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Manual therapy

Manual therapy

Manual therapy (from Lat. Manus - "hand"), and "manual therapy" literally translates as "treatment with hands". And this, as you know, is the most ancient healing technique. What is real in them and what is not?

Manual therapy is a type of massage. Many people think that manual therapy is a type of massage. With the help of massage, they act primarily on soft tissues (skin, muscles), while the objects of influence of manual therapy are bones and joints.

Manual therapy is a modern method of treatment. In fact, manual therapy has a rich history. It was known under various names to the ancient peoples of India, the Mediterranean, Central and Eastern Europe. The famous Hippocrates also practiced manual therapy. Chiropractors were also valued in Russia. It is interesting that such a "staff unit" was not only in the baths, but also in units of the Russian imperial army.

With the help of manual therapy, only spinal diseases can be cured. This is not true. Of course, the main indications for a visit to a manualist are posture disorders, scoliosis, osteochondrosis, radiculitis, arthrosis and some other diseases associated with the work of the spine, but manual therapy also helps with other diseases. This is explained by the fact that there is a close reflex connection between the internal organs of a person and the spine.

Manual therapy is very painful. This is not entirely true. Most often, manual therapy is painful if the doctor has not yet fully mastered the necessary technique. An experienced specialist does not allow such sensations.

A manual therapy session is a dangerous procedure for a sore spine. If you turned to a real specialist, and not on your own and not on the advice of a friend, but on the direction of a doctor, then there is nothing to be afraid of. Manual therapy very effectively copes with osteochondrosis, but only if the treatment was prescribed according to the indications. Otherwise, there is no need to wait for the effect. In the West, only an orthopedist or neurologist has the right to prescribe such procedures. Our doctor is often the patient himself: he goes, tries, if he doesn’t help, discredits the idea itself, and if his condition worsens (which is not surprising with such a “self-designation”), confirms the above myth. Of all those suffering from any pathology of the spine, only 2% need surgical treatment, all the rest - in a conservative, which includes manual therapy.

Manual therapy involves a long-term method of treatment. This is nothing more than a myth. Experts note that for most of the ailments that manual therapy treats, 5-6 sessions are enough. With more sessions, the spinal ligaments may overstretch and there will be a danger of balancing it. A patient who turns to a manualist for help should be alerted if the doctor proposes to carry out 15-20 sessions at once. Obviously, such a "specialist" is concerned not so much with the therapeutic effect as with the material effect.

The chiropractor must have a special gift, to "see" and "feel" with his hands. This misconception is indeed very common. Many people think that manual therapy is something difficult, not accessible to everyone. In fact, it is a technique taught and taught to others. Another thing is that this should be done by a specialist who understands what the spine is, preferably a neurologist.

A chiropractor can correct a herniated disc. He not only cannot, but even should not try to do it. Hernia of the intervertebral disc, like osteochondrosis with radicular syndrome, is an absolute contraindication. This is usually found out with additional examination, as well as severe osteoporosis, which also excludes the intervention of a chiropractor. Other contraindications include tumor processes, rheumatoid lesions (they affect not only the joints, but also the spine). It is impossible to conduct sessions after injuries, bruises, sprains and dislocations. In contrast, damaged tissues and joints need rest and anti-inflammatory treatment.

The diagnosis can be made by external examination. This is not true. If you begin to be "ruled" without examining and not looking at the X-rays, most likely you have come to the not the best specialist. At a minimum, your neurological status should be determined for the presence of concomitant symptoms - numbness of the fingers, weakness, headaches. If necessary, the doctor also prescribes a special examination, for example, MRI or densitometry, in order to exclude contraindications. It is impossible to carry out the procedure during the period of acute pain, only after the period of remission has come. Manual therapy has a rich history. It was known under various names to the ancient peoples of India, the Mediterranean, Central and Eastern Europe. Massage was an integral part of the gladiator's preparation for the competition. He practiced manual therapy for diseases of the spine and Hippocrates. In Russia, chiropractors were even included in the units of the Russian imperial army. They used the strength and skill of their hands for preventive purposes - at the baths there were always people who knew the technique of manual massage.


Watch the video: Manual Therapy for Meniscus Tear: Knee Flexion - Dan Rhon. MedBridge (May 2021).