title: Chiropractic maintenance treatment, a useful preventative approach?
abstract: Most chiropractors advise patients to have regular maintenance treatments with spinal manipulation, even in the absence of any symptoms or diseases. This article evaluates the evidence for or against this approach. No compelling evidence was found to indicate that chiropractic maintenance therapy effectively prevents symptoms or diseases. As spinal manipulation has repeatedly been associated with considerable harm, the risk benefit balance of chiropractic maintenance care is not demonstrably positive. Therefore there are no good reasons to recommend it.
authors.affiliation: Complementary Medicine, Peninsula Medical School, Universities of Exeter and Plymouth, 25 Victoria Park Road, Exeter EX2 4NT, UK. Edzard.Ernst@pms.ac.uk
authors.forename: E
authors.initials: E
authors.lastname: Ernst
mesh_terms: D001291:Attitude of Health Personnel; D006801:Humans; D026882:Manipulation, Chiropractic; D018570:Risk Assessment