A number of different therapists carry out spinal manipulation and mobilisation for back pain, including osteopaths, chiropractors and physiotherapists. Manipulation involves a high velocity thrust to a joint beyond its restricted range of movement, and mobilisation uses low velocity passive movements within or at the limit of the joint range. However, there are also differences amongst the different techniques used to do this, and the best form of therapy will be dependent upon the patient and the condition itself.
carry out spinal manipulations of the neck and lumbar spine under anaesthetic in conjunction with other therapies such as facet joint blocks and epidurals as required. Manipulation helps to break up any scar tissue that is restricting spinal movement and, in particular, helps to break up any scar tissue in relation to nerves.
This procedure is done under anaesthetic as a day case.