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Manual therapy is one of the methods of physiotherapy that uses a whole range of techniques, grips and patient positions. In manual therapy, therapeutic and diagnostic techniques are used to detect the causes and develop treatment methods for diseases of the spine and the locomotor system. Indications for manual therapy include: muscle pain, headache, pain in the sacro-lumbar region of the spine, sciatica, body posture defects, discopathy, neck pain, functional blockages of the joints, pain as a result of an injury, spinal overload changes, tension pain torso and head.
Joint blockage is the most common problem in the area of musculoskeletal dysfunction. This condition is reversible and usually affects several directions of movement. The classic idea of manual therapy is that a physiotherapist performs various techniques and treatment methods in the form of thrusts, mobilization and manipulation in strictly defined directions with appropriate force and speed, using the appropriate body position. It is worth noting that manual treatments are highly effective. and they are one of the most difficult to precisely perform by a physiotherapist in the rehabilitation process.
Contraindications for this therapy are divided into relative and absolute. Relative contraindications, i.e. those that do not always determine the impossibility of therapy, include such diseases as: herniated nucleus, osteoporosis, hard resistance in the end range of motion, hypomobility, inflammation, damage to structures in the course of trauma, changes in the structure of arteries vertebral. On the other hand, the absolute contraindications for treatment are: cancer, fractures, bone tuberculosis, dislocations and dislocations of joints, developmental disorders and congenital defects, spondylolisthesis, juvenile bone necrosis.
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