“…For each of the varied forms of MAM, treatment is reserved for individuals who have already pursued traditional modes of care [3-5,7,9,11,12,14-16,18,25],[31,33,36,38,47] (including, in part, spinal manipulation), but for whom the condition is recalcitrant [47]. Significant pain and dysfunction typically preclude a return to normal activities [5], whether personal, occupational or recreational.…”