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What is a HVLA manipulation and why do Osteopaths use them?

What is a HVLA manipulation and why do Osteopaths use them?

Written by Alex Phan - Osteopath | 2nd October 2024

Have you ever wondered what a HVLA (High Velocity Low Amplitude) manipulation is? Or wondered why osteopaths use them? Are they safe and does it work? Well, here’s everything you need to know about a HVLA manipulation.

What is HVLA?

High Velocity Low Amplitude (HVLA) is a technique commonly used by Osteopaths to adjust joints, particularly the spine, by applying a quick, precise force to a specific area. The goal is to restore normal range of motion and alleviate pain or discomfort associated with joint dysfunction.

Osteopaths commonly use this technique to:

  • Restore joint function: by targeting restricted joints that are not moving properly which can help alleviate pain and improve mobility.
  • Enhance healing: a manipulation can help with restoring proper joint function, which will in turn facilitate the body’s natural healing processes. As a result, improve circulation, reducing inflammation and enhancing tissue repair.
  • Provide a holistic approach: Osteopaths use a holistic approach which emphasizes treating the body as a whole and considering the interrelationship between different body systems. Osteopaths utilise HVLA manipulations, when necessary, in conjunction with several other techniques to provide a well rounded and comprehensive treatment regime.
  • Provide a tailored treatment regime: Osteopaths utilise a patient-specific treatment system recognising that some individuals require HVLA manipulations more than others, based on their medical history, current symptoms and physical examination findings.

Is HVLA safe?

Osteopaths go through extensive training and need to be licensed professionals to assess patients and therefore apply HVLA manipulations in a safe manner. However, like any medical or therapeutic procedure, there are risks involved if it is not performed correctly or if the patient has certain pre-existing conditions that may be contraindicated for this type of technique. Some potential risks include:

  • Risk of injury: if the technique is applied too forcefully or to the wrong area, it can cause injury to the joints, ligaments or nerves.
  • Worsening of existing conditions: HVLA may not be suitable for people with certain conditions such as osteoporosis, severe arthritis, spinal instability or a history of spinal surgery.
  • Side effects: temporary soreness or stiffness after manipulation is common, but some individuals may experience headaches, fatigue or even temporary worsening of symptoms.

If you are interested or would like some more information regarding HVLA manipulations, come down and consult one of the Osteopaths at Canterbury Health Hub. Here, we can provide a thorough assessment and treatment approach that is appropriate for your specific condition and medical history.