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Thrust Manipulation-Contraindications

Thrust Manipulation-Contraindications. Absolute Bone – any pathology that has led to significant bone weakening Tumor (metastatic deposits) Infection (tuberculosis) Metabolic (osteomalacia) Congenital (dysplasias) Iatrogenic (long term corticosteroid medications) Inflammatory (severe RA)

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Thrust Manipulation-Contraindications

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  1. Thrust Manipulation-Contraindications • Absolute • Bone – any pathology that has led to significant bone weakening • Tumor (metastatic deposits) • Infection (tuberculosis) • Metabolic (osteomalacia) • Congenital (dysplasias) • Iatrogenic (long term corticosteroid medications) • Inflammatory (severe RA) • Traumatic (fracture)

  2. Thrust Manipulation-Contraindications • Absolute • Neurological • Cervical myelopathy • Cord compression • Cauda equina compression • Nerve root compression with increasing neurological deficit

  3. Thrust Manipulation-Contraindications • Absolute • Vascular • Diagnosed vertebrobasilar insufficiency • Aortic aneurysm • Bleeding diatheses (severe haemophilia) • Lack of a diagnosis • Lack of patient consent • Patient position cannot be achieved due to pain or resistance

  4. Thrust Manipulation-Contraindications • Relative • Adverse reactions to previous manual therapy • Disk herniation or prolapse • Inflammatory arthritiis • Pregnancy • Spondylolysis • Spondylolishthesis • Osteoporosis

  5. Thrust Manipulation-Contraindications • Relative • Anticoagulant or long term corticosteroid use • Advance degenerative joint disease and spondylosis • Vertigo • Psychological dependence upon HVLA • Ligamentous laxity • Arterial calcification

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