Remedial and Sports Massage
Malvern - Worcestershire
SKELETON
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MANIPULATIVE THERAPY
Manipulative Therapy is a physical treatment primarily used by osteopaths, chiropractors and physiotherapists to treat musculoskeletal pain and disability. It most commonly includes massage and manipulation of muscles, joint mobilisation and joint manipulation.
It can be used to control pain, increase range of motion, reduce or eliminate soft tissue inflammation, induce relaxation, improve tissue repair, facilitate movement and improve function.

Joint mobilisation is a type of passive movement of a skeletal joint with the aim of achieving a therapeutic effect.

Joint manipulation is a type of passive movement of a skeletal joint, using high velocity low amplitude (HVLA) thrusting manoeuvres. It is usually aimed at one or more 'target' synovial joints with the aim of achieving a therapeutic effect.

Joint manipulation is characteristically associated with the production of a ‘pop’ or ‘click’ sound. This sound is believed to be the result of a phenomenon known as cavitation. When a joint manipulation is performed, the applied force separates the articular surfaces of the joint. This deforms the joint capsule and intra-articular tissues, which in turn creates a reduction in pressure within the joint cavity. In the low pressure environment, some of the gases that are dissolved in the synovial fluid create a bubble or cavity rapidly collapses upon itself, resulting in a ‘clicking’ sound.

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