The Somatic Connection  |   October 2016
Ineffectiveness of Spinal Manipulation for Acute Musculoskeletal Thoracic or Chest Wall Pain
Author Notes
  • Western University of Health Sciences College of Osteopathic Medicine of the Pacific, Pomona, California 
  • Osteopathic Center for Children, San Diego, California 
Article Information
The Somatic Connection   |   October 2016
Ineffectiveness of Spinal Manipulation for Acute Musculoskeletal Thoracic or Chest Wall Pain
The Journal of the American Osteopathic Association, October 2016, Vol. 116, 686-687. doi:10.7556/jaoa.2016.136
The Journal of the American Osteopathic Association, October 2016, Vol. 116, 686-687. doi:10.7556/jaoa.2016.136
Southerst D, Marchand AA, Côté P, et al. The effectiveness of noninvasive interventions for musculoskeletal thoracic spine and chest wall pain: a systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) collaboration. J Manipulative Physiol Ther. 2015;38(7):521-531. doi:10.1016/j.jmpt.2015.06.001. 
Few randomized clinical trials (RCTs) provide guidance on the most effective management for musculoskeletal thoracic spine or chest wall pain. Canadian researchers performed a rigorous systematic review of RCTs, cohort studies, and case-control studies that examined nonpharmacologic treatments for managing acute mechanical thoracic spine and chest wall pain. Contrary to previous recommendations,1,2 the study determined that manual therapy provided clinically irrelevant pain reduction in patients with thoracic pain. 
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