However, many patients have told me that manipulation was more effective in providing immediate relief. Manipulation vs. Mobilization Manipulation and mobilization are used primarily in the treatment of conditions related to mechanical-type problems in joints and muscles. Manipulation is a hands-on procedure used to restore normal movement by loosening joints and stretching tight muscles. In some cases, manipulation will restore normal movement by unlocking a joint or by breaking down adhesions. A popping sound often occurs when a spinal joint is stretched a little beyond its normal range of motion.
Mobilization simply stretches soft tissues by moving joints through a full range of movement.
Mobilization can increase the range of motion of the arms, legs, and shoulders, but manipulation may be more effective in relieving pain and restoring normal movement in the spinal joints. Any portion of the spine that is tight, stiff, or painful on movement might benefit from appropriate manipulation. Different methods are used in different portions of the spine, since joint structure and the direction of movement in the neck and upper back differ from those of the lower back. Dozens of manipulative techniques can be used to meet the special needs of patients who must be positioned one way or another. Tables with specially designed cushions are used to support patients in certain postures.