Contraindications

Question 1

What are the contraindications for manual therapy

Answer 1

Osteoporosis
Joint instability - fractures infection pregnancy hypermobility
Local cancer
Open wound
Rheumatoid arthritis
Cauda equina syndrome
Upper motor neurone signs / myelopathy

Question 2

Contraindications for neurodynamic testing
Precautions?

Answer 2

Rheumatoid arthritis (inflammatory condition)
Severe osteoporosis (inflammatory condition)
Loss of bladder bowel control
Severe neurological symptoms
- acute spinal cord injury
- unstable spinal fractures
- infections
Severe pain

Night pain? Recent WL
Stiffness in joints

Question 3

Contraindications and precautions for palpitations
PIIVMS AND PAIVMS

Answer 3

Acute fractures
Spinal cord injury - any compressions be aware as You don’t want to exacerbate symptoms
Severe spinal stability
Acute disc hernitation - so perform cautiously
Infection or inflammatory conditions
Severe osteoporosis
Patient preferences and comfort