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Manual therapy (spinal mobilisation) is more effective and less costly
than physiotherapy or care by a general practitioner for treating neck
pain. Korthals-de Bos and colleagues (p 911) conducted an economic
evaluation comparing the cost effectiveness of three different
treatments for patients with neck pain. After 26 weeks, patients having
manual therapy had higher recovery rates than those having
physiotherapy or being cared for by a general practitioner, but these
rates were similar after 52 weeks. Total costs in the manual therapy
group were around a third of the costs in the other two
groups.

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