What is Spinal Manipulation?

Manipulation is used to improve the mobility and function of your soft tissues, joints, muscles, tendons and ligaments.

Spinal Manipulation

Manipulation is a technique used by physiotherapists to describe the manual techniques they use to increase the mobility and function of your soft tissues, joints, muscles, tendons, and ligaments. Manipulation is a pain-relieving and flexibility-increasing exercise that is usually conducted as a very quick, precise action on all joints.

SMT (Spinal Manipulation Therapy) is a technique for treating back pain, neck pain, and other musculoskeletal conditions by applying force to the spinal joints. The idea is that treating dysfunctional areas of the spine in this way can restore the spine's structural integrity, reduce pain, and start the body's natural healing processes.

It's a technique that physiotherapists have been using since the beginning of their careers. Physiotherapists who perform spinal manipulations, on the other hand, have come under fire from other professions, despite the fact that manipulation is not limited to any one sector or profession.

Manipulation Clinical Prediction Rule

The five-factor prediction rule for manipulation includes the following criteria:

  1. Acute pain that lasts fewer than 16 days
  2. No symptoms distal to the knee
  3. A FABQ score of less than 19 is acceptable.
  4. Internal rotation of at least one hip of greater than 35 degrees
  5. Lumbar spine hypomobility on at least one level


Low back discomfort is contraindicated in the following situations:

  • Neurological: cord compression, cauda equina compression, and nerve root compression with growing neurological deficits
  • Vascular: aortic aneurysm, joint haemorrhage
  • Lack of diagnosis
  • Patient positioning is impossible due to pain or resistance

Other Related Treatments: