Manual therapy has grown to become a fairly controversial recently. Manual therapy commonly covers the rehab solutions of manipulation and mobilization. That controversy is based about the scarcity of good research that basically demonstrates it improves outcomes. Which does not suggest that this doesn't help, it simply signifies that the level of the analysis that backs up its use is not very good. The additional matter that is making it debatable is that if it will work, then how exactly does it help. In earlier times it had been the spectacular cracking noise like a joint is snapped straight into place. All of the proof now shows that that isn't just how it works plus it probably helps via some form of pain interference system offering the impression that the pain is much better. None of this is entirely obvious and much more research is ongoing to try to handle this issue. This presents a problem for doctors who use these kinds of manual therapy techniques and want to make choices concerning how to help their patients medically and still end up being evidence based with how they work.
The latest episode of the podiatry chat show, PodChatLive attempted to take care of these types of difficulties when it comes to manual therapy for foot problems. In this particular show the hosts chatted with Dave Cashley who provided his knowledge both from his a great deal of clinical work and his own research on manipulation and mobilization. His research has recently been on its use for intermetatarsal neuroma and it is coming across as good. Also, he voices his opinion on most of the criticisms that have been aimed towards manual therapy. David Cashley is a podiatrist as well as a highly regarded international speaker and educator. David is a fellow of the Royal College of Physicians and Surgeons and has written and published several publications on podiatric manual therapy in the literature in recent years. Throughout his career, he has dealt with professional athletes, top level athletes, world champions, international dance troups and also the British army.