In this episode of Hands On, Hands Off, we dive deep into the largest systematic review on SMT to date with researcher and chiropractor Casper Glissmann Nim. What he and his team discovered may shake the very foundation of manual therapy education and clinical practice.We explore:* Whether SMT is more effective than placebo or non-recommended therapies* Why the way you perform SMT might not influence patient outcomes* How contextual factors and therapeutic alliance play a bigger role than we once thought* The implications for fellowship training and manual therapy education* What the future holds for low back pain research and self-management strategiesThis is a must-listen for any PT, chiro, educator, or student wrestling with the role of manual therapy in modern practice.