Manual therapy has become to some degree controversial in recent years. Manual therapy frequently covers the therapy methods of manipulation and mobilization. That debate is based about the not having enough high-quality research which actually demonstrates it works. That doesn't imply that this doesn't work, it just suggests that the standard of the research that backs up its usage is not very good. Another matter which is making it controversial is if it will work, then what makes it help. Historically it had been the sensational cracking noise like a joint is put back into position. All the evidence right now points too that isn't just how it helps and it in all likelihood works through some form of pain interference process giving the impression the pain is improved. None of this is entirely clear and much more scientific studies are ongoing in an attempt to resolve this issue. This presents a difficulty for clinicians who use these kinds of mobilization and manipulation approaches and want to make choices on how to assist their patients clinically yet still always be evidence based with their work.
A freshly released episode of the podiatry livestream, PodChatLive attempted to consider these sorts of challenges with regards to manual therapy for foot disorders. In this particular edition the hosts interviewed Dave Cashley whom presented his personal experience both from his several years of clinical practice and his own research on manual therapy. His research has been about its use for Morton's neuroma which is coming across as encouraging. Also, Dave voices his view on a lot of the criticisms which have been aimed at mobilization and manipulation. Dave is a podiatrist and a highly regarded international presenter and lecturer. He is a fellow with the Royal College of Physicians and Surgeons and has published several papers on podiatric manual therapy in the journals in recent times. During his career, Dave has dealt with professional sportsmen, elite sports athletes, world champions, worldwide dancing troups along with the British armed forces.