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Chiropractors (practitioners of chiropractic) use their hands to treat disorders of the bones, muscles and joints. Treatments that involve using the hands in this way are called "manual therapies". Chiropractors use a range of techniques, with an emphasis on manipulation of the spine. They may also offer advice on diet, exercise and lifestyle, and rehabilitation programmes that involve exercises to do in your own time. Some chiropractors may also offer other alternative treatments, such as acupuncture. Learn more about how chiropractic is performed. Chiropractic is part of complementary and alternative medicine (CAM), meaning that it is different from treatments that are part of conventional western medicine. Some uses of chiropractic treatments are based on ideas and an "evidence base" not recognised by the majority of independent scientists. Uses Many chiropractors only treat conditions related to the spine, such as lower back or neck pain. Some chiropractors, however, claim to treat a wider range of conditions, including asthma, infant colic, irritable bowel syndrome (IBS) and many others. The GCC says that the care provided by chiropractors should be "informed by the best available evidence, the preferences of the patient and the expertise of practitioners". See conditions commonly treated by chiropractors for more information. Does it work? Chiropractic is a healthcare profession and not a chronic pain single treatment. Evidence about chiropractic generally refers to one or more of the treatments that chiropractors offer. There is good evidence that manual therapy which may include spinal manipulation – as practised by chiropractors – can be an effective treatment for persistent lower back pain. Conventional treatments for persistent lower back pain include painkillers, exercise and physiotherapy. There is some, mostly poor-quality, evidence that spinal manipulation is an effective treatment for some other musculoskeletal conditions involving the bones, joints and soft tissue. The evidence on manual therapy, including spinal manipulation, is not strong enough in these cases to form the basis of a recommendation to use the treatment. There is no evidence that treatments offered by chiropractors are effective for other conditions. There is also no scientific evidence to support the idea that most illness is caused by misalignment of the spine.