This article is one of a series covering back pain — causes, symptoms, and the treatments we use at Back and Body Medical in Midtown Manhattan. For the complete overview, see the full guide:
Back pain is something most people will experience at some point in their lives, we see many patients each and every day in our Manhatten 10022 chiropractor clinic suffering from it for example. But is it possible to work out how each patient will respond and to what treatment or exercise? Let’s take a look.
A 2011 study was conducted to see what type of back pain patients would benefit from exercise coupled with spinal manipulation. The researchers looked at patients to see who would benefit from this and who might need alternative or more aggressive treatment.
The tests were carried out using two concepts for measurement. The first, known as Directional Preference identifies areas of movement where the patient feels worse or better. So for example, they may feel better bending forwards and worse bending backwards or vice versa.
The second control called Centralization, sees the effect on leg pain if it is present or not. If it is present, then the patient should refrain from any exercise that causes an increase in leg pain.
The study sample was 584 patients who all suffered from low back pain. The researchers found that 60% of the patients had a Directional Preference and about 60% of them had Centralization as well.
The tests continued and researchers discovered that the patients who had minimal to no Centralization responded best to spinal manipulation and exercise in relation to better function and reduced pain.
In contrast, the patients with Centralization responded less well to this form of treatment.
The conclusion of course is that a chiropractor will be quickly able to examine and to filter each patient into a form of treatment where the patient is going to respond best to a type of treatment. It quickly allows them to identify those patients who will need a more comprehensive care plan from those who will be able to respond to regular treatment.
Are you in discomfort from slouching? We can help. We can treat your symptoms and provide you with exercises and education to help you correct your posture. This will benefit you positively as you will have less pain and you will be healthier in your general well being as a result.
Contact us now. We have three simple ways you can make an appointment at our 10022 chiropractor office:
Call now on (212)371 2000 or text (315)873-3095 or email us at Yo**********@***********NY.com
Ready to get out of pain? Most new patients are seen within 24 hours — walk in or book online.

Dr Shan Sivendra MD is the founder and medical director of Back and Body Medical in Midtown Manhattan. A board-certified medical doctor, certified acupuncturist, and Director of House Physicians at St. Barnabas Medical Center, Dr Sivendra has been practicing in New York since 1995.
He completed his residency in Internal Medicine at Saint Barnabas Medical Center (affiliated with Mount Sinai School of Medicine) and received the Resident Research Award for three consecutive years.
Dr Sivendra has a background spanning internal medicine, pain management, and conservative spine rehabilitation, and was licensed in both the US and the UK.
At Back and Body Medical, he leads a multidisciplinary team of chiropractors, physical therapists, and acupuncturists dedicated to helping patients recover from pain without surgery or unnecessary medication.
Further Reading: Back Pain
