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July 21, 1999

Spinal Manipulation for Tension-type Headache—Reply

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;282(3):231-233. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-3-jac90006

In Reply: We thank the authors of these letters, since as practitioners they represent the people our findings affect. However, the letters indicate overinterpretation and misinterpretation of our results, something we avoided. Perhaps more important, the authors collectively fail to acknowledge that we have years of experience treating headaches using various manual therapies. In our practices, our results and discussions with others indicated ambiguity regarding the response of headaches to manual therapy, and we both became scientists to look for answers. As chiropractors, we would have preferred a positive outcome, of course. As scientists, we just looked for the truth.

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