Caring Medical - Where the world comes for ProlotherapyOver-manipulation Syndrome

The Case for Utilizing Prolotherapy as a Promising Stand-Alone or Adjunctive Treatment for Over-Manipulation Syndrome

Gordin K, Ross Hauser, MD The case for utilizing prolotherapy as a promising stand-alone or adjunctive treatment for over-manipulation syndrome. The Journal of Applied Research. 2013;13(1).


Objective: The medical term ‘manipulation’ may refer to any passive movement. Primarily the term refers to a sudden thrust of small amplitude, performed at a rapid speed accompanied by an audible crack. This manual procedure, also known as ‘Grade V Mobilization,’ ‘adjustment,’ and ‘spinal manipulation therapy (SMT)’ is used extensively in the chiropractic and osteopathic professions, and is steadily gaining popularity with physiotherapists, medical practitioners, and podiatrists. With growing popularity comes the responsibility to analyze long-term therapeutic and physiologic effects of joint manipulation and the corollary risk Over-Manipulation Syndrome (OMS). As used in this text, OMS is defined as a musculoskeletal condition characterized by a constellation of symptoms ranging from chronic pain to muscle spasms due to ligament laxity and joint instability, induced by manipulation performed by practitioner, and/or self-manipulation.

Design: This literary synthesis critically analyzes long-term effects of high-velocity, lowamplitude thrust manipulation on connective tissue stability/mobility, and presents a basis for alternative approaches designed to minimize complications. Through a comprehensive cross-examination of research study results, this review investigates the long-term effects of spinal manipulation, and initiates a discussion about the research methodologies and relevant findings related to the therapy.

Method: The review process involved compiling scientific publications and searching indexed biomechanical and medical studies relating to SMT treatment techniques, measurements of mechanical and safety parameters, and manipulable lesions. Relevance to spinal manipulation was the primary criterion for selecting articles for inclusion in the review. Original reports, surveys, case studies, Meta analyses, and relevant content in any of the subfields of spinal manipulation were selected, irrelevant of date of publication.

Conclusion: Currently there are numerous accepted manual procedures but no singular biomechanical parameter to predict which procedure type is most effective and safe, and which manual treatment offers the greatest likelihood of long-term recovery. While hypotheses and classification systems are continuously investigated, the current level of safety remains ambiguous; as such, alternative therapies like Prolotherapy, which may counteract potential risks, are useful.

Read full Article | Back to Research

How Can We Help You?
Contact Information:
First Name*:
Last Name*:
How did you hear about us?
Are you looking for more information on our specialties?
I am interested in ProlotherapyI am interested in Stem Cell TherapyI am interested in Platelet Rich PlasmaI am looking for a potential alternative to surgeryI am interested in Digital Motion X-ray in Florida
Tell us more about your case:
Current diagnoses by another healthcare provider:
My primary medical concern I would like to inquire about*:
My current level of athletics and/or daily activities
(ie: marathon training, manual labor, etc..):
I am interested in an appointment at this location:
Oak Park, IllinoisFort Myers, Florida
as soon as possiblewithin a couple weekswithin 1-2 monthsnot sure
Please leave this field empty.

for your symptoms

Prolotherapy, an alternative to surgery

Were you recommended SURGERY?
Get a 2nd opinion now!

★ ★ ★ ★ ★We pride ourselves on 5-Star Patient Service!Come see why patients travel from all
over the world to visit our clinics.
Current Patients
Become a New Patient

Chicagoland Office
715 Lake St., Suite 600
Oak Park, IL 60301
(708) 393-8266 Phone
(855) 779-1950 Fax
Southwest Florida Office
9738 Commerce Center Ct.
Fort Myers, FL 33908
(239) 303-4069 Phone
(855) 779-1950 Fax Fort Myers, FL Office
© 2017 | All Rights Reserved | Disclaimer
National Prolotherapy Centers specializing in Comprehensive Prolotherapy,
Stem Cell Therapy, and Platelet Rich Plasma.

Meet our Prolotherapy Doctors and check out our Prolotherapy research.