Response to Letter to the Editor entitled “Spinal manipulation for chronic low back pain: is it all it is cracked up to be?” concerning “Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis” by Coulter et al. Spine J; doi: 10.1016/j.spinee.2018.01.013

The authors state that "Coulter et al suggests that manipulation reduces pain and improves function in chronic low back pain, which contrasts sharply with the most recent Cochrane systematic review" [1]. This Cochrane review is entitled, "Spinal manipulative therapy for acute low back pain." Our review focused on chronic low back pain. Our review was not confined to spinal manipulation therapy alone but was inclusive of manipulation and mobilization in chiropractic settings and other non-invasive therapy settings.

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