Abstract

Manual medicine and manipulative techniques encompass a wide array of techniques that provide structural, vascular, and energetic manipulation to influence musculoskeletal and general health. Manual medicine requires special focus on the physical exam in order to determine the most efficacious manipulative and physical therapy techniques. Manual medicine has been shown to be of benefit independently and adjunctively in the treatment of a number of musculoskeletal and pain conditions. There is a small but growing body of evidence in support of specific manual medicine techniques to treat insomnia and other aspects of sleep disorders.

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