Spinal joint manipulation may be associated with regional and more distant physiological effects. The relationship between structure and function in the human body influences health and disease.
Joint manipulation is used to help promote optimum tissue repair during the various stages of healing. Tissues tend to recover and remodel consistent with the stresses placed upon them during the healing process. Some movement is required for the tissues to heal strong and flexible. Restoration of spinal movement is important so that they may withstand the physical loads placed upon them. During spinal care, numerous methods are used to lessen pain, reduce extent of injury, aid in remodeling of granulation tissue, break adhesions as they develop prevent chronic joint stiffness and/or to limit the possibility of developing a chronic pain syndrome. Adequate joint mobility is required to help sustain nutritional and fluid exchange in joint tissues as well as the intervertebral disc of the spine. Spinal manipulation is most effective when it is used in combination with rehabilitative exercise and maintenance of proper posture. This process greatly influences the health of joint cartilage. Increasing joint stiffness leads to global stiffness and accelerated degeneration of joint tissues.