These techniques are used to provide fast pain relief. Clinical evidence behind how joint mobilisation and manipulation works is reinforcing the theory that, rather than ‘realigning’ the bones, these techniques have a subtle but significant effect on the neural connections between the joint and the brain, and increase circulation, both of which then have an effect on reducing pain, improving the quality of movement of the joint and encouraging healing.
Before using joint mobilisation or manipulation our Physiotherapists and Chiropractors will use tailored massage techniques to ensure that the surrounding soft tissues are relaxed and released so that the joints move freely, easily and in a pain free manner. They will then give you exercises to maintain these improvements.
FAQ
What is joint manipulation?
Joint manipulation is a quick, controlled, small-amplitude movement applied to a specific joint at the end of its available range. It is used to restore movement where a joint has become restricted, and is normally combined with soft-tissue work and exercise rather than used on its own.
What is the difference between mobilisation and manipulation?
Mobilisation is a slower, repeated, gentler movement applied within the joint’s range, which the patient can resist at any point. Manipulation is a single faster thrust at the end of range. Mobilisation is used more often; manipulation is chosen for specific restrictions and requires more careful screening beforehand.
Does manipulation actually put bones back into place?
Not in the literal sense. Joints that are painful and stiff are not usually out of position, and manipulation does not move a bone back into alignment. What it does is restore movement at a restricted joint and reduce the protective muscle tone around it, which is why it can produce a rapid change in how you move.
Does joint manipulation hurt?
It is usually painless and takes a fraction of a second. The sound can be startling the first time. Mild soreness in the area for a day or two afterwards is common and settles. Nothing is done without explaining it first, and manipulation is not used if you would rather not have it.
Who should not have joint manipulation?
Manipulation is avoided or modified where there is osteoporosis, inflammatory arthritis, recent fracture or significant trauma, spinal instability, certain circulatory conditions, active infection or cancer in the area, and where there are unexplained neurological symptoms. Screening for these is part of the initial assessment, which is why the first appointment is longer.
What if I do not want to be manipulated?
Say so — it is a preference, not a clinical obstacle. Restricted joints respond to mobilisation, soft-tissue work, needling and specific exercise as well, and outcomes for common mechanical pain are broadly comparable without manipulation. Your practitioner at Octopus Clinic will use the alternatives instead.