Chuna manipulation

Last updated date: 05-Jun-2023

Originally Written in English

Chuna Manipulation


After low back pain, neck pain is the second most prevalent musculoskeletal condition, with two-thirds of individuals experiencing it at least once in their lifetime. Neck discomfort produces varied degrees of disability and is accountable for significant medical costs and productivity losses.

The global burden of neck pain measured in disability-adjusted life-years was estimated at approximately 65.3 million in 2017. Neck discomfort can be treated in a variety of ways, including traditional guideline-based treatments (such as medication and physical therapy) and complementary and alternative medicine (CAM) therapies (e.g. acupuncture and manual therapy).

In the West, complementary and alternative medicine (CAM) is typically used to supplement traditional medicine, while in Korea and the rest of East Asia, it is frequently employed as the primary treatment method. Chuna manual therapy is a sort of manual treatment that aims to produce balance in the physiological and pathological aspects of the human body.

A Korean medicine practitioner often manipulates a certain region of the patient's body using their hands or different parts of their body, sometimes with the use of technology. Chuna manual treatment has evolved from traditional Chuna procedures with a theoretical foundation in Korean medicine. The therapy grew and developed via the integration and application of Tuina from China, chiropractic and osteopathic manipulations from the United States, and Japanese manipulation methods.

The Korean Society of Chuna Manual Medicine joined the International Federation for Manual/Musculoskeletal Medicine to improve the international applicability of Chuna manual therapy, and several discussions about manual therapy techniques were held with the American Osteopathic Association through various educational and academic exchanges. 


Why Chuna Manipulation is Beneficial?

Chuna Manipulation Benefits

Chuna manipulation benefits people of all ages who have medical issues, diseases, or injuries that limit their ability to move and function normally.

A customized chuna manipulation program can assist clients in resuming their previous level of functioning, as well as encouraging activities and lifestyle modifications that can help avoid subsequent injury and enhance their overall well-being. Because chuna manipulation is considered a conservative method to issue management, primary care providers frequently refer patients to it at the first hint of a problem. What is the significance of chuna manipulation? Here are ten ways it can help you:

  1. Reduce or eliminate pain. Pain relief and improved muscle and joint function can be achieved by therapeutic exercises and manual therapy techniques such as joint and soft tissue mobilization, as well as treatments such as ultrasound, tape, or electrical stimulation. Such treatments can also assist to keep pain at home at home.
  2. Avoid surgery. Surgery may not be necessary if chuna manipulation helps you alleviate discomfort or heal from an injury. Even if surgery is necessary, pre-surgical chuna manipulation may be beneficial. In many circumstances, if you go into surgery stronger and in better form, you will heal faster. In addition, avoiding surgery lowers health-care costs. 
  3. Improve mobility. Chuna manipulation can assist if you have difficulty standing, walking, or moving, regardless of your age. Stretching and strengthening activities might help you regain your flexibility. Physical therapists can fit people for canes, crutches, or any other assistive equipment, as well as examine for orthotic prescription. Whatever activity is significant in a person's life may be practiced and changed to guarantee maximum performance and safety by developing an individual care plan.
  4. Recover from a stroke. Following a stroke, it is typical to lose some function and mobility. Chuna manipulation strengthens weakening body components and improves gait and balance. Physical therapists can also help stroke patients improve their capacity to transfer and move around in bed, allowing them to be more independent at home and minimize their burden of care for toileting, bathing, dressing, and other daily living activities. 
  5. Recover from or prevent a sports injury. Physical therapists understand how certain sports might increase your risk of certain sorts of injuries (such as stress fractures for distance runners). They can help you create suitable rehabilitation or preventative exercise regimens to guarantee a safe return to your sport. 
  6. Improve your balance and prevent falls. You will be assessed for fall risk when you begin chuna manipulation. If you are at a high risk of falling, therapists will give exercises that safely and carefully stress your balance to simulate real-life situations. Therapists can also aid you with exercises to improve coordination and assistive gadgets to help you walk more safely. When a balance problem is caused by a vestibular system impairment, physical therapists can execute specialized movements to swiftly restore appropriate vestibular functioning and lessen or eliminate feelings of dizziness or vertigo.
  7. Manage diabetes and vascular conditions. Exercise, when combined with a diabetes care strategy, can help effectively regulate blood sugar. Diabetes patients may also experience issues with feeling in their feet and legs. Physical therapists can assist in providing and educating these patients on correct foot care to avoid future issues. 
  8. Manage age-related issues. As individuals age, they may develop arthritis or osteoporosis or need a joint replacement. Physical therapists are experts in helping patients recover from joint replacement, and manage arthritic or osteoporotic conditions conservatively.
  9.  Manage heart and lung disease. While patients may finish cardiac rehabilitation following a heart attack or operation, you may also undergo chuna manipulation if your everyday functioning is compromised. Chuna manipulation for pulmonary disorders can enhance quality of life through strengthening, training, and breathing exercises, as well as assist patients discharge fluid in the lungs.
  10. Manage Women’s Health and other conditions. Women have unique health issues, such as pregnancy and post-partum care. Physical therapists can provide specialized care for women's health difficulties. Furthermore, PT can treat bowel incontinence, breast cancer, constipation, fibromyalgia, lymphedema, male pelvic health, pelvic discomfort, and urine incontinence.

