Well summarised MrP. I can only agree that what the APA have just issued plays into the hands of both a misinformed insurance world and an every growing litigous patient group. They are suggesting members do something that has no validity in it's action. The whole operationalisation fo the concept is flawed and should be pulled from the agenda.

I also do not manipulate the cervical spine. Why? Because I do not have the need to perform it often enough to make me any good at it. The infrequent use, therefore reduced skill, of the technique application might well be a bigger risk factor in complications than the actual technique itself (when applied by a skilled clinician). I do value the treatment option and that is why if I need one I send them next door to my osteopath, or in Australia, my chiropractor. They then send them back to me for continued rehabilitation.

In an organisation that is so into evidenced based practise, the mind does wonder if it's evidence...... when it suits