Manipulation as used by Osteopaths and Chiropractors has evolved from being  a rather obscure technique to being recommended by NICE guidelines for use in low back pain, for up to 6 - 9 sessions. In fact it is more efficient if used with the appropriate analgeisa and antinflammatories.  The aim is to keep the muscles toned and balanced by keeping the sufferer mobile.  Physiotherapists now also use manipulation and although there is a slight difference between application of techniques the execution of the 'click' can be the same, this is called a high velocity technique.

Osteopathy however uses a range of techniques which have evolved throughout its development, these techniques allow for very gentle touch, as well as high velocity manipulative techniques. Additionally its not neccessarily the technique itself that is important but how it is viewed within a health model:

• A physiotherapist using a health model will attempt to create movement and reduce local strain, thus improving function and reducing pain,
  

• A Chiropractor will do the same thing but apply additional manipulations throughout the spine.

• An Osteopath will do the same as the above but the Osteopathic model demands that the practitioner apply manipulations through the soft tissue levers as well as the spine itself, but ultimately to have the faith that .Like the Chirpopractor the treament has a vitalistic approach rather than just injury focused. 

For the sufferer there should be little or no risk in choosing any of these options as all must practice consent and be aware of boundaries and contraindications to treatment. All are efficent in improving the situation. Different people have different objectives it may be getting pain free but it may also include feeling generally well. Being an Osteopath and recieving Osteopathy as a patient myself  I  see Osteopathy as a self discovery  of of the body as well as a treatment that is used to alleviate a recent or chronic strain.  Of course each of these practices has its own working philosophy, and all work as professionals concerned with patient welfare.