What are some absolute contraindications for manual therapy?

• A. Osteoporosis
• B. Nerve root compression with increasing neuro deficits
• C. Muscle strain
• D. Rheumatoid arthritis

Answer: (B)

Nerve root compression with increasing neurological deficits is indeed an absolute contraindication for manual therapy. This condition suggests that there is significant compromise to the neural structures, and further manipulation or mobilization could potentially exacerbate the situation, leading to more severe neurological impairments or irreversible damage.

When there is active compression of the nerve roots, symptoms such as increased pain, weakness, or sensory changes may be present, indicating that manual therapy techniques, which often involve passive movements or loading of the spine, could aggravate the underlying condition. In such cases, it is critical to prioritize the protection of the nervous system and seek alternative interventions that do not involve direct manipulation of affected areas.

In comparison, osteoporosis, while a significant concern, can sometimes be managed with gentler techniques and precautions in place. Similarly, muscle strains may benefit from various therapeutic interventions. Rheumatoid arthritis may require careful consideration, but it is not an absolute contraindication unless the disease is acute and severely active. Thus, nerve root compression with increasing deficits stands out as a clear contraindication due to the risk of worsening neurological status.