Spinal manipulative therapy is one of the most commonly used and safest treatments for patients with spinal and joint pain/dysfunction. Spine related disorders will affect up to 80 percent of the American adult population at some point in their lives and approximately 30 percent of American adults at any given time. With today’s growing emphasis on treatment and cost effectiveness, manipulation is receiving much more widespread attention. Spinal manipulative therapy is an effective, safe and pain free treatment that assists in pain reduction and helps to restore biomechanical integrity. This ability to improve function of the spine or extremity without the use of surgery or drugs gives manipulation a central role in the conservative management of many types of pain.