Alternative Effective Management of the Musculoskeletal Pain
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.
This type of manipulation therapy is also known
as chiropractic, and is popular in the world, especially in the USA and Canada.
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.
It is a common clinical situation for a physician to examine a patient
with musculoskeletal pain and to not detect objective pathological
findings in the area of complaint.
It is difficult to understand why, but usually, a doctor automatically considers this
pain as a manifestation of a “hidden” inflammation, even if the
results of lab tests do not confirm that.
It is well-known that the musculoskeletal pain could be potentially associated with various
factors: pathology of visceral organs, tumors, infection, traumas etc.9,10
In other words, this pain could have a different nature, and
not necessarily associated with inflammation.
Osteol Rheumatol Open J. 2019; 1(1): e3-e5. doi: 10.17140/ORHOJ-1-e002