Trigger Point Therapy Versus Manipulation Correcting Thoracic Manipulable Lesion

Relative Effectiveness of Trigger Point Therapy Compared to Spinal Manipulation in Correcting a Thoracic Spinal Manipulable Lesion in Subjects With Mechanical Thoracic Back Pain: a Randomised Trial

There will be no difference between trigger point therapy and spinal manipulation in correcting a spine joint dysfunction in the back

Inclusion Criteria:

• mechanical thoracic back pain
• age 18-64
• presence of at least one spinal manipulable lesion
• presence of a trigger point associated with the spinal manipulable lesion
• able to lie prone on a treatment table for 15 minutes

Exclusion Criteria:

• absolute contraindications to spinal manipulation
• specific thoracic back pain
• bleeding diathesis, use of anticoagulants, long-term corticosteroid use
• involved in litigation for thoracic back pain
• inability to read or write English fluently
• treatment with manipulation or myofascial therapy within past three days