title: Manipulative therapy (Feldenkrais, massage, chiropractic manipulation) for neck pain.
abstract: Neck pain is an extremely common symptom with many possible etiologies. A substantial number of patients are turning to complementary and alternative medicine (CAM). Low-quality evidence supports the beneficial effects of CAM. Feldenkrais, massage therapy, and spinal manipulation are discussed in detail. Complications are generally benign and self-limited, although occasional catastrophic consequences have been documented. Despite the favorable opinion many rheumatologists have of some CAM therapy, many patients are not disclosing CAM use to their medical providers. By expressing interest, asking questions, and taking a shared-decision-making approach, providers can encourage disclosure and provide valuable input.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Penn Spine Center, Penn Medicine Rittenhouse, The University of Pennsylvania, 1800 Lombard Street, 1st Floor, Philadelphia, PA 19146, USA. Christopher.Plastaras@uphs.upenn.edu
authors.forename: Christopher
authors.initials: C
authors.lastname: Plastaras
authors.forename: Seth
authors.initials: S
authors.lastname: Schran
authors.forename: Natasha
authors.initials: N
authors.lastname: Kim
authors.forename: Deborah
authors.initials: D
authors.lastname: Darr
authors.forename: Mary Susan
authors.initials: MS
authors.lastname: Chen
mesh_terms: D006801:Humans; D026882:Manipulation, Chiropractic / Q000379:methods; D008405:Massage / Q000379:methods; D026201:Musculoskeletal Manipulations / Q000379:methods*; D019547:Neck Pain / Q000534:rehabilitation*; D011434:Proprioception / Q000502:physiology