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

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