Manual Therapies

The primary goal of manual therapies is to treat areas of decreased movement in joints, thereby reducing pain and increasing joint function and improving overall health.  

Manipulation

Manipulation/adjustment is a highly controlled procedure 
which rarely causes discomfort. 
Dr. Quesnele adapts the procedure to meet the specific needs of each patient. Often, the manipulation of the joint creates an audible pop. Many people will notice an improvement in their symptoms immediately after a treatment. Dr. Quesnele utilizes many forms of manipulation techniques.

What does the scientific literature say?

The scientific literature is clear that spinal manipulation is a very safe and effective intervention for lower back pain including disc herniations and stenosis, mid back pain, neck pain and headaches.  There is also good evidence for the use of extremity manipulation for other conditions such as osteoarthritis, shoulder pain and dysfunction, tennis elbow, patellofemoral pain, ankle sprains, plantar fasciitis, and cervicogenic dizziness.

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Mobilization

Mobilization is a graded manual technique of moving and gliding the joint through its range of motion. Mobilizations can be low force slow and rhythmic to higher amounts of force and joint thrusts. Taking patient comfort into consideration, Dr. Quesnele uses his expertise to deliver the appropriate pressure/force. Dr. Quesnele utilizes many forms of mobilization; he often uses a technique called Mulligan technique which involves a belt to aid in the joint movement. 

What does the scientific literature say?

The scientific literature is clear that mobilizations of joints is a very safe and effective intervention for spinal pains, including lower back pain, mid back pain, neck pain and headaches.  There is also good evidence for the use of extremity mobilization for many forms of arthritis, shoulder pathologies and dysfunction, tennis elbow, knee pathologies, ankle injuries and sprains, and cervicogenic dizziness.

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