A factor in favor of using high-velocity thrust manipulation for low back pain is?

• A. Radicular pain
• B. Non-centralized low back pain
• C. Centralized low back pain
• D. Chronic low back pain

Answer: (C)

High-velocity thrust manipulation is often used in clinical practice to treat low back pain, particularly when there is an indication of centralized pain. Centralized low back pain refers to symptoms that are localized to the low back and may not radiate or refer to the lower extremities, suggesting that the pain is more likely to be of a musculoskeletal origin rather than being influenced by nerve root irritation or other serious pathology.

The rationale for using high-velocity thrust manipulation in cases of centralized low back pain lies in its effectiveness for restoring normal biomechanical function and promoting optimal movement patterns within the affected structures. Research suggests that manipulation may help alleviate pain, improve range of motion, and enhance overall function in individuals with symptoms that are centralized.

In contrast, radicular pain, non-centralized low back pain, and chronic low back pain may not respond as well to this technique or could involve additional considerations. Radicular pain often indicates nerve root involvement, which necessitates different treatment approaches. Non-centralized low back pain may suggest more widespread or acute symptoms that require other interventions to manage effectively. Chronic low back pain typically involves complex factors, including psychological, social, and physical elements that may also benefit from a multidisciplinary approach beyond manipulation alone. Thus, the context and nature of