Manipulative Treatment

Manipulative treatment is one of the most effective treatment so far for multiple problems in orthopaedic field, especially within spinal issues. According to (Cassidy JD, et al. 2012), internationally has considered manipulation as first choice for neck pain. Moreover, through some analysing model examining consist of medicine, exercise, mobilisation and manipulation shows there is no big different or obvious feature among these methods of treatment. In addition, according to (Cassidy JD, et al. 2012), some systematic review done around this topic of conservative treatment for acute cases of neck pain include several modalities beside manipulation concludes that manipulation treatment has a clear significant effect on treat pain. However,
Moreover, (Wand BM, et al. 2012) shows some studies’ results as happing of vertebral arteries dissection in low, it’s estimated between 1-1.7 per 100.000 person years in US. On the other hand, (Wand BM, et al. 2012) describes that patients who might be exposure to complications in VAs during manipulative treatment were has an old VAs dissection history. Besides that, (Wand BM, et al. 2012) suggested abandon using manipulation therapy but notwithstanding author recommends use the manipulation in important situation. Not only that, author comments on manipulation as its not superior method of treatment that means manipulation still could use for treatment but not priority one. As long as, in that article (Cassidy JD, et al. 2012) shows some recent high quality trail figured out that manipulation is quite effective for acute and subacute pain conditions. What is more, some debate that manipulation treatment cause increase risk of stroke. However, (Cassidy JD, et al. 2012) reported that stroke also could be occur by other activities such as Yoga, looking up and washing hair. Furthermore, while some neck pain cases represented in clinics, by (Cassidy JD, et