Spinal manipulation, also known as spinal adjustment, is a hands-on manual therapy technique used to restore joint mobility, reduce pain, and improve overall function. It involves applying a controlled, high-velocity, low-amplitude thrust to specific spinal joints, often resulting in an audible “pop” due to gas release within the joint. This technique is particularly effective for treating conditions such as low back pain, neck pain, and joint stiffness by reducing muscle tension, enhancing circulation, and promoting proper spinal alignment. Spinal manipulation can help improve mobility and nervous system function, making it a valuable tool in physical therapy for patients experiencing musculoskeletal dysfunction. When performed by a trained professional, it is a safe and effective treatment option that complements other therapeutic interventions such as exercise, soft tissue mobilization, and postural training.