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The E3 Rehab Podcast

193. Spinal Manipulation: What's Actually Happening? w/ Casper Nim

Mar 25, 2025
Chris Hughen talks with Casper Nim, a chiropractor and senior researcher from Denmark, about the intricacies of spinal manipulation. They debunk common myths associated with spinal manipulative therapy and emphasize the importance of patient preferences in treatment. Casper shares insights on the mechanics of joint popping and the psychological effects of these sounds. The discussion also highlights the need for transforming manual therapy education, focusing on psycho-motor skills and patient narratives, to better inform future practices in spinal pain management.
58:22

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • Spinal manipulative therapy (SMT) is effective for pain relief but shares similar outcomes with other interventions like exercise and education.
  • The clinician-patient relationship significantly influences treatment success, highlighting the importance of communication and reassurance in SMT.

Deep dives

Understanding Spinal Manipulative Therapy (SMT)

Spinal manipulative therapy (SMT) involves applying controlled force to the spine to enhance movement and reduce pain and is commonly utilized in manual therapy. This technique is often referred to as a chiropractic adjustment, emphasizing the manipulation of spinal segments to alleviate discomfort. The procedures can vary, but the primary goal is achieving a 'popping' sound indicative of a successful manipulation, although the therapeutic effects of SMT have been debated in terms of specificity. Overall, SMT represents a widely accepted treatment option, yet it remains crucial to understand the mechanisms behind it and how it compares to other therapeutic modalities.

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