It is a passive movement within the limits of normal range of motion that is neither brutal nor painful, and usually causes a cracking sound (not mandatory). It obeys strict rules including that of non pain and movement otherwise. This is one of the contra-indications of manipulative therapy can be simply pain in the setting position before performing the manipulations.
The cracking sound does not match a vertebra or another joint that falls into place but simply a phenomenon of empty joints.
Dr Yves BENSOUSSAN M.D.
Manual Medicine Osteopathy
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