How can manual therapy help with joint pain?
Once pain has been reduced and joint mobility improved with the application of manual therapy, it is easier for a patient to regain normal movement patterns and restore maximal function. Current research has shown that manual therapy, when combined with therapeutic exercise, provides a beneficial outcome for patients.
What is the difference between manual therapy and joint-specific techniques?
Manual therapy is used to treat motion impairments that cause pain and decreased range of motion. Joint-specific techniques are indicated when the motion impairment is caused by loss of the normal joint motion as a result of a reversible joint hypomobility.
What is manual therapy for orthopaedic patients?
Therefore manual therapy is a technique to be used in combination with exercise during the episode of care. Richard Erhard PT, DC, Sara R. Piva PT, MS, OCS, in Orthopaedic Physical Therapy Secrets (Second Edition), 2006
What is a joint manipulation?
Joint Manipulation: A passive, high velocity, low amplitude thrust applied to a joint complex within its anatomical limit* with the intent to restore optimal motion, function, and/ or to reduce pain.
Description
Manual therapy has a long history within the profession of physical therapy and physical therapists have greatly contributed to the current diversity in manual therapy approaches and techniques. Mechanical explanations were historically used to explain the mechanisms by which manual therapy interventions worked.
Additional Viewing
This 28 minute video gives a good overview of the hands-on/off debate and suggestions of when to use manual therapy.
Conclusion
Manual physical therapy is a a structured approach to delivering hands on physical therapy within a biopsychosocial framework.
What is manual therapy?
Manual therapy involves the application of force to joints, muscles and neural tissues to facilitate improved function. This may be achieved by increasing the range of motion of joints, reducing swelling or enhancing skeletal alignment. Manual therapy can be applied during and following the acute phase of the injury.
What is OMT in osteopathic medicine?
OMT, self-care or moist heat, and FMS: Doctors at Texas College of Osteopathic Medicine selected three groups of FMS patients, one of which received OMT, another had OMT plus self-teaching (learning about the condition and self-help measures) and a third group received only moist-heat treatment.
Is manual therapy a profession?
Manual therapy has a long history within the profession of physical therapy and physical therapists have greatly contributed to the current diversity in manual therapy approaches and techniques.
Is manual therapy good for musculoskeletal pain?
In fact, evidence suggests that decreasing musculoskeletal pain may be one of the most important roles for manual therapy.1,2 In several studies, manual therapy has been shown to be superior to traditional modalities in reducing pain, sometimes even in the absence of change to objective variables, such as range of motion. 3,4 Accordingly, the authors believe it is important to consider manual therapy as a tool to reduce pain, and to pair it with rehabilitative strategies, such as stabilization exercise, to restore function. Unfortunately, there is a paucity of studies substantiating this position; however, the authors' collective experiences suggest that this form of treatment can be beneficial.
Does manual therapy reduce disc herniations?
Manual therapy has no direct role in the reduction of disc herniations because neither traction nor manipulation has been shown to reduce the disc. However, manual therapy has been demonstrated to be effective by relaxing the muscles and allowing for movement in the segment.
Is manual therapy a therapeutic exercise?
Current research has shown that manual therapy, when combined with therapeutic exercise, provides a beneficial outcome for patients. Therefore manual therapy is a technique to be used in combination with exercise during the episode of care. View chapter Purchase book. Read full chapter.
Is manual therapy contraindicated?
Manual therapy is typically contraindicated when the motion impairment is caused by excessive joint mobility. Motion impairment caused by weakened or shortened muscles is often an indication to use soft tissue techniques.
General Information
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Article Guidance
Chiropractic manipulative treatment (CMT) is a form of manual treatment to influence joint and neurophysiological function. This treatment may be accomplished using a variety of techniques.
Bill Type Codes
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Revenue Codes
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
What is a CMT code?
Additional E/M services may be reported separately using modifier 25, if the member’s condition requires a significant separately identifiable E/M service, above and beyond the usual pre-service and post-service work associated with the procedure.#N#Chiropractic Manipulative Treatment: CMT is a form of manual treatment to influence joint and neurophysiological function.
When to use modifier 59?
Modifier 59 should be used with 97140 when billed with a CMT code, but performed on a different anatomical region. It is not appropriate to bill 97124, massage, for myofascial release.
Description
Three Paradigms For Manual Therapy Therapeutic Effects
- Physiological: positive placebo response
- Biomechanical and Physical: facilitates repair and tissue modelling
- Psychological: pain relief via- stimulates gating mechanism; muscle inhibition; reduction of nocioceptive activity; reduced intraarticular or periarticular pressure
Guide to Grading of Mobilisations/Manipulations
- Maitland Joint Mobilization Grading Scale: Grade I - Small amplitude rhythmic oscillating mobilization in the early range of movement Grade II - Large amplitude rhythmic oscillating mobilization in the midrange of movement Grade III - Large amplitude rhythmic oscillating mobilization to point of limitation in range of movement Grade IV - Small amplitude rhythmic os…
Additional Viewing
- This 28 minute video gives a good overview of the hands-on/off debate and suggestions of when to use manual therapy.
Conclusion
- Manual physical therapy is a a structured approach to delivering hands on physical therapy within a biopsychosocial framework.
Resources