Spinal Manipulation can as be referred as spinal manipulative therapy. Spinal Manipulation combines moving, massaging and exercising joints in order to relieve pressure, reduce inflammation, and increase nerve functionality. This type of therapy is generally used to treat the back, neck, shoulders, or if a patient is suffering from chronic headaches. Physical therapists often use a controlled sudden jolt to a specific joint while the body is positioned in a certain way. The high-velocity, low-amplitude (HVLA) technique is widely used among physical therapists and chiropractors, as it is one of the oldest and effective Spinal Manipulation techniques.