A recent study was published including of 4597 patients who underwent physical therapy for back pain. The findings showed that a significant percentage of patients did NOT improve to minimal clinical standards. How Effective is Physical Therapy for Common Low Back Pain Diagnoses? A Multivariate Analysis of 4597 Patients. Spine: February 15, 2016
Prior studies have also shown that spinal manipulation/mobilization (chiropractic care) showed significantly greater improvement than exercise therapy in patients with chronic low back pain. The effects were reflected on all outcome measures, both on short and long-term follow-up. Manual Therapy and Exercise Therapy in Patients With Chronic Low Back Pain: A Randomized, Controlled Trial With 1-Year Follow-up Spine: 15 March 2003 – Volume 28 – Issue 6 – pp 525-531
Meanwhile a number of studies have indicated that chiropractic treatment combined with exercise can work better than either individually for treatment of chronic neck pain.