Manual therapy has become fairly contentious in recent times. Manual therapy frequently covers the rehab methods of manipulation and mobilization. This discussion is predicated surrounding the absence of high-quality science that ultimately demonstrates it helps. Which does not imply that this doesn't work, it merely implies that the standard of the analysis that supports its use is not very good. Another problem which is making it contentious is that if it will work, then how does it work. During the past it had been the amazing cracking sound as a joint is put back into position. All the evidence right now means that that isn't the way it helps and it very that manual therapy most likely helps via some kind of pain interference process offering the impression the pain is much better. None of this is totally apparent and much more research is ongoing to try and solve this quandry. This creates a problem for health care professionals who use these types of manual therapy strategies and need to make options about how to assist their clients clinically but still be evidence based in their work.
A freshly released episode of the podiatry live, PodChatLive made an effort to discuss these sorts of points with regards to mobilization and manipulation for foot conditions. In this chat the hosts interviewed Dave Cashley whom offered his personal expertise both from his a great deal of clinical practice and his own study on manipulation and mobilization. His research has recently been about its use for intermetatarsal neuroma and it is appearing to be encouraging. Also, Dave voices his belief on some of the criticisms that have been aimed towards manual therapy. Dave is a podiatrist plus a respected international speaker and teacher. He is a fellow with the Royal College of Physicians and Surgeons and has now published a number of papers on podiatric manual therapy in the literature in recent times. Throughout his career, Dave has worked with professional athletes, top level athletes, world champions, international dance troups as well as the British military.