A manipulation is a technique involving a controlled, small isolated thrust to a joint. The joint is usually placed at the end of its movement, and the manipulation gives an extra stretch to the soft tissues adjacent to the joint.
There is often a popping sound as a small suction pressure within the joint is released. This is normal and is similar to cracking your knuckles. The aim is to restore normal joint movement – which is a mixture of spin, roll and glide.
Manipulation is very technical and the experience and quality of the physiotherapist makes a difference. Assessing which joints need manipulation, the order and type of manipulation, is a learned skill. Willis Street Physiotherapy has very experienced Manipulative Physiotherapists.