Spinal Manipulation: Can You Benefit?

Have you ever had a physical therapist or chiropractor crack your back? The pop decreases pressure in the joint capsule through the release of carbon dioxide and causes a stretch to the capsule allowing improved mobility and decreased pain. This treatment is known as joint manipulation. It consists of the application of a short, quick thrust to a single or multiple joints. It is also known as High Velocity Low-Amplitude Thrusts (HVLAT). This intervention is commonly used by Physical Therapists, Chiropractors and Osteopathic Physicians.

The goal of manipulation is to improve joint mobility, reduce pain, and improve function. When performed by a trained and licensed health care practitioner, manipulation is a safe and effective treatment option for many people with musculoskeletal pain.

The benefit of manipulation is that it is non-invasive, can provide immediate pain relief and improve function without the use of injections or pain medication. Manipulation has been shown to be an effective treatment for low back pain, neck pain, headaches, sciatica, and joint pain. It is often used in conjunction with other treatments, such as exercise, massage, and stretching, to provide a comprehensive approach to pain relief.

Recently, at a continuing education course reviewing spinal manipulation, they discussed the research that shows that it is a safe and effective tool to help improve mobility and decrease pain for most people. Some common, minor side-effects include soreness and increased stiffness at the treatment area or headaches that normally resolve within 24 hours after the manipulation.

Contraindications include recent fractures, spinal instability, signs of spinal cord compression, and having a high risk of stroke. Physical therapists are trained to screen for these risk factors and will discuss any concerns prior to performing the intervention. If you have severe osteoporosis, a high stroke risk, spinal cancer, or an unstable spine, manipulation is not for you.

Manipulation is a safe and effective treatment option for many people with musculoskeletal pain. If you are considering joint manipulation as a treatment option, please schedule an appointment with your Refuge team.