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Manipulation is a manual technique often used in physical therapy as an adjunctive treatment for a variety of musculoskeletal pathologies. The purpose of manipulation is to restore joint mobility by manually applying a controlled force into joints that have become hypo-mobile or restricted in their movement- as a result of a tissue injury. Tissue injury can caused by a single traumatic event, such as weight training with improper technique or through repetitive stresses, such as throwing a baseball with mechanical imbalances for an extended period of time.
In either case, injured tissues undergo physical and chemical changes that can cause inflammation, pain, and diminished function for the sufferer.

Manipulation of the affected or contributing joint and tissues restores mobility, thereby alleviating pain and muscle tightness and allowing tissues to heal.
Spinal manipulation, also called spinal adjustment, is a treatment that uses pressure on a joint of the spine. The careful, controlled force used on the joint can range from gentle to strong, and from slow to rapid. Sometimes other joints of the body are also worked on to help treat the spine. Extremity manipulation can mobilize the muscles and joints that may be contributing to musculoskeletal issues.

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