That way, at least, the therapist will feel the act of forceful manipulation is justifiable. Besides, the practice will win and remain profitable. I don't know for sure. It just seems right. It seems like the logical thing to do.
Serious therapists work for enjoyment and profitability.
They go out and do their best. If they succeed in their profession they are happy. Whatever it takes for the therapist to remain profitable and happy, it is right. The therapist should continue to treat conservatively, because of the pain level and all the external negative factors associated with this patient. It's wrong to intentionally hurt someone.