New guidelines in the October edition of Annals of Internal Medicine make an excellent recommendation for treatment of low back pain:  "For patients who do not improve with selfcare options, clinicians should consider the addition of nonpharmacologic therapy with proven benefits—for acute low back pain, spinal manipulation; for chronic or subacute low back pain, intensive interdisciplinary rehabilitation, exercise therapy, acupuncture, massage therapy, spinal manipulation, yoga, cognitive-behavioral therapy, or progressive relaxation..."

Chiropractic patients can attest to the benefits of spinal manipulation, and scientific evidence has accumulated to the point where the medical profession cannot deny these benefits.  I truly hope that the medical profession will take the advice of the experts in their field who are now recommending chiropractic care for patients with low back pain...rather they will or not is another story!  Most of the patients who come to my clinic  after seeing a medical doctor report that chiropractic care was not even discussed and that they were prescribed narcotic medication and muscle relaxers.  These drugs are discouraged in all current medical guidelines...will treatment change with this new set of guides?