Spinal Manipulation: Then vs Now 15 years ago, manipulation was sold as “putting joints back in place.” 👉 Same techniques. Outdated story. Today, the evidence is clear: ✅ HVLA works through neurophysiological effects (descending pain control, sensorimotor changes) – not bone realignment. ✅ The pop isn’t the point — cavitation ≠ better outcomes. ✅ Benefits are usually short-term, and strongest when combined with exercise, education & load management. Why it matters: As clinicians, we have to: ✔️

Y Strap Neck Manipulation: Understand the risks! Neck manipulation or ‘adjustment’ has been rooted in alternative medicine for centuries. Started in medieval times, it still continues. Neck is very sensitive ‘organ’ with highly sensitive nerves, arteries, joints and spinal cord. They are so sensitive that, being a neurosurgeon, I hardly touch them during spinal cord surgeries. Imagine how someone can put a noose around our necks and pull it to eternity! Absolutely ridiculous and criminal acts in

3.4K views · 87 reactions | Spinal Manipulation techniques in a seated position. Osteopathic Spinal Manipulation™® Here were showing an easy adaption for the smaller practitioner to manipulate C7/T1 rather than having to use a lift technique. | OMT Training | Facebook