Manual therapy is becoming relatively debatable in recent years. Manual therapy frequently covers the physical rehabilitation techniques of mobilization and manipulation. That controversy is predicated around the deficiency of high-quality research that truly indicates it works. Which doesn't imply that it doesn't work, it really signifies that the level of the research which supports its clinical application is not very good. The other problem that is making it debatable is if it does help, then so how exactly does it help. In the past it was the amazing cracking noise as a joint is snapped back into place. All the evidence now shows that that is not exactly how it improves outcomes and it more than likely helps by way of some type of pain disturbance method giving the sense that the pain is much better. Not any of this is entirely obvious and more research is ongoing in order to take care of this dilemma. This poses a predicament for health care professionals who use these mobilization and manipulation clinical skills and need to generate selections on how to assist their clients clinically and still be evidence based in the things they do.
A recent episode of the podiatry live, PodChatLive attempted to tackle these kinds of difficulties in terms of manipulation and mobilization for foot conditions. In that particular show the hosts chatted with Dave Cashley whom offered his personal expertise both from his years of clinical work and his own research on mobilization and manipulation. His research has recently been on its use for intermetatarsal neuroma and it is appearing to be promising. Dave also gives his belief on many of the criticisms which have been aimed towards manual therapy. David is a podiatrist and a highly regarded international speaker and educator. David is a fellow with the Royal College of Physicians and Surgeons and has written and published a number of papers on podiatric manual therapy in the journals recently. Throughout his career, Dave has worked with professional athletes, top level athletes, world champions, international dance troups and also the British armed service.