A controlled movement
Spinal manipulation uses a hand or device to apply a controlled thrust to a spinal joint. Mobilization uses slower movement without a thrust. The approach should reflect your examination and preferences.
Start with an assessment
An adjustment is one possible option after a health history and examination. Share previous injuries, medical conditions, medications, and any concerns before treatment begins.
What improvement can mean
For some people with low back pain, manipulation may modestly improve pain and everyday function. Results vary, and an adjustment does not guarantee immediate or lasting relief.
Beyond the spine
Manual care can also address other joints and surrounding tissues. Ask which area is being treated, why that approach is appropriate, and what alternatives are available.
Stay involved
Tell your clinician if a movement is uncomfortable. Discuss likely benefits, possible side effects, and a plan for reviewing progress before agreeing to care.
YOUR QUESTIONS, ANSWERED
Can I ask for a different approach?
Yes. Explain your preferences and ask about alternatives, including mobilization, exercise, or referral when appropriate.

