Are manipulations used?
The answer is sometimes. Sometimes not at all, particularly if a patient does not want them or it is unsafe to do so! It is worth remembering that as part of an osteopath’s training, indications for NOT using a technique (manipulation or otherwise) are thoroughly taught. Manipulations are just one of many techniques available to an osteopath. I personally use an eclectic approach and tailor my treatments according to what I think the patient requires.