Spine manipulation, or ‘adjustments,’ is a manual therapy technique that utilizes a high velocity, low amplitude thrust that results in the classic ‘popping’ or ‘cracking’ sound and feeling that is associated with this technique. It can be performed on most joints in the body, but most commonly used in the spine to treat neck and low back pain.
These techniques have frequent misconceptions about them. The primary benefits of manipulation are improved mobility and a decrease in pain in the area. Obviously, these benefits are positive, but they’re short lived, typically lasting about 24-48 hours.
What spine manipulation does NOT do is realign your joints or move your bones. Luckily, humans are far more resilient than that and our joints don’t “go out” that easily. The popping you hear and feel following a manipulation is nothing more than gas bubbles in the joints bursting, resulting in the audible ‘pop’ and some relief in pressure.
Manipulation also does not address other pathologies. Illnesses, weakened immune systems, congenital disorders, neurological or internal organ function are not affected by manipulation. Ultimately, this technique feels good for a couple days and then wears off.
Another big question is ‘Is this safe?’ As is the case with so many things, the answer is based on the individual. For most people, yes, it is a safe and effective treatment technique. But there are times when it is contraindicated. Conditions that result in poor or decreasing bone density, neurological/vascular disorders, and a history of trauma, may mean that this technique is risky and should not be performed. Luckily, your provider will assess your medical history and evaluate you in order to determine whether or not you are a candidate for this technique.
The final, and most important, question is ‘Can this help me?’ If your provider determines it is safe and appropriate for you, then yes! But, as mentioned previously, the benefits are temporary. While it can be helpful, it should never be the sole treatment technique used and should not be the focus of treatment. Ultimately, actual long-term improvement is made through proper strengthening, mobility, and a better understanding of why you hurt and how you can get better.
If you think spinal manipulation can help you, or if you have questions, call Body Structure Medical Fitness for an evaluation, and start moving towards a pain free life today!
- Dr. Nicholas Boland
