Are manipulation techniques useful for the treatment of rheumatic diseases?
Yes. I recommend them regularly. Many patients with soft-tissue rheumatism respond positively to physical therapy and manipulation from chiropractors and osteopaths. Manipulation has been shown to decrease joint pain, although the mechanism of action is not well understood. I believe that if these modalities are used appropriately, it often leads to a decrease in the need for systemic antiinflammatories. They also give patients a sense of participation in their treatment program.
