Manual therapies have been used to treat musculoskeletal disorders for thousands of years. Practitioners around the world—in countries with many different cultural influences and diverse medical traditions—have used their hands to manipulate various parts of the body to stimulate healing. "Manual" literally means "by hand." Thus, manual therapies consist of healing techniques that use the hands. There are more than two dozen techniques used worldwide. Among the most commonly known are acupressure, chiropractic, massage therapy, physiotherapy, reflexology, Rolfing and shiatsu.

Whether we like to admit it or not, the technology in our lives—and the fact that we use much of it while sitting down—is contributing to a growing list of health problems in our society. Those who sit at a desk all day or sit behind the wheel of a car or truck with little or no exercise are at increased risk for a number of chronic health problems. According to the Mayo Clinic, those who have such a sedentary lifestyle are in danger of things like "obesity and metabolic syndrome — a cluster of conditions that includes increased blood pressure, high blood sugar, excess body fat around the waist and abnormal cholesterol levels."

Toronto is a big city, with many chiropractors.

How to find the one best suited to treat your unique case?

Part 1 (see health blog) in this series looked at recommendations from family
and friends, online recommendations such as at "RateMD", and the importance
of a thorough initial examination.

What other factors can help you decide on your best chiropractor?

A "pinched nerve" refers to a condition in which a nerve is compressed by surrounding tissue, such as ligament, cartilage, tendon or bone. The term "pinched nerve" is not a standard medical expression, but it’s an intuitive expression that almost anyone will understand.

The term metabolic syndrome is actually not just one condition. It is a term relating to a group of different related conditions that have been shown to increase the threat of diabetes and cardiovascular disease. With the high rate of obesity and the typical American diet high in sugar, salt and hydrogenated oils, metabolic syndrome is becoming more of a problem.

Of all the musculoskeletal complaints for which people will go to a doctor, back pain is the most prevalent. The more sedentary we are (think about our desk jobs and all the hours we spend in front of a TV or computer screen), the weaker all of the structures that support our frame—muscles, tendons and ligaments—become. This in turn makes back injuries more likely. However, it doesn’t have to be this way. By strengthening your core, which includes not only your back, but your abdomen, buttocks and hips, you are more likely to prevent injury. By practicing a few of these back strengthening exercises on a regular basis, you can help keep your back pain-free.