The manual medicine also belongs to the complementary therapeutic methods. Some people it is better known unter "Chiropractice" - but the modern schools of manual medicine seperated from this term already more than 15 years ago, because the typical chiropractor in former time had no medical education or study, but were known for their rather spectacular cracking-through the whole spine. This unspecific cracking has a high risk for complications like the acute mass prolapse with instant need for operation or ruptures of brain and neck vessels in the cervical spine. The "old" manual schools were founded in czech, poland and hungary - about 30 years ago orthopedic physicians brought these methods to mid europe and adapted them to the needs for a modern orthopedic medicine. As the most practical acchievement we can define the possibility to investigate all parts of the movement apparatus detailed and exact. So every physician or therapist working with the spine, knee, hip or something else is in the position to find a very exact diagnosis mainly for the huge amount of functional disorders - so e.g. if a patient has pain in the lower neck, the manual medicine specialist will be able, to define the grade of extension, sidebending or rotation in every single vertebra. Nowadays we use this method to more than 70% as a diagnostic tool and just 30% as therapeutic intervention.

The therapeutical part  comprises of soft tissue techniques, muscleenergy- and -stretchtechniques as well as  the jointmobilisation and -manipulation. The big advantage: the experienced therapist is able to collect much more data during the investigation, which can help, to create a maximum individual therapy plan.