Manual therapy is becoming to some degree debatable in recent years. Manual therapy typically covers the physical therapy techniques of mobilization and manipulation. This debate is predicated about the deficiency of high-quality research that really shows it helps. That will not imply that this doesn't work, it really implies that the standard of the research which advocates for its usage is of low quality. One other problem which is making it controversial is that if it will work, then how does it help. During the past it had been the sensational cracking noise like a joint is placed back into place. Lots of the research now demonstrates this that isn't just how it helps plus it in all likelihood helps through some form of pain disturbance strategy offering the sense that the pain is much better. Not any of this is totally obvious and more scientific studies are continuing to try and resolve this quandry. This presents a difficulty for doctors using these mobilization and manipulation approaches and need to make choices concerning how to help their patients medically yet still end up being evidence based in the things they do.
A freshly released episode of the podiatry live, PodChatLive attempted to take care of these kinds of problems in terms of manual therapy for foot conditions. In that particular chat the hosts chatted with Dave Cashley whom presented his personal experience both from his several years of clinical practice and his own research on manual therapy. Dave's studies have been about its use for Morton's neuroma and it's coming across as good. Also, he gives his thoughts and opinions on a lot of the criticisms which have been aimed at mobilization and manipulation. Dave is a podiatrist as well as a respected worldwide presenter and lecturer. He is a fellow of the Royal College of Physicians and Surgeons and has now written and published several papers on podiatric manual therapy in the literature in recent years. During his career, he has dealt with professional athletes, top level sports athletes, world champions, international dancing companies and also the British military.