Manual therapy has grown to be a somewhat marked by controversy recently. Manual therapy frequently covers the rehab solutions of manipulation and mobilization. That conflict is based surrounding the not having enough high-quality research that truly reveals it really works. That will not suggest that it does not work, it really suggests that the level of the analysis that backs up its use is of low quality. The additional dilemma which is making it contentious is that if it does work, then how exactly does it help. Previously it was the impressive cracking sound as a joint is placed straight into position. Most of the evidence currently shows that that is not how it works and it quite possibly helps by way of some sort of pain interference strategy giving the impression the pain is improved. None of this is entirely obvious and more scientific studies are continuing in an attempt to deal with this issue. This creates a dilemma for doctors using these kinds of mobilization and manipulation approaches and want to generate choices about how to help out their patients clinically yet still be evidence based in what they do.
A recent episode of the podiatry chat show, PodChatLive tried to discuss these kinds of concerns when it comes to mobilization and manipulation for foot conditions. In that particular chat the hosts chatted with Dave Cashley who presented his personal experience both from his numerous years of clinical practice and his own study on manipulation and mobilization. His studies have been about its use for Morton's neuroma and it is appearing to be promising. Also, Dave gives his thoughts and opinions on many of the criticisms that have been aimed at manual therapy. He is a podiatrist as well as a respected international presenter and teacher. David is a fellow of the Royal College of Physicians and Surgeons and has now published a number of publications on podiatric manual therapy in the journals recently. Throughout his career, Dave has worked with professional sportsmen, top level athletes, world champions, worldwide dance companies as well as the British military services.