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Previous Volume 342:817-820 March 16, 2000 Number 11 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited Related Article by Howell, J. D. Related Article by Andersson, G. B.J. Related Article by Cherkin, D. C. Related Article by Andersson, G. B.J.

To the Editor: In comparing osteopathic spinal manipulation with standard care for patients with low back pain, Andersson et al. (Nov. 4 issue)¹ fail to recognize that many patients may have improvement with minimal or no treatment. This might have been evident had the authors included a control group of patients who received minimal or no intervention for back pain. Cherkin et al. compared the outcomes for patients with low back pain who received physical therapy, chiropractic treatment, or an educational booklet.² There was only a marginally better outcome in the physical-therapy and chiropractic-treatment groups than in the booklet group. . . . [Full Text of this Article]

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