo in the
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| | for a similar disorder will seek out
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| short term and thus reduces the period of
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| | therapists who provide this treatment.
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| morbidity, allowing an earlier return to
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| | Manipulation's bad name, particularly
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| work.
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| | among surgeons who have to deal with
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| The timing of the treatment is important.
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| | subsequent disrupted discs is related to
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| If the medical practitioner is unskilled
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| | inappropriate spinal manipulation that
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| with physical therapy, referral is
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| | aggravates the problem or fails to help
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| appropriate. Spinal manipulation is
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| | over a long period of time.
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| contraindicated or ineffective in
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| | The management of back pain is
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| patients with acute low back pain with
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| | incorrectly portrayed as a difficult
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| spasm, fixed lateral scoliosis or
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| | problem shrouded in medical ignorance.
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| sciatica.
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| | The physician has to provide optimal
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| The gentler technique of mobilisation may
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| | circumstances for the dysfunction problem
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| be effective in providing relief and
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| | to heal itself. The key to successful
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| shortening the period of disability. Once
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| | management is for the practitioner to be
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| the severe pain and spasm phase subsides
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| | well informed, confident and believable,
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| (average 3-7 days), then it is usually
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| | and be prepared to give or organise safe
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| possible to apply the more vigorous
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| | effective physical therapy for back
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| spinal manipulation technique. However,
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| | problems which are slow to respond to
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| it is possible to perform manipulation
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| | conservative methods.
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