Joint manipulation is a hands-on technique used in physical therapy to relieve pain and improve mobility. This is achieved by applying a quick, controlled force to a specific joint or group of joints in the body. The purpose is to provide a temporary alleviation of pain and stiffness.
What’s happening?
Stimulation of mechanical receptors that reduce pain input (often referred to as nociception)
A cascade of endorphins are released, which provides the pleasant sensation
Stimulation of spinal reflex to alter muscle activity
A quick stretch is placed on the joint(s), which aids in restoring range of motion (ROM)
What’s that noise?
Oftentimes, a joint manipulation will result in an audible popping noise, which is a phenomenon called cavitation. This occurs when the pressure in the joint capsule is rapidly changed from the quick stretch, causing gasses to be released from the fluid in the joint.
To clarify, the cavitation is not necessary for the manipulation to be effective, as the quick stretch itself is what is providing the benefit.
Is it safe?
The intervention is very safe. As with everything, proper technique must be used on an appropriate individual. There are certainly conditions that warrant caution or even serve as a contraindication. Some examples include joint instability, spinal cord injury, vascular compromise, etc. A good PT will do proper screening to ensure the technique is appropriate.
Is joint manipulation the fix?
Joint manipulation is a powerful tool. However, it is only one part of the equation, and should rarely be utilized in isolation. Like other PT modalities, it is most effective when combined with other therapeutic interventions. The temporary effects of the manipulation provide a great window of opportunity to promote better movement, so we like to follow up a manipulation with specific training to help solidify those changes.
Watch the video to see a few manipulations in action.
Other Blogs
Deep Squat
This newsletter dispels the common (but incorrect) belief that deep squats are bad for you. It will cover research that explains why squatting deeply is safe, the associated benefits, and how you can get started squatting deeper. WHY SQUAT DEEP? ISN’T IT BAD FOR YOU...
ITB Syndrome
You’ve likely heard of the IT Band (short for iliotibial band). IT Band Syndrome often arises due to overuse, improper biomechanics, or weak glute muscles. The IT Band is a thick & flat sheet of connective tissue that runs from the outside of the hip down to the...
Sciatica
The term sciatica is thrown around a lot. But, what exactly is it? Sciatica is a condition characterized by pain, tingling, and/or numbness that radiates along the sciatic nerve, usually affecting one side of the lower back, buttocks, and leg. This nerve issue can be...
Piriformis Syndrome: A Real Pain In The Butt
The piriformis muscle is a small, deep muscle located in the buttock region, connecting the lower spine to the top of the femur (thigh bone). Piriformis Syndrome occurs when this muscle becomes tight or irritated, and it can lead to compression of the nearby sciatic...
Shoulder Dynamic Control
Dynamic shoulder stability refers to the ability of the shoulder joint to maintain proper alignment and control during movement. It is crucial for athletes, fitness enthusiasts, and even individuals involved in everyday activities. Training for dynamic shoulder...
Burpees
Unleash Your Inner Warrior with the Burpee! Today, we shine the spotlight on an exercise that packs a punch – the burpee! Some people love them and others dread them. If you're looking for a full-body workout that combines strength, cardio, and explosiveness, the...
POLICE vs RICE
This is Exactly What you Should do After a Sprain or Strain It’s a nice fall day, you’re walking around your yard, and bang - you misstep and aggressively twist your ankle. In the rehab world, we call this a sprain. This refers to an acute injury to the ligaments of...
SNAGs
Do you ever wake up with a stiff neck and limited ability to turn your head to the side? This can be attributed to several factors, including improper sleeping positions that can potentially lead to increased muscle tension and/or joint irritation. What do you do...
Turkish Get-Up
Discover the Health Benefits of the Turkish Get-Up! This newsletter will introduce you to an incredible exercise to consider adding to your fitness routine and improve your overall health. Say hello to the Turkish Get-Up (TGU), a full-body movement that engages...
Hip Airplane
We have a test for you! Well, it’s actually an exercise. A rather challenging one at that. But if you can successfully perform this exercise then you can rightfully brag to everyone that you have great control of your hips! It’s called the hip airplane. ✈️ What makes...