Back Pain Doctor

Evidence Atlas

Every condition guide on this site rates each of the clinic's 12 non-surgical options against the published evidence for that diagnosis. This page puts those ratings in one table: 111 conditions and 1,332 pairings. 1,224 have had their own literature review. The remaining 108 are still being reviewed and are shown without a rating.

What a rating means. A rating describes the published evidence for one treatment in one condition. It does not predict the result for an individual, and a treatment appearing here does not mean it suits everyone with that diagnosis. That is decided at an assessment.

Most recent review: 11 Nov 2026. The same data is available as a JSON file.

Core care 103
Recommended foundation for this diagnosis.
Good support 39
Useful condition-specific evidence supports it.
Worth discussing 161
Reasonable after first-line care or for selected patients.
Evidence mixed 56
Studies disagree or any benefit is uncertain.
Plausible: no studies 325
A reasonable mechanism, but no direct trial in this diagnosis.
Only if relevant 297
Targets a separate muscle, joint, tendon or nerve finding, not the diagnosis itself.
Not offered for this 243
No appropriate target, an avoidable risk, or a better pathway is required.
Under review 108
Not yet reviewed for this diagnosis. No rating is shown until it has been.

Showing 111 of 111 conditions

Evidence rating for each treatment (columns) in each condition (rows). Each cell links to the evidence summary for that pairing.
Condition Rehabilitation Wet needling Guided injection V-ACTOR Radial shockwave Focused shockwave EMTT PRP Prolotherapy Viscosupplementation Perineural therapy Hydrodissection
Neck
Cervical Radiculopathy C D M P R R P D P N R D
Cervical Spondylosis (Neck Arthritis) C P R P D D P D P N R D
Cervicogenic Headache C D D P D D P P P N R D
Neck Pain C D R P S D P D D N D D
Occipital Neuralgia R R S N N N P N P N D R
Thoracic Outlet Syndrome C R D N N N N N N N N N
Whiplash & Neck Sprain C M R P P R P D D N R P
Shoulder
AC Joint Injury C ? S P R R P P R N R R
Biceps Tendinopathy (Shoulder) C R S P D D P P P N R R
Biceps Tendon Tear at the Shoulder C ? ? P R R P N N ? ? R
Frozen Shoulder C R D P S D P D M M R R
Rotator Cuff & Shoulder Pain C D D P N M P D M N M R
Rotator Cuff Partial Tear C R ? P D D P D M N R R
Scapular Dyskinesis and Periscapular Pain C R N R N N N N N N N N
Shoulder Calcific Tendinopathy C R S P S S P D P ? R R
Shoulder Dislocation and Instability C R R P R R P R N N R R
Shoulder Labral Tear (including SLAP Tears) C ? ? P R R P P P ? ? R
Shoulder Osteoarthritis C R M P R P P M P M ? R
Elbow, Wrist & Hand
Arthritis of the Wrist C R P P R P P P P P ? ?
Biceps Tendon Tear at the Elbow C ? ? P R R P N N ? ? R
Carpal Tunnel Syndrome C D S P S M P D N N S S
Cubital Tunnel Syndrome C R M P D D P R N N S S
De Quervain Tenosynovitis C R D P D P P D P N R D
Dupuytren's Disease C ? ? P R D P R P ? R ?
Finger Sprains C ? R P R R P P P N R R
Ganglion Cyst of the Wrist and Hand C ? ? P R R P N P ? R ?
Osteoarthritis of the Elbow C R D P R P P P P N ? ?
Radial Tunnel Syndrome C R D R P P P P R N R P
Tennis & Golfer's Elbow C D N P D M P S S N P R
Thumb Base Osteoarthritis C R M P R P P M D M R R
Trigger Finger C R D P D D P P P N R P
Ulnar Tunnel Syndrome C R P P R P P P N N P P
Wrist Sprains C ? R P R R P P P N R R
Back
Ankylosing Spondylitis (Axial Spondyloarthritis) C R R P R R P R P N P R
Cauda Equina Syndrome N N N N N N N N N N N N
Coccydynia (Tailbone Pain) C R D P D D P P D N D P
Low Back Pain C M R P S D P D M N D D
Lumbar Disc Herniation C D D P R R P M M N R R
Lumbar Facet Joint Pain C P R P R D P D M N R R
Lumbar Spinal Stenosis C D M P R R P P M N R R
Lumbar Spondylolisthesis C P R P R R P P P N R R
Sacroiliac Joint (SIJ) Pain C P ? P R D P D D D D R
Sciatica C D D P R R P M M N R D
Scoliosis C R R P D P P R P N P R
Slipped Disc and Bulging Disc C D D P R R P M M N R R
Spondylolysis (Pars Stress Fracture) C R R N N P P P P N P R
Thoracic Spine Pain (Mid-Back Pain) D P D R R R N P P N R R
Hip & Pelvis
Acute Hamstring Strain C P D P D R P N R N R D
