Understanding Spinal Manipulation: What is actually happening during the 'click'

Learn what is actually happening when your osteopath uses a spinal manipulation. How does it help?

Nicola Bayer

9/19/20251 min read

What is Spinal Manipulation?

Spinal manipulation is a technique commonly used by osteopaths to alleviate pain and improve mobility. It involves applying controlled force to specific joints in the spine, promoting better function and reducing discomfort.

But what is actually happening?

When people hear the familiar click during a spinal manipulation, it’s often assumed that a bone has been pushed back “into place.” This idea has been around for decades, but the science tells a different story.

Bones don’t simply slip out and get realigned with an adjustment. Instead, the real magic happens in the nervous system. A well-delivered spinal manipulation is less about moving bones and more about sending a powerful burst of information to the brain.

This surge of sensory input can interrupt unhelpful pain patterns, reset muscle activity, and spark a series of neurochemical responses that reduce pain and improve movement. In other words, the adjustment doesn’t fix the body by shifting bones, it helps the body recalibrate itself by influencing the brain and nervous system.

It’s also important to remember that manipulation is just one tool in an osteopath’s toolkit. Techniques like massage, stretching, and mobilisation can be very effective in reducing pain and improving function. But where we see the most lasting transformation is when these hands-on approaches are combined with movement and exercise-based plans. That’s when short-term relief evolves into long-term change.

Spinal manipulation might sound like a simple “click,” but in reality, it’s part of a much broader, evidence-based approach to helping the body heal, adapt, and thrive.