Category: Manipulation

Spinal Manipulation and Pain

Spinal Manipulation appeared to reduce pain on palpation in this study. In common with previous studies it concludes that manipulation produces reduced pain levels in the short term. Further complementary studies would help establish if these clinical improvements were maintained in the long term. Enjoy the read! Immediate Effects on Pressure Pain Threshold Following a Single Cervical  […]

Traditional Chinese Manipulation

These techniques are not commonly used in the west. But they are similar to many manual therapy techniques. The study investigated their effect on pain felt in the abdomen. In common with previous studies it concludes that manipulation is more effective than medications. Whilst this data is specific to this subgroup of the general population […]

Tips for learning to manipulate

This study investigated how using feedback improved the techniques of the students when learning to manipulate. Reassuringly it demonstrates that students were able to generate repeatable force levels when manipulating. Whilst the article does not expand on this further, this suggests improved technique efficacy and medical safety for the patients being manipulated. Practice makes perfect […]

CNS changes with Spinal Manipulation

This investigates the effects of Spinal Manipulation on blood biochemistry and neurophysiology. PET scan demonstrated changes in CNS activity including physiological relaxation and reduced sympathetic nervous activity. This is a desirable effect in certain sub-groups of our patients. See what you think! Glucose changes after Spinal Manipulation I Inami et al, 2016 Abstract: Objective To investigate changes […]

Manipulation Optimal Dosage

This addresses the question “How many treatments do I need.” My interpretation is that manipulation improved pain and health status. However, it reinforces my personal opinion that prolonged treatment yields little improvement and hence is often not indicated. See what you think! Dose-response and efficacy of spinal manipulation for care of chronic low back pain: a […]

Cervical Manipulation and Exercises

So; this article compliments the one we looked at last week. This reinforces manipulation’s importance in the treatment of spinal symptoms, and the concept that in a multifactorial presentation a multidimensional approach to treatment still has to be considered. Yes manipulate, but don’t forget the rehab! A very clinically applicable read. A Randomized Clinical Trial of […]

Manipulation Acupuncture Meds

So; Spinal Manipulation is better a treating spinal dysfunction when compared to acupuncture and medications. My interpretation is that this reinforces manipulation’s importance in the treatment of spinal symptoms, but that in a multifactorial presentation a multidimensional approach to treatment still has to be considered. A very clinically applicable read. Chronic Spinal Pain: A Randomized Clinical […]

Clinical Prediction Models

This article highlights the clinical findings that suggest spinal manipulation will improve a patient. It’s a good read and reinforces the idea that the individual examination of patients and their subsequent subgrouping improves clinical outcomes. Well worth a read. A Clinical Prediction Rule for Classifying Patients with Low Back Pain Who Demonstrate Short-Term Improvement With Spinal Manipulation […]

Spinal Manipulation

This is a review article for clinicians. It discusses the potential effects of spinal manipulation. A very good clinical read. The biomechanics of spinal manipulation W, Herzog, 2010 Abstract: The Biomechanical forces used during high speed manipulations and their physiological responses are described. The forces varied greatly and produced distal responses to proximal manipulation. Cavitation was […]

Spinal Manipulation – Edinburgh

I taught Spinal Manipulation in Edinburgh on Friday and Saturday – I hope the students enjoyed the course as much as I did! It’s a very hands on course with lots of technique practice as well as the theory to support the manipulations. Hopefully the students are now putting the new techniques learned into their […]