Manual therapy is becoming fairly controversial recently. Manual therapy generally covers the therapy solutions of mobilization and manipulation. That conflict is predicated about the absence of high-quality science that in some way reveals it really works. It does not necessarily imply that it doesn't work, it really means that the quality of the research which backs up its use is not very good. The other dilemma that is making it contentious is if this will work, then how does it help. Historically it was the amazing cracking sound like a joint is put back into place. Most of the evidence currently means that that is not how it helps and it in all probability works through some sort of pain interference process offering the sense that the pain is improved. Not any of this is completely obvious and more research is continuing to attempt to deal with this issue. This creates a challenge for health care professionals who use these types of mobilization and manipulation techniques and want to generate selections on how to assist their patients medically but still always be evidence based with what they do.

A recent episode of the podiatry chat show, PodChatLive made an effort to address these kinds of matters with regards to mobilization and manipulation for foot problems. In that particular edition the hosts questioned Dave Cashley whom gave his knowledge both from his many years of clinical practice and his own study on manipulation and mobilization. Dave's studies have been about its use for intermetatarsal neuroma and it is coming across as promising. Also, Dave voices his opinion on several of the criticisms that have been aimed at manual therapy. David Cashley is a podiatrist plus a well known international presenter and educator. David is a fellow with the Royal College of Physicians and Surgeons and has now written and published several publications on podiatric manual therapy in the literature in recent times. Throughout his career, he has worked alongside professional athletes, elite sports athletes, world champions, worldwide dancing groups along with the British military.