This paper by Max Zusman discusses the role of manual therapy in the management of musculoskeletal pain. In particular, he challenges the emphasis traditionally placed by manual therapy on pain as a “structural-mechanical” problem. He proposes that manual therapy can still have a place in contemporary practice, but only through fully embracing the evidence-based biopsychosocial model. This change will involve acknowledging; the primarily neurophysiological effects of manual therapy, its limitations in the management of persistent pain, and being somewhat less pedantic about the specific manual therapy technique used.
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