082 927 1990 kermann@tiscali.co.za

Introduction

Spinal joint mobilisation is a commonly used manual therapy technique in physiotherapy to restore normal joint motion, relieve pain, and improve function. This technique involves applying slow, controlled movements to a specific spinal joint, aiming to increase its range of motion and reduce stiffness. It is often used as a gentle approach to treat conditions such as back pain, neck pain, and other musculoskeletal disorders.

In this article, we’ll explore the benefits of spinal joint mobilisation, how it differs from other manual therapy techniques, and when it’s most effective in physiotherapy treatment plans.

What is Spinal Joint Mobilisation?

Spinal joint mobilisation involves a series of low-velocity, rhythmic movements applied to a spinal joint. Unlike spinal manipulation, which uses a high-velocity thrust, joint mobilisation is performed more gradually and with less force. The technique is aimed at restoring mobility and reducing pain by stretching the joint capsule and surrounding soft tissues.

Physiotherapists often use joint mobilisation as part of a comprehensive treatment plan to address joint dysfunction. The intensity and grade of the mobilisation are tailored to the patient’s needs, based on the severity of the symptoms and the underlying cause of the condition.

Benefits of Spinal Joint Mobilisation

  1. Pain Reduction  

Joint mobilisation helps decrease pain by reducing pressure on irritated nerves, improving joint mechanics, and facilitating the release of endorphins, which are natural pain relievers.

  1. Improved Joint Mobility  

The technique helps restore normal movement in stiff or restricted joints. This is especially beneficial for patients experiencing limited spinal motion due to conditions like osteoarthritis, postural imbalances, or muscle tightness.

  1. Reduction in Muscle Spasms and Tension  

Mobilising the joints can help relieve muscle spasms and decrease tension by promoting relaxation of the surrounding tissues. This can be particularly helpful for patients who suffer from long standing  muscle tightness.

  1. Enhanced Circulation and Tissue Healing  

By gently mobilising the joint, blood flow to the affected area is improved, which supports tissue repair and speeds up the recovery process.

  1. Complementary to Other Physiotherapy Techniques 
    Spinal joint mobilisation can be combined with other treatments such as soft tissue therapy, exercise, or spinal manipulation to provide a comprehensive approach to pain relief and rehabilitation.

Conditions Treated with Spinal Joint Mobilisation

Spinal joint mobilisation can be used to treat a variety of musculoskeletal conditions, including:

  • Lower Back Pain: Patients with non-specific low back pain or lumbar stiffness often benefit from spinal mobilisation techniques.
  • Neck Pain and Stiffness: Mobilisation can help alleviate discomfort in patients with cervical spine issues.
  • Postural Problems: Conditions related to poor posture, such as kyphosis or forward head posture, can be addressed using joint mobilisation to improve alignment.
  • Osteoarthritis: Spinal joint mobilisation can provide relief from the pain and stiffness associated with spinal osteoarthritis.

Safety and Considerations

Spinal joint mobilisation is considered a safe technique when performed by a trained and qualified physiotherapist. It is particularly suitable for patients who may not tolerate more aggressive treatments, such as spinal manipulation. However, there are certain situations where mobilisation may not be appropriate, such as acute fractures, severe osteoporosis, or active inflammation.

A physiotherapist will perform a thorough assessment before proceeding with joint mobilisation to ensure the safety and suitability of the treatment for the patient’s specific condition.

What to Expect During a Spinal Joint Mobilisation Session

During the session, the physiotherapist will position the patient comfortably and gently move the spinal joint in a specific direction. The movements are slow, controlled, and rhythmic, allowing the therapist to assess the joint’s mobility and gradually increase the range of motion.

Patients may feel a slight stretching or mild discomfort during the technique, but it should not be painful. Multiple sessions may be required to achieve the best results, depending on the severity of the condition and the patient’s response to treatment.

Conclusion

Spinal joint mobilisation is an effective manual therapy technique that helps restore movement, reduce pain, and improve overall spinal function. It is a safe and gentle approach suitable for many patients, including those who may not be candidates for more aggressive treatments. By addressing joint dysfunction and promoting tissue healing, spinal joint mobilisation can play a crucial role in physiotherapy rehabilitation.