Osteoarticular treatment in manual osteopathy is a set of low-velocity and high-amplitude techniques which involve the application of gentle and repetitive motions on to the joints of the body to restore mobility in a restricted joint. Manual osteopaths use this treatment to reduce muscle spasms around a joint, reduce neurological irritations near a joint, normalize the mobility of a joint, and to eliminate pain and discomfort. The osteoarticular technique usually involves the gentle movement of 2 joint surfaces. Before treatment, the manual osteopath will carefully place the patient into an optimal position that will reduce the energy and force required to perform the technique. It is not necessary to perform the techniques at the anatomical end range of movement of the joint. Therefore, many patients find that osteoarticular techniques are more comfortable than conventional joint manipulations. The beneficial effects of osteoarticular techniques are proven in clinical trials. The evidence for the effectiveness of osteopathic osteoarticular techniques suggests that the central nervous system is involved in mediating the endogenous pain inhibition system. Osteoarticular treatment is contraindicated in patients with fractures, unstable joints, and recent surgery.
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