RT Journal T1 TReatment by manipulation in general and consulting practice JF Journal of the American Medical Association JO Journal of the American Medical Association YR 1949 FD February 5 VO 139 IS 6 SP 419 OP 419 DO 10.1001/jama.1949.02900230073036 UL http://dx.doi.org/10.1001/jama.1949.02900230073036 AB The restoration of joint function by manipulation, in carefully selected cases, is outlined in detail. The indications and contraindications are stressed and manipulations based on sound anatomic and physiologic grounds are outlined. The author reviews the history of manipulative therapy and points out the general neglect of its principles by the medical profession. At the same time he castigates the cults which are based on such procedures to the exclusion of modern scientific knowledge. Specific manipulative therapy for each of the skeletal articulations is outlined. The dangers are emphasized and the limitations are acknowledged. It is interesting to note that the author does not advise manipulation in cases of herniation of the nucleus pulposus. He fails to outline the signs and symptoms which would differentiate the "disk syndrome" from other conditions low in the back which may benefit from manipulative therapy.This treatise on manipulation of joints will interest orthopedic