This is why I love the "McKenzie philosophy" about self-management. Even today Manual Therapy is more a kickstart for active movements. Good video as always.
Totally respect what you are saying my friend - and you are right, it isn’t highly generalisable! There wasn’t a huge amount out there that I could find on spinal manipulation in chronic pain to make it stronger evidence, but there is certainly more for next video on acute pain!
Everything I've learned about chronic pain in uni and spending time in a physio pain clinic seems to point a lot more to neural reprogramming versus manual therapies in terms of gaining long term results! There's a fantastic recent "Feel Better, Live More" podcast with Dr Howard Schubiner on chronic pain, super informative and eye opening.
It all depends on the pain. It’s like asking “does oil changes help your car run”. Yes, However it’s not the only factor. If your car has a flat tire no matter how many oil changes you get that car isn’t functional.
Like the vid: I think what has to be noted here is that spinal manipulation takes 10-15 min and a rehab regime takes 30 - 40 mins; some people can't exercise due to pain, so here spinal manipulation help withdraw the clients away from painful and into a state to rehab without time constraints rehab. Sadly, there has yet to be another PASSIVE manual therapy technique in literature to generate this benefit for chronic pain LB pain. You can lie there and get statistical help - while this is not the healthiest way to look at body maintenance, a spinal manipulation is undoubtedly a tool for any manual therapist. You mentioned "A-lot-of-therapy", but 3 sessions per week = 30min of therapy. Would this not be the same as a weekly rehab session of 30min with a physical therapist. Regarding your money counting, an excellent physical therapist at our clinic will charge £60 - £90 | London (30 - 45 mins). On the other hand, spinal manipulation can be done in our clinic for as little as £27 per spinal manipulation, which is the exact cost over 4 weeks. Basically, good care/hands-on therapy has a cost; Most Chiro and Osteos will add rehab in. We add it after treatment two once we see the body's capacity to react to the first session of spinal manipulation. It would be best if spinal manipulation is only done with adjunct rehab included, at least at some point in the management plan.
This should be considered common sense. ‘Manipulation’ is a passive therapy that can help you feel better. You still have to consider the stress that injured you though.
This is why I love the "McKenzie philosophy" about self-management. Even today Manual Therapy is more a kickstart for active movements. Good video as always.
🙏🏼
Love this series- Thank you !!!
Always so well explained and researched. Your time making these videos on this channel is much appreciated!
Thank you so very much Rosa! More to come!
You are great Khalid👌🏻
Very kind! Thank you!
Very good question!
🙏🏼
Although I agree with what you're saying 100%. Is a study with only 60 participants split into 3 groups of 20 really that generalisable?
Totally respect what you are saying my friend - and you are right, it isn’t highly generalisable! There wasn’t a huge amount out there that I could find on spinal manipulation in chronic pain to make it stronger evidence, but there is certainly more for next video on acute pain!
@@ClinicalPhysio Looking forward to your next video. As a physio student I've found your videos to be very helpful
@@MKad-13 thank you so much my friend! Hope we can keep helping you!
Everything I've learned about chronic pain in uni and spending time in a physio pain clinic seems to point a lot more to neural reprogramming versus manual therapies in terms of gaining long term results! There's a fantastic recent "Feel Better, Live More" podcast with Dr Howard Schubiner on chronic pain, super informative and eye opening.
Thank you so much! And yes totally - there is so much more to it than manual therapies!
It all depends on the pain. It’s like asking “does oil changes help your car run”. Yes, However it’s not the only factor. If your car has a flat tire no matter how many oil changes you get that car isn’t functional.
Like the vid: I think what has to be noted here is that spinal manipulation takes 10-15 min and a rehab regime takes 30 - 40 mins; some people can't exercise due to pain, so here spinal manipulation help withdraw the clients away from painful and into a state to rehab without time constraints rehab.
Sadly, there has yet to be another PASSIVE manual therapy technique in literature to generate this benefit for chronic pain LB pain. You can lie there and get statistical help - while this is not the healthiest way to look at body maintenance, a spinal manipulation is undoubtedly a tool for any manual therapist.
You mentioned "A-lot-of-therapy", but 3 sessions per week = 30min of therapy. Would this not be the same as a weekly rehab session of 30min with a physical therapist. Regarding your money counting, an excellent physical therapist at our clinic will charge £60 - £90 | London (30 - 45 mins). On the other hand, spinal manipulation can be done in our clinic for as little as £27 per spinal manipulation, which is the exact cost over 4 weeks. Basically, good care/hands-on therapy has a cost;
Most Chiro and Osteos will add rehab in. We add it after treatment two once we see the body's capacity to react to the first session of spinal manipulation. It would be best if spinal manipulation is only done with adjunct rehab included, at least at some point in the management plan.
Thank you Service Desk!
This should be considered common sense. ‘Manipulation’ is a passive therapy that can help you feel better. You still have to consider the stress that injured you though.
Wise words!
Great 😃👍
Thank you so much!
What country currency is that Khalid? 😅
😂 I’ll save the answer for if anyone knows it!
@@ClinicalPhysio wild guess, is it Dirhams ? The act was really funny 😎😅
@@rasikarane02 that’s a very close guess!!!! Not wild at all!!!
Arabic currency...
👍
Thank you so much!