What does this research mean for the field?

Osteopathic manipulative treatment (OMT) does not provide significant benefits over standard therapy with ibuprofen for managing acute neck and low back pain in the emergency department. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This research examines the effectiveness of osteopathic manipulative treatment versus standard ibuprofen therapy for managing acute neck and low back pain in an emergency setting.

March 2, 2026Journal of Osteopathic Medicine0 citationsOpen Access

Osteopathic manipulative treatment vs. standard therapy in the management of acute neck and low back pain in the emergency department

SHSteven Hochman KVKatherine Vlasica ALAlexis M. LaPietra

Key Points

This research examines the effectiveness of osteopathic manipulative treatment versus standard ibuprofen therapy for managing acute neck and low back pain in an emergency setting.
Conducted as a randomized trial
Compared outcomes of osteopathic manipulative treatment and 400 mg oral ibuprofen
Participants included patients with acute neck or low back pain
Evaluated pain control, patient satisfaction, and side effects
No significant difference in pain control between OMT and ibuprofen
Similar levels of patient satisfaction in both treatment groups
Side effects were comparable between the two therapies

Abstract

In this small, unblinded, single-center randomized trial, we found no significant difference in utilizing OMT compared to 400 mg of oral ibuprofen for patients with acute neck or low back pain, regarding pain control, patient satisfaction, or side effects.

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