This volume provides both the scientific and medical background to manipulation, as well as sound practical advice on how to carry out manipulative techniques. Manipulation is a now well-founded technique for the treatment of musculo-skeletal problems, and especially back pain. The Royal College of General Practitioners has recommended manipulation as a therapy, as has the Clinical standards Advisory Group. Manipulation is now also part of the core training of rheumatologists. The text is accompanied with illustrations showing how to manipulate safely, and key references are provided throughout. The book should be of i nterest to all those interested in manipulatio, including rheumatologists, general practitioners, physiotherapists, osteopaths and chiropractors.