Manipulation is applied to stiff joints with limited movement which are not pain generating.

Manipulation is often used in the small joints of the neck or the larger lumbar spine to restore movement. During a manipulation your therapist will move the stiff joint to a point where it is ‘locked’ and no longer moves freely. Applying a short sharp thrust ‘unlocks’ the joint enabling it to move more freely. Often patients hear a clicking or a popping sound as air pressure is realised from the stiff joint.