Soft Tissue Conditions

Updated: July 2021

Myofascial Pain/Treatment

  • A 2021 systematic review investigated both manipulative and manual therapies for the management of patients with prior lumbar surgery. 51 studies were included, a majority of which were case reports or case series, and types of surgeries included discectomy, laminectomy, fusion, disc replacement, and spinal cord stimulators. Overall, evidence was limited, but the authors did note that for lumbar fusion, there is moderate evidence that indicates the use of neural mobilization plus stabilization exercise is more effective than myofascial release plus stabilization exercise, or stabilization exercise alone. ABSTRACT

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A literature synthesis of Chiropractic Care for Soft Tissue Conditions — an academically rigorous analysis of all the available scientific literature using internationally accepted tools to rate each article according to specific criteria indicating only what we can conclude with supportable, scientific evidence.