Nils OudhuisPosted 3 months ago
What do you think about Manual Therapy?
Should we stop it, or can we use it in combination with exercise and advice?
BBen RoggenbuckPosted 3 months ago
I believe we can or maybe should use it in combination with exercise and advice. It can be a great tool to improve patient - therapist alliance and is sometimes one of the expectations of the patients we maybe sometimes should meet in order to build an alliance. Atleast in the early stages of therapy. I also believe it can be helpful in movement restrictions if an active mobilisation is not possible do to pain or fear or other factors. It can be a good way to start building a confidence again to move certain joints certain ways.
MMagnus OlafssonPosted 1 month ago
A useful adjunct to treatment, As Ben stated useful to get someone on board as there is the public expectation that 'physio' is a hands on profession. Use of a limited number of sessions 1-4 alongside active treatment.
Think when it becomes dangerous is when its a sign up for 10 sessions once every 2 days with no active rehab.
It is a useful 'losenge' to allow for decreasing pain in those people that are subacute and as long as it provides a decent reduction in symptoms for a while after you have performed MT then that is a window of oppertunity to get someone on board on active rehab.
It may not do what we used to think it did, however it can be argued through bioloskys 2010 paper that there is a decending inhibition effect.