Depending on whom you ask or what scientific paper you read last, spinal manipulation is either a mercifully quick, effective treatment for low-back pain or a complete waste of time.

It turns out everyone's right.

Researchers at the University of Alberta have found that spinal manipulation--applying force to move joints to treat pain, a technique most often used by chiropractors and physical therapists--does indeed have immediate benefits for some patients with low-back pain but does not work for others with low-back pain. And though on the surface this latest conflict might appear to muddy the waters further, the results point to the complexity of low-back pain and the need to treat patients differently, says lead author Greg Kawchuk.

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