HI there guys,

I completely agree with neurospast and sandeep, before you go on with manipulation, there are lot of screening to be done, anyways assuming that you have done all the needed screening, you might want to assess the myofascial component as well, by the way the pain that you said which returned - is it the same old pain or a new pain in terms of type, severity etc,

i feel if you can give more explanation on the assessment of this patient we can give a better suggestion on going about this case,

i hope others also agree with me,

see ya man,

hope to get back you soon