What is manipulation?
Manipulation can be described as any manual mobilisation of a joint or muscle, however, when used by physiotherapists, the meaning is more specific. Physiotherapists use the term manipulation to describe the small amplitude high velocity mobilisation of a joint that results in a ‘crack’ sound. The widely held belief of ‘the crack’, is that when the joint surfaces are pulled apart, the pressure inside the joint drops. This reduced pressure results in some cavitation of the fluid inside the joint called synovial fluid. Bubbles of nitrogen are released and the subsequent result is the ‘crack’ sound. This model has been reproduced in joint models and is the accepted explanation of the sound
Who Can Manipulate?
There are many professionals who use manipulation as a part of musculoskeletal treatments. This includes physiotherapists, chiropractors, osteopaths and doctors. It is worth noting that physiotherapists employ the safest techniques and injuries associated with manipulation are very rare.
All the partners at Prime Physiotherapy are post graduate qualified manipulative (musculoskeletal) physiotherapists and are titled members of the Australian Physiotherapy Association. You can rest assured that your physiotherapist is qualified and experienced in the prescription and application of spinal manipulative therapy.
Many conditions that have been unresponsive to more gentle forms of treatment can benefit from manipulation. Conditions include headaches, low back pain, neck and mid back pain.
Is An X Ray Needed Before Manipulation?
For most manipulations your physiotherapist will ensure that a current X ray is viewed prior to manipulation as part of a routine screening. Factors from the history and physical examination will determine if an X ray is necessary and your physiotherapist can refer for this under medicare.