Index to Chiropractic Literature
Index to Chiropractic Literature
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Wednesday, October 29, 2025
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
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Article ID
Title
URL http://www.cjaonline.com.au/index.php/cja/article/view/165
Journal Chiropr J Aust. 2017 ;45(3):Online access only p 203-216
Author(s)
Subject(s)
Peer Review Yes
Publication Type Article
Abstract/Notes

The exact mechanisms involved in the sounds produced by manipulation of synovial joints have not been unequivocally elucidated but a number of explanations have been put forward. We have reviewed experiments designed to explain these sounds, with results that were quite unexpected. We have also considered the composition of synovial fluid and how its pH may potentially change locally after the release of CO2 by physical manipulation. The insights gained provide a rational explanation for the sounds generated by joint manipulation and the beneficial effects of manipulation on patients with joint disorders and pain. We recommend that joint manipulation should be prescribed as first-line therapy before drug therapy and expensive surgery is considered.

Author keywords: Cavitation; Osteopathic Manipulative Treatment; Synovial Joints

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