In our opinion, orthopaedic mobilisation is the most effective treatment for chronic back pain and serious, spinal disorders. It is extremely safe and widely applicable. There are virtually no contra-indications (that is, conditions where it should not be used) and up to 98% of all back conditions will respond favourably.
Although the treatment itself is very effective, orthopaedic medicine is particularly successful because (in skilled hands) it will produce a very accurate diagnosis. This should not be underestimated; without an accurate diagnosis, any form of treatment is largely futile.
Like any medical discipline, however, people can specialise. We therefore recommend that you see an orthopaedic specialist who spends most, if not all, of their time treating spinal disorders.
Note that orthopaedic medicine does not rely on imaging techniques (including x-ray; MRI scans; and CT scans) because they are largely worthless in determining the exact cause of pain. In general, spinal conditions are very complex; so even when a scan reveals an abnormality in bone or tissue structure, only a very limited diagnosis can be made.For example, virtually all scans are taken with the patient in a fixed position but most conditions are difficult to assess without moving the spine through several degrees of motion.
The patient is asked to perform some of the movements (for example, bending forwards and backwards), and the practitioner performs the rest (for example straight leg raising, pressure and distraction).
For those who wish to learn more about orthopaedic medicine, a large number of medical reference books exist, devoted to this field of study. For more details, please visit our Bibliography.