Manuel Tıp Ağrı Regülasyon Derneği





Manual medicine deals with the diagnosis, treatment and prevention of postural locomotor pain. Manual medicine is the science related to the diagnosis, treatment and protection of painful diseases of posture and movement organs.

Manual therapy, have been used for more than a century in the treatment of pain and dysfunction of the spine and limb joints includes manipulation, mobilization and positometric relaxation techniques.

The aim of manual therapy is to increase the restricted movement called joint blockage in the postural equilibrium to the highest degree and painless, to provide function and to maintain body mechanics.

For the effective and safe application of manual therapy, the anatomical, biomechanical and neurophysiological evaluation of the locomotor system is required.

Manipulation techniques should be performed by specially trained specialists who can select indications and contraindications.

The results obtained in manual diagnosis are used to ensure active participation of the patient and to prevent diseases in terms of preventive medicine.



It is a mechanotherapy method performed only by hand in order to correct functional movement limitations and reversible dysfunctions in the joints. It is a physical therapy such as cold, hot and electrotherapy which is effective on reflex pain and limitation of movement.

A detailed differential diagnosis should be made before each treatment. Our diagnostic sequence, ie anamnesis, inspection and palpation, is also applied here.

In addition to regional scarring or anomalies in the body, the mental state of the patient is also examined. It gives information about the movement system of the chest, hip and sacroiliac joint functions, especially the spinal system as the axis organ.

In palpation, we obtain important data about muscles by superficial palpation, Kibler skin shift test and deep palpation. Palpation is an indispensable method of manual medicine.

For correct and effective manual therapy, the effect of vegetative nervous system on the spine, which we define as axial organ, should be well known.

R. Lateralis, separated from Ramus Dorsalis, innervates the autochthonous deep back muscles and the skin on top, while R. medialis innervates the upper and lower adjacent structures.

Thus, the tension state in the joint capsule of the intervertebral joint and the medially located M. Erector spinae muscle innervate.

R. ventralis from the sympathetic truncus associated with Rr. Communicantes innervate vessels and internal organs.

It is important to know that: The thorax is an easily affected bulge with ’’joint richness’’ and ‘’sympathetic nerve innervation richness’, in other words, it has a high potential for disturbance (Thoracic Blockade).