What is manipulation?
Manipulation is a drug-free manual therapy which focuses on the relationship between the musculoskeletal system and the neurological system. Its recorded use dates back to 2700 BC and even
Hippocrates, the father of modern medicine, used manipulation. Manipulation involves applying a specific amount of force in a very precise motion to a joint, in order to reduce joint
restriction and restore normal range of motion. Specific short lever, dynamic thrusts utilize a specific contact on a bone, muscle, or ligament.
Massage and mobilization are often combined with manipulation and are used to reduce muscle spasm, soreness, or tightness. These procedures are directed at the muscles, joints and soft tissues.
Mobilization uses slow rhythmic movements rather than the quick sharp thrusts of manipulation, and is performed within the passive range of motion of the joint.
What can I expect at my first treatment?
Your podiatrist will always begin with a detailed interview about your problem and how it effects your daily life. He will also ask
about your general health, medical history, your work life and leisure activities. Understanding the problem from the your perspective is crucial to a good outcome and so your podiatrist will gather
a lot of information about your condition from this interview. A thorough physical examination and series of tests will follow to help identify the root of your problem.
Because you are unique, we do not have a one-size-fits-all approach to your care. All of the infromation we gather about you will be
pieced together to arrive at a diagnosis and also to create a personal treatment plan for you. You may also be surprised that your podiatrist may not only focus on the site of your pain.
With some foot problems, the ankle, leg and knee may also be examined to highlight the exact nature of your condition. Treatment may also be required to these structures in order to affect a
resolution to your condition.
The results of your interview, examination and tests will be used to develop a plan for the treatment to follow. Any
restrictions in movement, or painful soft tissues stresses will most likely be treated using a combination of manipulation and a home exercise program.
Manual joint mobilization
Techniques to improve the mobility and function of neural tissue.
Stretching and/or strengthening of muscle.
Explanation of the mechanisms of the problem and advice to help ensure the long term success of your treatment.
Training in posture and everyday movements and preferred sports
Exercises and advice to promote self-management
Throughout your time with us, your podiatrist will continually monitor the progress made to ensure that your recovery is as speedy as possible. Where necessary, he will modify your treatment
plan to keep your recovery on track.
What will I feel?
Most people will feel nothing more than a bit of stretch but sometimes manipulation of the foot is momentarily uncomfortable. This is because the foot has very little muscle bulk to absorb
the force of the manipulative thrust. This discomfort will last for no more than a couple of seconds and is generally easily tolerated. The relief from the manipulation is usually
immediate. Sometimes you will both hear and feel a "pop" as the joint is manipulated. This is not uncomfortable and is caused by a change of pressure inside the joint as it responds to
How does it work?
Manipulation has been shown to increase blood-flow to the affected area. This is obviously beneficial as increased blood-flow means improved availability of oxygen and the nutrients required
for healing. Manipulation also immediately improves the mobility of the joints and reduces the pain experienced in the surrounding soft tissues. Some injuries result in adhesions
and cross-linkages forming around a joint an limiting its movement. Manipulation can release the joint from these hinderances and return normal, smooth motion to the previously injured