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Suggested mechanisms of action and clinical effects

The effects of spinal manipulation have been shown to include:

  • Temporary relief of musculoskeletal pain
  • Shortened time to recover from acute back pain
  • Temporary increase in passive range of motion
  • Physiological effects on the central nervous system (specifically the sympathetic nervous system)
  • Altered sensorimotor integration
  • No alteration of the position of the sacroiliac joint

Common side effects of spinal manipulation are characterized as mild to moderate and may include: local discomfort, headache, tiredness, or radiating discomfort