Manual therapy has become to some degree debatable in recent years. Manual therapy generally covers the rehab techniques of mobilization and manipulation. This debate is predicated about the shortage of good research that absolutely indicates it really works. Which does not mean that it does not work, it really shows that the caliber of the research that backs up its use is of low quality. Another predicament that is making it controversial is if it can work, then what makes it work. During the past it was the striking cracking noise like a joint is put back into position. Most of the data currently means that that is not the way it helps plus it almost certainly works via some type of pain interference process providing the impression that the pain is better. Not any of this is completely obvious and much more research is continuing in an attempt to resolve this problem. This presents a predicament for clinicians using these manual therapy approaches and want to generate judgements concerning how to assist their clients clinically but still always be evidence based in the things they do.
A recent episode of the podiatry live, PodChatLive tried to deal with these kinds of concerns with regards to manual therapy for foot disorders. In this particular chat the hosts interviewed Dave Cashley who gave his personal experience both from his several years of clinical practice and his own research on manual therapy. His studies have been on its use for Morton's neuroma which is coming across as encouraging. He also voices his opinion on many of the criticisms that have been geared towards manual therapy. Dave is a podiatrist as well as a well known international presenter and lecturer. He is a fellow with 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, he has dealt with professional sportsmen, elite athletes, world champions, worldwide dance troups and also the British military.