Jeremy Napier



Ravenscroft Medical Suite
166 Golders Green Road
NW11 8BB

Appts   07943 252323


back manipulate

Spinal manipulation, also known as spinal adjustment or chiropractic adjustment, is a manual therapy technique used by chiropractors, physical therapists to treat musculoskeletal conditions, particularly those affecting the spine.

During spinal manipulation, the practitioner applies controlled force to a specific joint of the spine with their hands or a specialized instrument. The goal of the manipulation is to restore normal movement and function to the joint, alleviate pain, improve flexibility, and promote overall musculoskeletal health.

The procedure typically involves the following steps:

  1. Patient Assessment: The healthcare provider evaluates the patient's medical history, performs a physical examination, and may use diagnostic tests such as X-rays or MRI scans to assess the condition of the spine and surrounding structures.

  2. Joint Positioning: The patient is positioned in a specific manner to optimize access to the targeted spinal joint.

  3. Application of Force: The practitioner applies a quick, controlled thrust or pressure to the targeted joint using their hands or a specialized instrument. The force may be directed in various directions, depending on the specific technique and the needs of the patient.

  4. Feedback and Adjustment: The patient may experience a popping or cracking sound, known as cavitation, as gases are released from the joint during the manipulation. This is often accompanied by a sensation of relief or improved mobility.

  5. Post-treatment Care: Following the manipulation, the healthcare provider may recommend exercises, stretches, ergonomic adjustments, or lifestyle modifications to support the benefits of the treatment and prevent future issues.



Spinal manipulation is commonly used to address conditions such as low back pain, neck pain, headaches, sciatica, and certain types of joint dysfunction. While it is generally considered safe when performed by a trained and licensed healthcare professional, it may not be suitable for everyone, particularly individuals with certain medical conditions or contraindications.

It's essential to undergo spinal manipulation only under the guidance of a qualified healthcare provider who can assess your individual needs, provide an accurate diagnosis, and determine the most appropriate treatment approach for your condition.