What is spinal manipulation?
Spinal manipulation is a skilled hands-on technique that uses a controlled, quick movement to a joint. Physical therapists who are appropriately trained may use spinal manipulation to address mobility restrictions and help reduce symptoms as part of a broader physical therapy plan.
Some patients recognize similarities to what is commonly called an adjustment in chiropractic care. The terminology reflects the professional service being provided: Dr. Benjamin Karpus performs spinal and extremity joint manipulation within physical therapy, while Dr. Michael Maiorino provides chiropractic care and adjustments.
It starts with an evaluation
Manipulation is not appropriate for every person or every condition. The practitioner first considers your symptoms, medical history, goals, movement, and relevant precautions. If another approach fits better, treatment may instead include joint mobilization, soft-tissue work, exercise, education, or a referral for additional evaluation.
What the technique can—and cannot—do
A manipulation may create a temporary change in pain or mobility that makes movement and exercise more comfortable. It does not permanently put a joint back into place, and a popping sound is neither required nor proof that treatment worked.
The most useful question is whether the technique supports meaningful progress toward your goals. Hands-on care works best when it is integrated with an appropriate plan for movement, strength, activity, and self-management.
Choosing the right practitioner
If you want manipulation as part of physical therapy, contact Dr. Karpus. If you specifically want chiropractic care and adjustments, contact Dr. Maiorino. Their direct contact information is listed on the service and practitioner pages so you can reach the intended professional without being routed through someone else.