<unk>  is an intervention performed on spinal articulations, synovial joints, which is asserted to be therapeutic. These articulations in the spine that are amenable to spinal manipulative therapy include the z-joints, the atlanto-occipital, atlanto-axial, lumbosacral, sacroiliac, costotransverse and costovertebral joints. National guidelines come to different conclusions with respect to<unk>  with some not recommending it, and others recommending a short course in those who do not improve with other treatments. A 2012 Cochrane review found that<unk>  was no more effective than other commonly used therapies. There is not sufficient data to establish the safety of<unk> s.
Spinal manipulation
Spinal mobilization
Epidural steroid injection
Spinal precautions
Spinal decompression
Brachial plexus block
Paracervical block
Nerve block