[When to Manipulate a Patient with Low Back Pain?]

When to Manipulate a Patient with Low Back Pain? Abstract. The roots of manual treatment date back to well before the birth of Christ. Today, various professions are engaged in manual therapy, which is an established, accepted and evidence-based treatment for various musculoskeletal complaints. Elemental to the success of manual therapy are the mechanical, neuro-reflective and psychological effects. There are different levels upon which the indication for manual treatment can be established. These include the organ/structural level, the functional level (hypo- vs. hypermobility) and the pain level (acute vs. chronic).