Spinal manipulation is an intervention, performed on spinal articulations that combine moving and jolting joints, massage, exercise, and physical therapy. It is a procedure used in both traditional Asian and western medicine. It is usually performed by chiropractors, physical and occupational therapists, osteopathic physicians, and it is often used to relieve pressure on joints, reduce inflammation, and improve nerve functions. Spinal manipulation can also be used to treat the shoulder, back, neck, and head pain. In rare cases, it can be used to treat menstrual pain. It can also be called spinal manipulative therapy.
History and Evolution of Current Methods.
Spinal manipulation has been in use for thousands of years, in many parts of the world. Writings from Greece, and china in 1500 B C, and 2700 B C mentioned manipulating of the spine and legs to ease back pain. The Greek physician, Hippocrates, describes manipulative techniques in his writings. Spinal manipulation gained and lost favor in the mid-1800s because, its success was attributed to luck. Modern spinal manipulation, however traces its roots to 19th century America. Andrew Taylor, who has the credit as the father of modern osteopathy, developed the theory that, diseases were caused by displaced bones and muscles, interfering with the body’s circulatory system, so he turned to spinal manipulation as a non-drug, holistic method of correcting body imbalances, and restoring health. Then, there was also Daniel David Palmer, who developed the theory that, diseases were caused by spinal misalignment, that blocks the transmission of the body’s healing power.
Procedures for Spinal Manipulation.
Chiropractors use over 100 spinal adjustments all over the world. Some use force and twisting, while other techniques are more gentle. In this procedure, doctors use electric stimulation, ice, and heat therapy, and tractable device that stretch the spine. It is usually performed on an adjustable table, to aid different forces of movement during the procedure. In the procedure where force is used, doctors use their hands to apply a controlled sudden force to a specific joint. While in the more gentle procedure, doctors use less forceful thrusts, and more stretching. In some cases, they will use a small metal tool that applies force directly to one vertebra known as an activator.
Effectiveness and Safety.
Anyone who wants to try this procedure is going to be concerned if it will work, and because the spine is a very delicate area, safety is always taken into consideration. Spinal manipulation generally, is a very safe procedure when it is performed by someone who is trained, and licensed to deliver to care. Serious complications are very rare, but stroke after a neck manipulation is possible. Measuring the effectiveness of this procedure is difficult because, it does not lend itself to traditional studies. A study, however showed that six weeks of mobilization treatments, helped treat neck pain in almost 70 percent of people that participated. Although another study showed that it is not effective in easing chronic low back pain. People with severe osteoporosis, spinal cancer, and high stroke risk, are advised to stay away from this procedure.