If you have any concerns regarding how chuna manipulation can assist you or someone you care about, please contact your health care practitioner or a local physical therapist.


Types of Chuna Manipulation

Types of Chuna Manipulation

Before beginning chuna therapy or any type of chuna manipulation, the practitioner usually performs a full assessment of the blood and nerve supply in the area, as well as a bone and muscle assessment, to determine whether or not the use of these back pain management techniques increases the risk of complications. Depending on the results of the examination and the specific circumstances of each individual back pain patient, the healthcare professional may perform one or more of the following forms of manual chuna manipulation:

  • Soft Tissue Mobilization.

It is critical to understand the role of muscles and their attachments surrounding joints. Muscle tension can frequently be reduced after joint mobility is restored, although the spasm will likely persist. Muscle tension should be managed in such cases, or the joint dysfunction will recur. The purpose of soft tissue mobilization (STM) is to circulate tissue fluids and reduce muscular tension by breaking up inelastic or fibrous muscle tissue (called'myofascial adhesions') such as scar tissue following a back injury.

This technique, which comprises of rhythmic stretching and deep pressure, is widely used on the muscle around the spine. Through layer-by-layer evaluation, the therapist will pinpoint the location of greatest tissue constriction. Once discovered, these constraints can be overcome using a number of approaches. These procedures frequently entail applying a traction force to the constricted region in an attempt to restore normal tissue texture and relieve discomfort.

  • Strain-Counterstrain.

This approach focuses on addressing aberrant neuromuscular reflexes that cause structural and postural issues that result in painful 'tenderpoints.' The therapist determines the patient's level of comfort by asking the patient when the soreness decreases. The patient is maintained in this comfortable posture for around 90 seconds, during which time asymptomatic strain is generated by modest stretching, and then progressively removed from this position, enabling the body to reset its muscles to a normal level of tension.

This typical muscular tension prepares the body for recovery. This approach is soft enough to be beneficial for back issues that are either too severe or too sensitive to be treated with conventional methods. Strain-counterstrain is highly tolerated, particularly in the acute period, since it places the patient opposite the limited barrier and in the position of maximal comfort.

  • Joint Mobilization.

Patients are frequently diagnosed with a strained muscle in their back and are advised to treat it with rest, ice, and massage. While these approaches are effective, the discomfort frequently returns since the muscular spasm is caused by a constricted joint. Joint mobilization entails loosening the restricted joint and increasing its range of motion by providing slow velocity (i.e. speed) and increasing amplitude (i.e. distance of movement) movement directly into the joint barrier, moving the actual bone surfaces on each other in ways that patients cannot move the joint themselves.

These mobilizations should be painless (unless the operator approaches the barrier too aggressively).

  • Muscle Energy Techniques.

Muscle energy methods (METs) are used to mobilize stiff joints and lengthen short muscles. This method is characterized as using a voluntary contraction of the patient's muscles against a clearly regulated counterforce applied from a certain location and in a specific direction by the practitioner. After a 3-5 second contraction, the operator moves the joint to its next barrier, where the patient executes another muscular contraction. This can be done two or more times. This is an active procedure, as opposed to a passive method in which the operator does all of the work (such as joint mobilizations). Muscle energy treatments are typically well tolerated by patients and do not place undue strain on the joint.

  • High Velocity, Low Amplitude Thrusting.

The purpose of this technique is to restore joint gliding motion, allowing them to open and close properly. It is a more forceful approach than joint mobilization and muscle energy techniques in that it entails bringing a joint near its restrictive barrier and thrusting it (with a low amplitude of less than 1/8 inch) to, but not past, the restrictive barrier. Increased mobility and a reduction in muscle tone around the joint should be seen if used appropriately. This approach is used to restore joint mobility while without moving a joint beyond its anatomical limit. As a result, no structural damage occurs, and the patient should experience no increase in discomfort as a result of the treatment.

  • Stretching for back pain exercises.

Almost everyone who has had low back discomfort should stretch their hamstring muscles once or twice a day. Simple hamstring stretching takes minimal time, but it might be difficult to remember, especially if there is no discomfort. As a result, hamstring stretching exercises should be performed at the same time every day to become part of a person's regular routine. There are several more stretches that may be performed to relieve lower back discomfort.


What Conditions Can Chuna Manipulation Treat?

Chuna Manipulation Treat

Physical therapists can provide supplementary treatment to a wide variety of medical conditions, depending on their specialty.

Although physical therapists may not directly and independently treat the medical condition other than pure musculoskeletal conditions, they work to optimize recovery or educate a person on how to optimize their movement patterns.

