Q: “What is spinal manipulation?”
A: Joint manipulation (usually of the spine) is a frequently used manual technique which immediately improves joint mobility and reduces pain. Commonly this technique is also referred to as an ‘adjustment’ although physiotherapist and medical practitioners refer to the technique as a joint “manipulation’’. Joint mobilisation is a milder form of manipulation in which a joint is moved in an oscillatory manner repeatedly to help regain full pain free movement. Manipulation may move the joint through a similar range of movement which is undertaken is a controlled, rapid manner often resulting in a ‘’clicking’’ or “cracking’’ sound.
Q: “Why undertake manipulation?
A: When performed by experienced Practitioners, manipulation can provide immediate reduction of symptoms and return full pain free range. It is often used in conjunction with other treatment modalities to help alleviate muscle spasm or localised inflammation.
Q: “Is manipulation safe?
A: Manipulation should never be performed by inexperienced or novice therapists. It is not safe or appropriate for use in patients who have osteoporosis, osteopaenia, significant disc prolapses, nerve root compression, malignancies, fractures or bony cysts. As with all medical and allied health practices, selection of the appropriate technique for the appropriate patient will result in an optimal outcome. Our therapists are highly experienced in the safe administration where appropriate following a full explanation of the technique, and its benefits after receiving consent from our patients.