Manipulation can also be referred to as a high-velocity thrust technique.

It’s the type of treatment technique where the movement of the joint is quick and you often hear a click sound.

The aim is to clear a stubborn joint stiffness that is not resolving with other techniques. The most common area is the spine.

Other reasons why manipulation can be helpful is that it causes a reflex that allows a tight muscle to relax.

It may also influence the signals your brain is receiving from that area of your body, reducing your pain.

What is the click sound?

Well, the truth is research cannot prove 100% what it is, but it is likely due to an air pocket in the joint popping.

What we do know is that it is not bones cracking!

Manipulation is a safe and effective technique when used appropriately and on the right patient. Your physiotherapist will discuss the pros and cons of manipulation before any technique is administered so you can make a decision if you feel it is a treatment you would be happy to be performed on you.

If you are not keen (as some patients aren’t) then that’s absolutely fine. There is more than one way to treat you and get you better!