Adductor-Related Groin Pain C P D P P D P R D N R R
Deep Gluteal Syndrome (Piriformis Syndrome) C R D R D P P M P N R D
Femoroacetabular Impingement (FAI Syndrome) C ? ? P R R P N N ? ? ?
Greater Trochanteric Pain Syndrome (Hip) C P S P D S P M P N P R
Hip Osteoarthritis C D S P D D P M D N P R
Meralgia Paraesthetica C R S R P P P P R N D D
Osteonecrosis of the Hip (Avascular Necrosis) C ? ? N N D P N P R ? ?
Proximal Hamstring Tendinopathy C P D P S S P D P N R R
Pubic-Related Groin Pain (Osteitis Pubis) C R M R P D P P P N N N
Snapping Hip C ? D P P P P P P ? ? R
Knee
ACL Injury C R ? N D D R N D ? ? R
Baker's Cyst (Popliteal Cyst) C R D R N N N D P R R R
Iliotibial (IT) Band Syndrome C P D P D P P D P N R R
Knee Osteoarthritis C D S P S S P S S M P R
MCL Injury C R D P R R P P P N R R
Meniscus-Related Knee Pain C R ? P R D P D P ? R R
Osgood-Schlatter Disease (Growth-Related Knee Pain) C N N N N N N N N N N N
Osteonecrosis of the Knee (Avascular Necrosis) C R ? N N P P R R R ? ?
Patellar Instability (Unstable Kneecap) C R ? P R R P R P ? ? ?
Patellar Tendinopathy C R M P M M P S D N P R
Patellar Tendon Tear C R ? P R R P N N ? ? R
Patellofemoral Arthritis C R D P R P P D D M D R
Patellofemoral Pain C P P P D R P M D N D R
Pes Anserine Bursitis C R S P P D P D D N R R
Quadriceps Tendon Tear C R ? P R R P N N ? ? R
Foot, Ankle & Lower Leg
Achilles Tendinopathy C R N P D M P M D N R N
Achilles Tendon Rupture C ? ? N R R R N R ? ? R
Ankle Osteoarthritis (Ankle Arthritis) D R M R P P P D P M R R
Ankle Sprain C R D P D D P N D N R R
Bunions (Hallux Valgus) C ? ? P R R P R P ? ? ?
Calf Strain C P R P R R P N R N R R
Compartment Syndrome C ? ? N N N R R R ? R ?
Hallux Rigidus (Stiff Big Toe) C R M P R P P P P N R ?
Heel Fat Pad Syndrome C N N N N N N P N N R R
Morton Neuroma and Forefoot Pain C R S P M M P N N N P P
Peroneal Tendinopathy C R D P P P P P P N R R
Plantar Fasciitis C M M P S S P D D N P R
Posterior Tibial Tendon Dysfunction (Adult Acquired Flatfoot) C R D P D P P P P N R P
Rheumatoid Arthritis of the Foot & Ankle C ? D N P P R N R D ? ?
Sesamoiditis & Sesamoid Fracture C R D P P P P P P ? R R
Sever's Disease (Calcaneal Apophysitis) C N N N N N N N N N N N
Shin Splints C P P P D D P P D ? P R
Stress Fractures of the Foot and Ankle C ? ? N N D P P P ? ? ?
Syndesmosis Injury (High Ankle Sprain) C ? R P R R P D P N R R
Tarsal Tunnel Syndrome C R S R P P P P R N D D
Turf Toe (Big Toe Joint Sprain) C R N P R R P R P N R R
General
Arthritis: An Overview C ? S P D D P D D M ? ?
Bone Stress Injury (Stress Reaction & Stress Fracture) C N N N N P P P P N N N
Bursitis C ? S P P P P M M N ? R
Complex Regional Pain Syndrome (CRPS) D N N N N N N N N N N N
Fibromyalgia (Chronic Widespread Pain) S M P P M P M P P N P P
Gout C ? D N R R R R R R ? ?
Hypermobility Spectrum Disorder & hEDS C N N N N N N N N N N N
Muscle Contusion (Bruise) C P R P R R P N R N R R
Muscle Cramps C ? ? P R P P R R ? ? ?
Osteoporosis C ? ? N R R R R R ? ? ?
Polymyalgia Rheumatica D R R R P P P P P N R R
Psoriatic Arthritis D N S N N N N N N N N N
Relative Energy Deficiency in Sport (REDs) C N N N N N N N N N N N
Rheumatoid Arthritis C ? S N D D R N R R ? ?
Sarcopenia (Age-Related Muscle Loss) C N N N N N N N N N N N
Sprains, Strains and Soft-Tissue Injuries C ? D P D D P N D N R D
Tendinopathy (Overuse Tendon Pain) C R R P M M P M D N R R

Most recently reviewed

Each pairing carries the date it was last checked against the literature. Ratings change when new studies are published, and a pairing reviewed once is searched again.

How the ratings are made

Each pairing is searched in PubMed and rated against what the studies show. Dr Hatch sets the ratings and the final call on each one is his. Where a search finds nothing, the page says so and names the search. Treatments that are not offered at all are listed separately, with the reasons.

Treatments not offered, and why Browse condition guides

What the published evidence shows

Where it fits

Read the condition guide About this treatment

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