Spinal manipulation, also called spinal manipulative therapy or manual therapy, is most effectively used in combination with exercise, and physical therapy.

It's designed to relieve pressure on joints, reduce inflammation, and improve nerve function. It's often used to treat chronic and acute - back, neck, shoulder, and headache pain.

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Spinal manipulation can also help you improve your flexibility. If used along with exercise, you can further strengthen  and improve your symptoms.