Hi.

Just briefly, I basically agree - Manual therapy is not indicated in all conditions. O'Sullivan's work on LBP helps to classify those who will benefit from exercise, who will benefit from manual therapy and those who aren't appropriate for physiotherapy.

The reason I ask the question about the emphasis on electro is because i read questions on this forum and people are so quick to prescribe/recommend/advise the use of electrotherapy when, from my personal experience, it would be more appropriate to use manual therapy or exercise or look for the main cause of a problem elsewhere.