Manipulation should never operate in force: if the patient resists, due to fear or pain, do not insist but switch to another technique or reconsider the diagnosis and treatment strategy + + +
Manipulation usually causes a crash: this is not a “dislocated vertebra” which puts in place, but the noise caused by a vacuum phenomenon joint, which precedes the release of normal mobility. This noise should not worry. It can also occur when you stretch.
If the crack does not occur, there is no need to dwell. Manipulation may be effective even without cracking.
Dr Yves BENSOUSSAN M.D.
Manual Medicine Osteopathy
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