joint and spinal manipulation Tucson, AZ

Joint & Spinal Manipulation


I have worked as a Registered Nurse for about 15 years now and am extremely aware of how important body mechanics are when performing as a nurse. However, no matter how cautious you are, 15 years of nursing does cause some wear and tear on the body. He in the past year has given me back a sense of control.


It’s difficult to describe the gift Noah’s care has given me, but he has put me on the path to healing and my pain is gone, my function on my left side is coming back. I recommend Noah’s service and knowledge without reservation; he not only is great at his profession but is caring and intelligent in his approach.

Manipulation for physical therapy is a type of passive movement of a skeletal joint. It is usually aimed at one or more ‘target’ synovial joints with the aim of achieving a therapeutic effect.

Manipulation can be distinguished from other Manual Therapy interventions such as joint mobilization by its biomechanics, both kinetics, and kinematics.

Joint manipulation is characteristically associated with the production of an audible ‘clicking’ or ‘popping’ sound. This sound is believed to be the result of a phenomenon known as cavitation occurring within the synovial fluid of the joint. When a manipulation is performed, the applied force separates the articular surfaces of a fully encapsulated synovial joint. This deforms the joint capsule and intra-articular tissues, which in turn, creates a reduction in pressure within the joint cavity.

The clinical effects of joint manipulation have been shown to include:

  • Temporary relief of musculoskeletal pain
  • Shortened time to recover from acute back sprains
  • Temporary increase in passive range of motion
  • Physiological effects upon the central nervous system
  • No alteration of the position of the sacroiliac joint

Contact Applied Physical Medicine for an appointment today at Tucson, AZ .