Manual Therapy encompasses the diagnosis and treatment of the ailments of various etiologies through hands-on intervention. Manual Therapy is practiced by people within various health care professions, including Physiotherapists, Physical Therapists, Massage Therapists, Occupational Therapists, Chiropractors, Osteopaths, Physiatrists and more. Manual Assessment uses a variety hands on tests to determine which structure may be responsible for the pain or dysfunction being assessed. Treatment includes all the means of hands on work and could include, but is not limited to, soft tissue mobilization, various connective tissue techniques, myofascial release, craniosacral mobilizations (developed by cranial osteopaths, including Harold I Magoun), mobilizations of the joints and spinal segments, mobilization of neural tissue, visceral mobilization, strain and counterstrain (developed by Lawrence Jones, DO), advanced strain and counterstrain for the autonomic nervous system (developed by Sharon W. Giammatteo and Thomas Giammatteo) and Integrative Manual Therapy (developed by an American PhD Physical Therapist, Sharon W. Giammatteo). Correctly applied, these techniques often result in dramatic improvement of the patient's signs and symptoms.
Patients who could afford to pay for testing and did not want to indicate their chemical dependence would inform a doctor that they were going on a trek in some physically taxing geographical location and that medical testing was required to participate.
A growing number of individuals question whether prohibition is the greatest harm of all while a greater number of persons are calling for a harm reduction philosophy wherein the minimalization of the level of harm to drug users and society is viewed as a priority over any immediate requirement of abstinence.
The terms "therapy" and "initiation" are used, as ibogaine is available in paradigms that include religious initiation, treatment for chemical dependence and administration for psychotherapeutic or "exploratory" purposes.
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