Manipulative and manual therapies in the management of patients with prior lumbar surgery: A systematic review

Pain and disability may persist following lumbar spine surgery patients subsequently seek providers trained in manipulative manual therapy (MMT). This systematic review investigates the effectiveness of MMT after through identifying, summarizing, assessing quality, grading strength available evidence. Secondarily, we synthesized impact on medication utilization, reports adverse events. Databases grey literature were searched from inception August 2020. Article extraction consisted principal findings, pain function/disability, consumption, Literature search yielded 2025 articles,117 full-text articles screened 51 citations met inclusion criteria. There is moderate evidence to recommend neural mobilization myofascial release fusion, but inconclusive for or against most therapies surgical interventions. The primarily limited low-level studies. More high-quality studies are needed make recommendations.