Alternative Effective Management of the Musculoskeletal Pain

Abstract

There is a considerable amount of evidence regarding the effectiveness
of high-velocity low amplitude (HVLA) manipulation
on virtually all joints of the human body, both in the spine
and extremities.1-7 This type of manipulation therapy is also known
as chiropractic, and is popular in the world, especially in the USA
and Canada.8 However, in spite of this popularity and existence
of many positive publications on this issue, our professional contacts
and conversations with physicians, our attendance of various
medical congresses, national and international, have shown us that
the medical doctors have a quite poor notion about potentials of
the HVLA manipulation and its position in the general health care
system.
In this presentation, we would like to place attention on
the effectiveness of HVLA manipulation in the treatment of the
musculoskeletal pain throughout the body, but we will not focus on
the spine, for which efficacy has already been established. The use
of HVLA manipulation as an alternative approach for the management
of musculoskeletal pain in the extremities is especially little
known among medical doctors.