Patient selection is extremely important if we want to achieve successful results in manual medicine practices. When selecting a patient for manual therapy, the patient's age, gender, location, type and duration of segmental dysfunction, psychological state, body structure, accompanying diseases and general health status should be carefully noted. The most appropriate manual
treatment method for the patient should be determined.
In all musculoskeletal pain, diseases such as spine and extremity joint dysfunction,
localized tenderness and loss of joint movement, manual medical methods
can be used. Situations such as major injury, sprain, fracture, injury, capsular tear, hematoma are situations where manual therapy should not be applied. And the patient should be examined carefully to exclude these undesirable conditions
.
The real indication of manual therapy is segmental dysfunctions. There are many diseases that cause segmental
dysfunction. Acute and chronic joint/ligament strains (sprain or strain) in both the spine and extremities are among the pathologies for which manual therapy is frequently applied. It is said that the treatment is more successful if the person's disease has just started, that is, it is acute. If there is ligament damage, manual therapy methods called mobilization must be satisfied. It can be applied after a careful examination and radiological examination in cases of lumbar disc and cervical disc herniation that do not cause loss of strength. Low back pain due to facet syndrome
can be relieved with appropriate manual medicine intervention. Joint movement restriction after immobilization or fracture, stiffness and pain and related blocks constitute another group of indications.
Another common pathology that responds well to manual medicine methods is the waist. It is a sacroiliac dysfunction syndrome that causes pain that mimics a hernia. Benign paroxysmal vertigo, which occurs without vertebrobasilar insufficiency
, is a common cause of dizziness.
It has been reported that good results are obtained with some manual maneuvers in this disease.
Manual medicine methods can be used in temporomandibular dysfunction syndrome, especially in non-reductable disc displacements
and subluxations.
>Gamber et al. It has been shown that symptoms are significantly reduced with manual therapy added to standard medical treatment in fibromyalgia. In a study, it has been shown that manipulative treatment, mainly soft tissue methods, is effective in controlling postoperative
pain and providing early mobilization.
Manipulative treatment methods are used prophylactically (before the disease begins). There are different opinions about the application of )
Contrary to those who argue that manual therapy without the patient's complaint is wrong
contrary to those who argue that osteopaths and chiropractors in particular are interested in the loss of movement of the spine even if the patient has no complaints
because, according to them, mechanical therapy will occur without complaints
With overload, systemic disease, psychogenic problems and aging, problems will occur in the restricted area
. If this condition is not treated, it is thought that fibrosis or neurological problems may occur due to the deterioration of normal tissue
structure due to metabolic changes and the visceral effects that this will create.
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