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Manual Medicine
Manual medicine is the use of palpation and operator directed techniques to aid in the diagnosis and treatment of musculoskeletal disorders. Manual medicine is based, in part, on the belief that man is a self regulating being and that the body, when in normal structural relationship, is capable of self healing and defense against disease. “The goal of manipulation is to restore maximal pain free movement of the musculoskeletal system in postural balance.”
A manual medicine diagnosis is made using a comprehensive history, detailed and specific physical examination including, orthopaedic, neurologic, rheumatologic and structural exams, appropriate radiologic studies and the specific laying on of hands to palpate musculoskeletal parameters including but not limited to asymmetry of related musculoskeletal components, range of motion abnormalities of mobility, tissue texture changes, circulation of fluids and energy.
Manual medicine treatment includes the use of but is not limited to thrust/impulse, soft tissue mobilization, myofascial release, cranial osteopathy, functional release, spinal and joint manipulation.
Manual medicine is as old as medicine itself. It was practiced in Thailand 4,000 years ago and used in ancient Egypt. Hippocrates, the founder of modern medicine, used traction and leverage techniques to treat spinal disorders. In the 19th century “bone setters” were popular in Europe and the United States.
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