The new edition of this popular book continues to present the latest scientific evidence for the successful use of the high velocity low amplitude (HVLA) thrust technique. Prepared in a readily accessible, amply illustrated format, this book is designed to equip practitioners with a detailed understanding of the underlying basis of the HVLA thrust technique and the best means to safely employ it in the effective management of a range of disorders of the spine and pelvic regions. The book is arranged in three sections to maximise understanding of what can be challenging areas to comprehend and effectively manage. Section One explores the biomechanics of movement and forces between adjacent vertebrae followed by a discussion of positioning and ‘locking’. These chapters are then followed by a discussion about safety with particular reference to the management of the cervical spine. A chapter on evidence – and what represents good medical evidence – concludes. Section Two presents – using an ample array of clear photographs and useful summary boxes – over 40 HVLA techniques ranging from the atlanto-occipital joint (C0-C1) to the coccyx. Section Three concludes with treatment failures (often, technique derived) and analysis. Prepared by authors of international renown - and now with an associated website containing over 45 minutes of useful film footage - this book will be ideal for all manual therapy practitioners dealing with the management of the spine and pelvic areas. Step-by-step coverage of 41 commonly used manipulation (HVLA) thrust techniques supported by 275 photographs/drawings and 56 videos Concise technique summaries provide an innovative review process A troubleshooting section in which difficulties with technique application can be addressed Comprehensive review of spinal kinematics and spinal positioning for manipulation techniques Examines evidence relating to cavitation and the clinical effectiveness of spinal manipulation Access to companion website – www.spinethoraxpelvis.com – containing: video bank of 56 videos (13 new) demonstrating HVLA thrust techniques from Part B of the book image bank of all 275 images from the book 2-colour throughout with over 30 new images Clinical history, presentation and examination for patients presenting with cervical artery dissection Addresses the important issues surrounding patient consent Additional research and guidelines that support the: use of HVLA thrust techniques use of spinal manipulation in the treatment of radiculopathy, pregnant women and children

This highly illustrated, step-by-step guide gives detailed instructions for dozens of different manipulation techniques, covering all levels of the spine, thorax, and pelvis. It also includes a helpful overview of the principles and theory of spinal manipulation and its use in clinical practice. The accompanying CD-ROM contains video clips demonstrating the techniques described in the book. Offers a highly illustrated, step-by-step approach to 41 HVLA techniques, in addition to the related theory essential for safe implementation of the techniques. Provides a comprehensive review of spinal kinematics and spinal positioning and locking. Contains current information relating to safe practice of HVLA techniques. Includes a troubleshooting section on how to deal with difficulties in the application of HVLA techniques. Contains new information on the role of evidence-based medicine in manipulative therapy. Features new photographs, techniques, and references throughout. Includes new video clips on the accompanying CD-ROM, including three new biomechanics clips.

-Includes access to www.spinethoraxpelvis.com.-