SPINAL MANIPULATION
What is Spinal Manipulation?
Spinal manipulation is a technique where a licensed practitioner uses their hands or a device to apply a controlled thrust to a joint of the spine, upper extremity, or lower extremity. The amount of force can vary, but the thrust moves the joints slightly more than its passive range of motion. The most common technique is the “high-velocity, low-amplitude” (HVLA) thrust. This can cause a sudden release of trapped gas bubbles in the joint fluid, resulting in an audible “popping” or “cracking” sound. Spinal manipulation is different from spinal mobilization, which does not involve a thrust.
Who Performs Spinal Manipulation?
Spinal and extremity manipulations are typically performed by licensed professionals including physical therapists, chiropractic physicians, and osteopathic physicians.
What are the Benefits of Spinal Manipulation?
Spinal manipulation is widely used to manage, treat, and alleviate many musculoskeletal conditions. It has been shown to help with lower back pain, neck pain, tension headaches, shoulder pain, joint stiffness, and reduced range of motion.
Spinal Manipulation is one of several non-drug approaches that may be used to treat acute and chronic low back pain. It can lead to improvement in both pain and function. It can also be helpful for acute and chronic neck pain.
What are the Risks and Considerations of Spinal Manipulation?
Spinal manipulation is generally safe and effective for acute and chronic pain when performed correctly, but it isn’t for everyone. Some patients experience mild soreness or fatigue following treatment. Several large research reviews have concluded that the most common side effects are mild to moderate pain or discomfort, stiffness, or headache, which typically go away within 24 hours. Serious side effects, such as serious spinal or neurological problems or strokes involving arteries in the neck, have been reported. However, they are extremely rare.
Pre-existing health problems may increase the risks associated with spinal manipulation, making it important for practitioners to assess patients thoroughly before performing any treatment.
