Manual therapy has become somewhat debatable in recent years. Manual therapy generally covers the physical rehabilitation solutions of manipulation and mobilization. This debate is based around the scarcity of good research that basically indicates it improves outcomes. Which doesn't imply that this doesn't help, it simply signifies that the level of the analysis which advocates for its usage is not very good. The additional predicament which is making it debatable is if it will help, then how exactly does it work. In earlier times it was the impressive cracking noise like a joint is cracked back into place. All of the proof now indicates that that is not the way it improves outcomes plus it more than likely works through some form of pain interference strategy giving the sense the pain is improved. Not any of this happens to be clear and much more scientific studies are continuing to try and handle this difficulty. This creates a issue for clinicians who use these manual therapy strategies and want to generate choices on the way to help out their patients clinically yet still end up being evidence based in how they work.
The latest episode of the podiatry chat show, PodChatLive tried to address these sorts of issues when it comes to mobilization and manipulation for foot conditions. In that particular episode the hosts interviewed Dave Cashley whom provided his personal experience both from his a great deal of clinical work and his own study on manual therapy. His research has recently been on its use for intermetatarsal neuroma and it is coming across as encouraging. He also gives his opinion on several of the criticisms that have been geared towards mobilization and manipulation. David is a podiatrist and a respected worldwide speaker and educator. David is a fellow with the Royal College of Physicians and Surgeons and has now written and published several publications on podiatric manual therapy in the literature in recent times. During his career, he has dealt with professional athletes, elite sports athletes, world champions, worldwide dance groups along with the British armed forces.