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Writer's pictureJulian Simpson

Manipulation vs Adjustment: Know the Difference and Choose Your Therapy Wisely

Updated: Jan 12

Manipulation vs Adjustment: Know the Difference and Choose Your Therapy Wisely



You have started seeing a manual therapist


What is Manipulation and what is an Adjustment
What is Manipulation and what is an Adjustment

It could be a Chiropractor, Physio, Osteopath or maybe a remedial massage therapist


You may have heard the terms adjustment and manipulation a-lot and have no idea what is going on


So we thought we would write a quick blog to try and explain the difference


The Definition of manipulation is: "Separation (gapping) of opposing articular surfaces of a synovial joint, caused by a force applied perpendicularly to those articular surfaces, that results in cavitation within the synovial fluid of that joint."

- An articular surface is a hyaline cartilage that is wear and tear resistant low friction lubricated surface that is used for helping with weight bearing and muscle action


The mechanical response is defined as "Separation (gapping) of opposing articular surfaces of a synovial joint that results in cavitation within the synovial fluid of that joint.

- synovial fluid is known as the joint fluid, its a liquid thats between your joints - it helps with reducing friction when you move the joints.



A Chiropractic adjustment is a high velocity low amplitude thrust, an application of a specific force in a precise direction to a spinal joint that is fixated (feels blocked up)



If you want more information about how we can help . Please call Health Wise Chiropractic 03 9467 7889 or book online to see one of our Chiropractors in Sunbury or Melton/Strathtulloh Today!



Chiropractic has moved online. We offer our online programs -STAND CORRECTED- To help you through the day. They contain health advice for your conditions, nutritional advice and exercises for you to do at home or at the workplace to help you achieve your health goals. We understand that coming to the Chiropractic clinic maybe costly and time consuming. This way if you cant make it into the chiropractic office, you can do any of our 20+ online health programs at your leisure.

Enjoy and we hope they spark a little bit of joy and help you achieve your health goals. Each program contains - Information about the conditions - things to do and things to avoid - nutrition advice - all the stretches that are needed to help The following conditions are now available for online sessions

  • migraine

  • cervicogenic headaches

  • cervical facet neck pain

  • tension headaches

  • cervical radiculopathy (pins and needles in the arm originating from the neck)

  • shoulder impingement relief

  • thoracic outlet syndrome

  • frozen shoulder

  • rotator cuff

  • chronic lumbar (Low Back) disc pain

  • acute Lumbar(low back) disc pain

  • Lumbar facet pain

  • sciatica and piriformis syndrome

  • meniscus (knee pain)

  • Plantar fasciitis (Foot Pain)

  • Shin Splints

  • Tennis Elbow/Golfers elbow

  • Carpal tunnel Syndrome

  • Upper Crossed Syndrome( Poor Posture)

  • Lower Crossed Syndrome ( Poor Posture)

  • Dizziness-Vertigo

  • Arthritis

  • Welcome To Chiropractic

  • TMJ (Jaw Pain)


Chiropractic information blogs





















BMC Musculoskelet Disord




. 2023 Mar 15;24(1):194. doi: 10.1186/s12891-023-06298-w.

What is manipulation? A new definition


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