ABSOLUTE CONTRA-INDICATIONS
Absolute contra-indication means that a test, recording or therapy cannot be performed responsibly.
- Bone tumors (e.g. metastatic)
- Infections (e.g. tuberculosis)
- Bone loss (e.g. osteomalacia)
- Congenital abnormalities (e.g. dysplasia)
- Iatrogenic disorders (e.g. prolonged use of corticosteroids)
- Inflammation (e.g. severe rheumatoid arthritis)
- Trauma (e.g., fractures)
- Neurological: compression of the spinal cord or the cauda equina
- Nerve root compression with increasing neurological deficit
- Vascular: aortic aneurysm; intra-articular hemorrhage
- The patient does not consent to the treatment
- The patient, the starting position can which is required for the treatment is not taken in by the pain or resistance.
RELATIVE CONTRA INDICATIONS
A relative contra-indication means that possible complications may occur. The advantages must outweigh the risks.
Negative reaction to previous manual therapy;
- Herniated nucleus pulposus (HNP) (with radicular syndrome)
- Atherogenic inflammation;
- Spondylolysis;
- Spondylolisthesis;
- Spondylodese
- Pregnancy;
- Osteoporosis;
- Use of anticoagulants or prolonged use of corticosteroids;
- Substantial degeneration of the joint or spondylosis;
- Psychological dependence on manual therapy;
- Ligamentous laxity