Manual therapy has grown to become a somewhat marked by controversy in recent years. Manual therapy frequently covers the physical rehabilitation approaches of manipulation and mobilization. That controversy is based surrounding the scarcity of good research that in some way shows it really works. That will not imply that it does not help, it simply signifies that the caliber of the analysis which backs up its use is of low quality. One other concern that is making it controversial is that if it can help, then what makes it help. In past times it was the impressive cracking noise like a joint is cracked straight into place. Most of the research currently indicates that that isn't how it helps and it in all likelihood works via some kind of pain disturbance system providing the impression that the pain is much better. Probably none of this is totally clear and much more research is ongoing in an attempt to handle this problem. This creates a dilemma for health professionals who use these manual therapy techniques and need to generate options on the way to improve their clients medically but still end up being evidence based in what they do.
The latest episode of the podiatry chat show, PodChatLive attempted to consider these sorts of matters when it comes to manual therapy for foot conditions. In this particular chat the hosts interviewed Dave Cashley who provided his personal experience both from his a great deal of clinical work and his own study on manual therapy. His studies have recently been about its use for Morton's neuroma and it is appearing to be good. Dave also voices his view on a number of the criticisms which have been aimed at manual therapy. He is a podiatrist plus a well known worldwide presenter and educator. David is a fellow of the Royal College of Physicians and Surgeons and has published several papers on podiatric manual therapy in the literature recently. Throughout his career, Dave has worked with professional athletes, elite athletes, world champions, international dancing groups as well as the British army.