F.A.Q.
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Spinal manipulation is a hands-on treatment used by physiotherapists, chiropractors, and some medical doctors to improve spinal joint movement, reduce pain, and restore function. It often involves a controlled, quick movement (thrust) applied to a spinal joint.
They are very similar. Both involve applying precise movements to spinal joints to restore mobility. The term spinal manipulation is often used by physiotherapists and manual therapists, while chiropractic adjustment is commonly used by chiropractors.
Spinal manipulation is commonly used to treat:
- Low back pain
- Neck pain
- Headaches (tension-type and some migraines)
- Thoracic (mid-back) pain
- Joint stiffness
- Sciatica
Yes. When performed by a licensed and trained healthcare professional, spinal manipulation is considered safe for most people. However, it is not suitable for everyone, such as people with severe osteoporosis, fractures, or certain neurological conditions.
Most patients experience relief and improved movement after treatment. Some may feel mild soreness or stiffness for a day or two — similar to post-exercise soreness — but this is temporary.
The sound is caused by gas bubbles releasing from the joint — similar to cracking your knuckles. It is harmless and is not an indication of bones cracking or damage.
It depends on your condition and treatment goals. Some people feel better after 1-3 sessions, while others with chronic conditions may benefit from a series of treatments combined with exercise therapy.
Yes. Spinal manipulation, particularly of the neck and upper back, has been shown to help reduce the frequency and intensity of tension headaches and some types of migraines.
No. It is not recommended for individuals with:
- Severe osteoporosis
- Spinal fractures
- Certain types of arthritis (e.g., inflammatory arthritis)
- Spinal cancer or infections
- Nerve compression causing severe weakness
Your therapist will assess your health before recommending spinal manipulation.
Yes. For best results, spinal manipulation is often combined with:
- Physiotherapy exercises
- Massage therapy
- Stretching and mobility exercises
- Posture correction
This combined approach helps maintain improvements and prevent recurrence.