A joint manipulation is a short amplitude thrust given at the end of a joints available range. It can be used to realign joints or loosen stiff joint. Chartered physiotherapists are trained in safe manipulation techniques.
Manipulation should not be seen as a “quick fix”. There is often a significant improvement in joint movement following physiotherapy manipulation- this needs to be maintained then.
In most cases exercises are prescribed after a physiotherapy manipulation to keep the involved joint loosened up. To get long term benefit and prevent recurrence,the patient needs to comply with the physiotherapists exercise regime and postural correction . This might mean improving their work station ergonomics , changing a sporting technique and improving posture.