Joint manipulation involves using controlled pressure at controlled angles on bones and joints to create those “cracks” you think of when you hear the word chiropractor. It’s a treatment method commonly used by chiropractors, physical therapists, and osteopaths to improve mobility and relieve pain. In fact, you might have thought about seeing someone who does joint manipulation if you’ve ever experienced stiffness or discomfort in your back, neck, or other joints. If so, there is a lot of controversy and skepticism around the practice, leading many people to ask the question, “Is joint manipulation safe?”
This article will provide a definitive answer to your burning question, exploring the safety of joint manipulation, its pros and cons, and offering expert advice from a spine doctor NJ residents trust to help them make informed decisions regarding their physical health.
What Is Joint Manipulation?
Joint manipulation, often referred to as spinal manipulation, is a hands-on therapy technique where a trained healthcare professional applies controlled force to a joint to improve its range of motion. Joint manipulation is commonly used to treat:
- Back pain
- Neck pain
- Headaches
- Joint stiffness
- Nerve pain
Most people associate chiropractors with joint manipulation, but the technique is also less commonly used by physical therapists and osteopaths.
The goal of joint manipulation is to relieve pain and restore normal function, particularly in areas where injury or inflammation restricts range of motion.
Is Joint Manipulation Safe?
The short answer is yes, there are many studies that conclude joint manipulation is generally safe. That said, the skill and experience level of the practitioner, as well as the patient’s health condition do impact how safe joint manipulation is. Fortunately, the disciplines that would use the technique have strict licensing and education requirements, so any practitioner has the skills and experience to guarantee patient safety. But, just like any other medical treatment, joint manipulation has both benefits and risks, which should be considered when deciding on a course of action.
Research on Joint Manipulation Safety
Several studies have evaluated the safety of joint manipulation, particularly spinal manipulation. According to research published in the Journal of Manipulative and Physiological Therapeutics, the risk of serious adverse events from spinal manipulation is extremely low. When it’s performed by trained and licensed professionals, the risk of spinal manipulation worsening injuries like lumbar disk herniations is estimated to be less than 1 in 3.7 million.
However, joint manipulation is not recommended for everyone. For individuals with certain pre-existing conditions, such as osteoporosis, bone fractures, or spinal cord compression, manipulation could pose risks. Therefore, it’s crucial to consult a medical professional, such as a spine doctor in NJ, to determine if joint manipulation is right for you.
The Benefits of Joint Manipulation
When performed correctly, joint manipulation can offer several benefits, especially if you’re suffering from chronic pain or limited mobility.
Pain Relief
The most common reason patients seek joint manipulation is pain relief. Studies show that chiropractic manipulation can help alleviate lower back pain, neck pain, and headaches, so many people seek it out instead of harsh medications or invasive surgeries.
A review published in Spine Journal found that spinal manipulation was more effective than traditional medical care, physical therapy, and other treatment modalities in treating mixtures of chronic and acute lower back pain, relieving this pain without the need for harsh, potentially addictive painkillers.
Improved Mobility
If your joints are stiff or you have a reduced range of motion, joint manipulation can help restore normal function. It’s particularly effective for whiplash or sports-related injuries, where stiffness limits the ability to move freely.
Of course, you should always follow your NJ spine doctor’s advice, but joint manipulation can keep you moving freely without surgery.
Non-Invasive Treatment
Unlike surgery or injections, joint manipulation is a non-invasive treatment option. As a result, many patients looking for conservative treatment methods to address joint or spinal issues opt for joint manipulation instead. When paired with other therapies like exercise or physical therapy, joint manipulation can be an effective long-term alternative to expensive surgeries.
Risks of Joint Manipulation
Although joint manipulation is generally safe, there are some risks. Most side effects, such as soreness or stiffness after the procedure, are mild and temporary. However, there are some more serious risks to consider, especially if the manipulation is done incorrectly or inappropriately.
Neck Manipulation and Stroke
One of the more serious potential risks associated with joint manipulation is stroke, particularly following neck manipulation. Manipulating the cervical (neck) spine incorrectly can tear the arteries in the neck, leading to a vertebral artery dissection. These arteries supply the brain with blood, so severing them can cause a stroke.
Another study from the Journal of Manipulative and Physiological Therapeutics found that the incidence of stroke in neck pain patients aged 66 to 99 was extremely low, but it still is something to keep in mind when seeking joint manipulation therapy.
Increased Pain
In some people, joint manipulation can make symptoms worse instead of relieving them. This usually occurs if the manipulation irritates an existing injury or if there’s other underlying inflammation that should be dealt with before another manipulation attempt.
Nerve Damage
In rare cases, improper spinal manipulation can cause nerve damage, particularly if the practitioner uses too much force or if the patient has a pre-existing spinal condition. Therefore, you need to meet with a qualified spine doctor in NJ to evaluate your condition and determine the most appropriate treatment plan for your unique case.
Who Should Avoid Joint Manipulation?
While joint manipulation can be a beneficial treatment for many individuals, there are some cases where it may not be the safest option. People with the following conditions should avoid joint manipulation or seek alternative treatments:
- Osteoporosis or brittle bone disease
- Spinal cord compression
- Severe arthritis
- Bone fractures
- Inflammatory joint conditions
- Blood clotting disorders
Before undergoing joint manipulation, always consult with an NJ spine doctor or other qualified healthcare provider. They can assess your health condition, review your medical history, and recommend the best treatment options for you.
How to Ensure Safe Joint Manipulation
The best way to ensure safe joint manipulation is choosing a licensed and experienced healthcare provider. Whether you visit a chiropractor, physical therapist, or osteopath, make sure they’re licensed in the state of New Jersey and have experience treating patients with similar conditions to yours.
Is Joint Manipulation Right for You?
Joint manipulation is generally considered a safe and effective treatment for conditions like back pain, neck pain, and joint stiffness. However, like any medical procedure, it comes with some risks, especially if performed incorrectly or on patients with pre-existing conditions. Always consult a licensed spine doctor or chiropractor who can assess your individual needs to guarantee your safety.
If you’re experiencing chronic pain or mobility issues, speak with a spine doctor in NJ about whether joint manipulation is right for you. With the right approach, this treatment can help restore your mobility, alleviate pain, and improve your quality of life.
Resources:
https://www.jmptonline.org/article/S0161-4754(03)00245-8/abstract
https://www.thespinejournalonline.com/article/S1529-9430(03)00177-3/abstract
