Spinal Manual Therapy

by G Balaji

The book “Spinal Manual Therapy Made Easy” gives immense information for the physiotherapists and postgraduate students on the management of low back pain. A wide range of treatments are available today for low back pain; some respond to drugs and some will not. The importance of spinal manipulative therapy (SMT) in the management of low back problems is discussed. The book has chapters which give introduction to low back pain, vertebral column, articular neurology, and manipulative therapy. Articular neurology is one of the fundamental sciences of manipulative therapy. Manipulative therapy imposes static or dynamic forces across joints in various parts of the body. Pain in the neck and back are common. An examination of the posterior primary rami of segmental nerves reveals many areas where nerve injury may occur. Sitting posture, loss of extension range, and frequency of flexion are the predisposing factors of low back pain. Pain history is important to rule out any treatment protocol. Test movements like flexion in standing, flexion in lying, extension in standing, extension in lying, and side gliding in standing are best options. Low back pain can be treated by mechanical therapy and good sitting/standing/lying postures. Spinal pain of mechanical origin causes syndromes like postural syndrome, dysfunction syndrome, and derangement syndrome. There are complications associated with SMT, which can be prevented by taking appropriate steps.

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