Spinal Manipulation


Manual Therapy  is hands on, non-surgical and non-pharmaceutical approach to relieving spinal joint pain and restoring optimal health to the body. Chiropractors help achieve a state of optimal health for their clients through of a chiropractic adjustments to the spine and extremity joints, nutritional healing, exercise, soft tissue therapy and client wellness education.

A manual adjustment or manipulation is the art of moving a synovial joint suddenly beyond its normal range of movement. This accomplished by quick and careful thrust or impulse that often results in a cracking noise. The noise is simply Carbon dioxide gas pockets filing up with fluid within the joint itself. Manipulation in North America is primarily performed by the Chiropractors and to lesser extent by Osteopaths.

Manipulation has much to offer the patient with uncomplicated acute back pain as well as the chronic back patient

The Therapeutic Effects of Manipulation

  • Reflexive Inhibition of pain
  • Reflexive Relaxation of guarded or spastic muscles
  • Increase in joint range of motion
  • Breaking up of post injury scar tissue and adhesions
  • Stimulation of joint and muscle receptors
  • Reflexive autonomic nervous system stimulation resulting in vasodilation of blood vessel causing increased blow flow to the joints and visceral organ systems

The Indications for Chiropractic Adjustment/ Manipulative Therapy
Facet and sacroiliac joint dysfunction

  • Paraspinal muscle syndromes
  • Disc herniation
  • Joint dysfunction in lateral and central stenosis
  • Joint dysfunction in spondylolisthesis
  • Sacroiliac syndrome in postoperative low back pain

Clinical Trials

The scientific literature reveals that there have been more clinical trials of manipulation for low back pain than for any other treatment approach. The literature has shown the manipulation is both effective acute and chronic back pain. Patients also improved more rapidly with manipulation when compared to other treatment groups receiving alternate therapy such as mobilization within each respective study.