Is manipulation painful?
Manipulation should not be painful. Many techniques like counter strain and muscle energy are very gentle. Most people think of high velocity, low amplitude when they think of manipulation. This is the type where the physician uses a slight thrust and the patient hears a pop. The forces used during this procedure are minimal but the movement is rapid (although slight). It should not be overly painful although occasionally it is. More often, the sound is alarming to a patient.
