Accessibility View Close toolbar

611 University Drive Ste 214

State College, PA 16801 USA

(814) 234-5271

Open mobile navigation

Upper and Lower Extremities

Manipulative Therapy for Lower-Extremity Conditions

A growing number of peer-reviewed studies document the use of manipulative therapies for lower-extremity disorders.

Brantingham JW, Globe G, Pollard H, Hicks M, Korporaal C, Hoskins W. J Manipulative Physiol Ther 2009 Jan;32(1):53-71.

BACKGROUND
While the public most commonly associates chiropractic care with treatment for low-back pain, most doctors of chiropractic, based on their professional training, regularly diagnose and treat conditions of lower extremities. Data show that upper- and lower-extremity problems make up 20 percent of chiropractic visits and that 76.1 percent of doctors of chiropractic typically utilize extremity therapies in their practices.

THE OBJECTIVE of this study was to expand upon a previous systematic review of evidence that documents the use of manipulative therapy for treating lower-extremity conditions.

THIS STUDY conducted a search of literature through the following major healthcare databases: PubMed; the Cumulative Index to Nursing and Allied Health Literature; Manual, Alternative and Natural Therapy Index System; Science Direct; and Index to Chiropractic Literature. The results of the search were screened and rated for relevance, yielding 39 articles that were analyzed in detail.

RESULTS

  • A growing body of evidence shows that manipulative therapy for lower-extremity disorders appears to be safe and of value.
  • Most manipulative therapy of lower extremities is accompanied by exercise, soft-tissue treatment and modalities, and is specific as to the condition and the patient.
  • The use of manipulative therapy combined with multimodal or exercise therapy of the hip for treating hip osteoarthritis has been documented by limited evidence.
  • Manipulative therapy of the knee and/or full kinetic chain combined with multimodal or exercise therapy for knee osteoarthritis has fair support in literature.
  • Manipulative therapy of the ankle and/or foot combined with multimodal or exercise therapy has fair support in literature for treating ankle inversion sprain and limited support for treating plantar fasciitis, metatarsalgia or hallux limitus/rigidus.

WHO MAY BE AFFECTED?
Manipulative therapy of extremities may be indicated in patients:

  1. diagnosed with a painful neuromusculoskeletal pain disorder
  2. experiencing pain in or from palpation of bony joint surfaces or joint soft tissues
  3. presenting with decreased or altered range or quality of motion
  4. experiencing pain from stressing a joint.

CAVEATS
This systematic review excluded studies without a diagnosis, those describing immediate rehabilitative postsurgical manipulative therapy, red-flag conditions, or conditions that required a referral.

LEARN MORE ABOUT chiropractic at www.acatoday.org. For more information on chiropractic research, go to www.fcer.organd www.ccgpp.org.

The research described in this column comes from credible, peer-reviewed journals. It is intended to serve as a resource for practitioners and patients to assist them in consideration of various healthcare options and does not replace clinical judgment.

Subscribe to our newsletter to receive latest updates.

Office Hours

Our Regular Schedule

State College Location

Monday:

8:00 am-6:00 pm

Tuesday:

8:00 am-6:00 pm

Wednesday:

8:00 am-6:00 pm

Thursday:

8:00 am-6:00 pm

Friday:

8:00 am-6:00 pm

Saturday:

Closed

Sunday:

Closed

Spring Mills Location

Monday:

2:00 pm-6:00 pm

Tuesday:

2:00 pm-6:00 pm

Wednesday:

8:30 am-6:00 pm

Thursday:

Closed

Friday:

8:30 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

Locations

Find us on the map

Featured Articles

Read about interesting topics

  • Chiropractic and Breech Babies During Pregnancy

    If you are experiencing back pain during your pregnancy or have a breech pregnancy, chiropractic can help. ...

    Read More
  • Natural Remedies for Sciatic Pain

    Do you experience sciatica pain? Both chiropractic care and at-home remedies can help alleviate that pain in a natural way. ...

    Read More
  • Chiropractic Care For Pets

    You know how chiropractic can help you, but what about your pets? ...

    Read More
  • Should I Use Heat or Ice for Pain?

    When you're feeling pain, sometimes it's difficult to determine if heat or ice will treat that pain best. This article will help you learn which is best for different types of injuries and pain. ...

    Read More
  • Should I Use Ice or Heat for Pain?

    Did you hurt your knee during an intense game of pick-up basketball this weekend? Or do you deal with chronic pain? Learn whether you should apply heat or ice for particular kinds of pain. ...

    Read More
  • Relationship with Self

    The relationship you have with yourself and the journey to self-understanding is an important part of your overall wellness. ...

    Read More
  • Indoor Activities and Exercises

    Are you preparing for the winter months or looking for exercises to do when you can't make it to the gym? Follow these exercises to maintain a healthy fitness routine. ...

    Read More
  • Holiday Stress - Take a Deep Breath

    Most of us pay little attention, if any, to the daily functioning of our many physiological systems. Our hearts beat, our digestive systems digest, and our various hormones, such as those deriving from the thyroid gland, adrenal gland, and pancreas, do what they do. It's all good... until it's not. ...

    Read More
  • Proper Overindulgence Over the Holidays

    Proper Overindulgence Over The Holidays The term "overindulgence" is probably best assessed as a red flag, especially with respect to consistent overconsumption of high-calorie comfort food and desserts during the holiday season. An overall healthier perspective could be described as "indulgence" regarding ...

    Read More
  • The 5 Senses

    The 5 Senses The five senses, that is, the sense of sight, touch, hearing, taste, and smell, provide us with necessary information regarding the world around us.1 These precious capabilities enable us to navigate our environment with seemingly instantaneous feedback with reference to our actions and ...

    Read More

NEWSLETTER SIGNUP

Sign up for more articles