10 SET 2022 · Melva Mitchell Gray Systematic reviews of controlled clinical trials of treatments used by chiropractors found no evidence of effectiveness for spinal manipulation, except possibly in treating back pain. The focus of chiropractic care generally involves treating common conditions that cause low back pain--both acute (sudden and intense) and chronic--through spinal manipulation. Melva Mitchell Fort Worth As a chiropractic office, we recognize that while our patients can be diagnosed with the same conditions, they react to treatments in radically different ways.