

Joint Manipulation
High-velocity, low-amplitude joint techniques help restore motion, relieve stiffness, and improve alignment in select cases.
What Is it?
Joint manipulation is a high-velocity, low-amplitude technique used by licensed providers to restore joint mobility, relieve stiffness, and improve alignment. It is performed only when clinically appropriate and is part of a broader plan that includes movement retraining and functional strengthening.
Our Approach
When clinically appropriate, our therapists use joint manipulation to restore alignment and reduce stiffness and pain. This high-velocity, low-amplitude technique is used sparingly and strategically, and always paired with movement retraining and strengthening so the realignment lasts. It’s one part of a larger plan — not a standalone service.
Conditions We Treat
We use joint manipulation selectively to restore alignment, reduce stiffness, and improve mobility.
Conditions Treated:
• SI joint dysfunction
• Cervical spine restrictions
• Thoracic or rib mobility issues
• Headaches linked to spinal dysfunction
What Can I Expect
If manipulation is appropriate for your condition, we’ll explain the technique in detail and obtain your consent before proceeding. It involves a quick, targeted movement to restore joint mobility and relieve tension. Manipulation is used sparingly and is always followed by active movement or stabilization exercises and manual techniques to release muscle tension.
What Are the Benefits
• Quick relief from stiffness and joint pressure
• Improved joint mobility and realignment
• Enhanced comfort with daily or athletic movements
• Support for spinal and postural corrections
• Long-term function when paired with movement retraining
Additional FAQs
Is this the same as chiropractic care?
This technique is shared by chiropractors and physical therapists. Within the comprehensive physical therapy treatment plan selective use of joint manipulation is always paired with stretching, strengthening, and manual therapy to maintain the mobility gains in the long term. We always explain the rationale and get your consent.
Will I feel or hear a “pop”?
Sometimes, but it’s not our goal and is not required for the treatment to be effective. If you do hear the noise of a release, rest assured, this is not your bones making this noise, it is the release of air from compressed joint fluid and is highly researched to be safe and effective when paired with a full treatment plan. We never force a joint beyond its natural motion.