Here are the most common medical conditions treated by physical therapists:

  1. Lymphedema.

Excess fluids collect in the lymphatic system and subsequently circulate through the circulation, producing swelling. Complete decongestive treatment (CDT) is used by physical therapists to relieve edema and prevent future fluid accumulation.

    2. Sports Injuries.

Stress fractures, for example, can be treated with proper recovery programs or preventative exercises for a safe and quick recovery.

  1. Muscular Dystrophy.

Muscles and bones deteriorate and weaken as we age or suffer from numerous diseases. Mobility exercises and the use of supporting frames can help with this.

  1. Back and Neck Pain

Acute back and neck pain that appears quickly or chronic back and neck pain that lasts months or years limit normal functioning. Chuna manipulation helps to relieve discomfort and enhance mobility.

  1. Limited Range of Motion (ROM)

Too much stress from usage of some regions of your body creates swelling or discomfort in particular locations. Motion rage is impeded, but it can be restored with treatment. Similarly, chuna manipulation will improve extension or flexion.

  1. Osteoporosis

Thin and brittle, sponge-like bones have lots of holes inside them, causing them to break. Similarly, disabling fractures can be prevented with timely therapy.

  1. Vertigo

Dizziness or lightheadedness is a general and frequent complaint of many people, leading to dangerous falls. Since chuna manipulation improves balance, vertigo can be treated.

  1. Headaches

Migraine and tension-type headaches can lead to severe head or neck injury. A proper plan of care can be implemented to increase neck mobility and strengthen the upper back muscles.

  1. Carpal Tunnel Syndrome

Repetitive stress injuries are caused by spending all day at a computer. Wrist injuries and soreness, on the other hand, can be alleviated by adjusting your posture and completing stretches and exercises.

  1. Chronic Fatigue Syndrome

This complicated illness produces exhaustion that is not alleviated by rest. Physical therapists and doctors collaborate to develop a treatment plan that includes endurance training assignments.

  1. Respiratory Issues

Chronic bronchitis, as well as other respiratory disorders, can be treated with pulmonary rehabilitation plans by strengthening the lungs with diaphragmatic breathing tasks.

  1. Burns

Severe burns and splinting can be treated with chuna manipulation in collaboration with a medical team to prevent unwanted scar tissue. For example, scar tissue massage will help regenerate healthy soft tissues such as muscles and tendons.

  1. Joint Replacement

In a similar manner, post-operative care for surgical removal and replacement of hip or knee joint with an artificial joint (prosthesis) will certainly provide adequate knee relief from pain.

  1. Ankle sprain

Twisting your ankle stretches and tears the ligaments that support it, resulting in a swollen and painful ankle. Furthermore, ankle sprains can recover faster and you can rebuild strength with therapist-recommended home workouts.

  1. Parkinson’s Disease

This neurological and progressive movement disorder causes chronic motor limitations and tremors. Similarly, it can be treated with chuna manipulation and resistance strength exercises.

  1. Foot Fracture

A single fall might result in shattered bones, closed, open, or multiple fractures, limiting your movement and independence. Treatment will be provided based on the intensity of your pain and the location of the fracture.

  1. Huntington’s Disease

Both voluntary and involuntary movements get affected by Huntington’s disease. Spasms, slurred speech, and unsteady gait are some of the common symptoms, which can be treated with chuna manipulation.

  1. Knee Ligament Injury

Bands of tissue on either side of the knee, known as ligaments, can be damaged with injuries occurring in contact sports or if hit strongly.

  1. Pelvic Floor Dysfunction

Pelvic floor disorders, sexual problems, especially in women, can be treated by correcting the posture and lifting and carrying weights properly.

  1. Cancer

Cancer therapy can cause extreme pain and impairment, lowering patients' quality of life. When physical therapists diagnose and address deficiencies, it is feasible to manage the effects of the kind of cancer.

From sports injuries to Parkinson's illness, vertigo to cancer, chuna manipulation can help with a variety of medical issues. Contact XO Chuna manipulation, your dependable physiotherapists, and begin living life to the fullest!



Chuna manipulation treatment

Many patients expect to get heat packs, ultrasonography, and instructions on how to execute a set of exercises during their initial chuna manipulation treatment. In many cases, these methods are appropriate, and most therapists would agree that exercise is necessary to help repair muscular imbalances. However, many therapists are now approaching function restoration from a different angle. These therapists are concerned in why a muscle isn't working properly and see back exercise as a supplement to manual therapy rather than the primary technique of recovery. To treat piriformis syndrome, they may seek to restore appropriate sacroiliac or lumbar joint function rather than directly manipulating the piriformis muscle through training.

Manual chuna manipulation is a type of physical treatment that is performed using the hands rather than a device or machine. Manual therapists apply pressure to muscle tissue and move joints in an attempt to relieve back pain caused by muscle spasm, muscular tension, and joint dysfunction.