International Journal of Physiotherapy and Rehabilitation

Neck pain is a common complaint of patients presenting to physical therapy, with annual incidence estimated as high as 17.9 percent of the population, estimates of lifetime incidence ranging from 22 to 70 percent and estimates of more than one-third of all patients with neck pain continuing to experience discomfort upon six month follow-up. Physical therapy treatment of neck pain varies between therapists and across treatment environments. This case report describes successful outpatient physical therapy intervention — including High Velocity Low Amplitude Thrust spinal manipulation — of a 43-year-old female patient with neck pain who did not fit ideal clinical prediction rule criteria for thoracic or cervical manipulation following an initial unsuccessful course of physical therapy.

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