Spinal manipulation is a therapeutic intervention which has roots in traditional medicine and has been used by various cultures, apparently for thousands of years. Hippocrates, the “father of medicine” used manipulative techniques, as did the ancient Egyptians and many other cultures.

In emergency medicine joint manipulation can also refer to the process of bringing fragments of fractured bone or dislocated joints into normal anatomical alignment (otherwise known as ‘reducing’ the fracture or dislocation). There are evidences that spinal manipulation improved psychological outcomes compared to verbal interventions.

In 2007 the American College of Physicians and the American Pain Society jointly recommended that clinicians consider spinal manipulation for patients who do not improve with self care options. The effects of spinal manipulation help provide temporary relief of musculoskeletal pain, decrease the time taken to recover from acute back pain and increase passive range motion.
For neck pain, manipulation and mobilization produce similar changes, and manual therapy andexercise are more effective than other strategies. There is moderate- to high-quality evidence that subjects with chronic neck pain, without arm pain and headaches, show clinically important improvements by way  spinal manipulation or mobilization techniques.

Joint manipulation is a type of passive movement of a skeletal joint aimed at targeting the synovial joints thereby achieving a therapeutic effect. Joint manipulation is characteristically associated with the production of an audible ‘clicking’ or ‘popping’ sound.

Joint Manipulations should only be performed only under suitable conditions, and should not to be used as routine techniques. The patients consensus is taken, and it is done by practitioners who are well trained to conduct the maneuvers