Yes, it might be a sore back or neck "for real"

A study recently completed regarding the effectiveness of Spinal Manipulative Therapy and Exercise for adolescents compared with exercise alone showed that after 12 weeks there was little difference but after 6 months and 12 months there was a significant improvement in self-reported outcomes.

Low back pain (LBP) is one of the most common and burdensome of the pain conditions with an estimated 40% to 80% of individuals worldwide experiencing LBP at some point in their lives. Low back pain–related disability has increased an alarming 42% over the past 2 decades, making it the leading cause of disability globally. Although there has been a long-standing belief that LBP is limited to adults, there is now substantial evidence to the contrary. In fact, research has shown that LBP develops with increasing frequency in adolescence, with prevalence rates reaching that of adults by the late teens.

The goal of the combined SMT + ET program was to enhance patients’ ability to exercise by providing treatment to the lumbar vertebral or sacroiliac joints in an effort to increase mobility and decrease pain. Participants attended 8- to 16-, 10- to 20-minute study visits with experienced licensed chiropractors, no more than 2 times per week. 

Spine-related pain in teenagers is no different to adults, causes are the same, poor posture, falls, accidents, sports injuries, doing dumb stuff. The injured tissues are the same, Intervertebral discs, facet joints, sacroiliac joints, muscle and tendons, fascia injuries, along with pride and ego.

Earlier intervention usually results in better outcomes and less whining to listen to too so a win-win.

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