This essay takes off from an Oregon decision to expand treatment options for back pain.
the reason was the concern about a heavy reliance on pain meds, particularly opiates that was a product of a long ago heightened awareness of the obligation of physicians to relieve pain. Now they are trying to reduce opiate use.
I might say that I think there is a place for manipulation, osteopathic in particular, and ignore the Chiro’s theories about magical forces and cause of disease. However, I have never been much on acupuncture after you take away the placebo effect, except in painful conditions, pressure and needles can interrupt the recruitment and pain fiber activation, no doubt–it’s like distraction and hypnosis that can interfere with pain perceptions.