Book excerpt: The new edition of this popular book continues to present the latest scientific evidence for the successful use of the high velocity low amplitude (HVLA) thrust technique. Prepared in a readily accessible, amply illustrated format, this book is designed to equip practitioners with a detailed understanding of the underlying basis of the HVLA thrust technique and the best means to safely employ it in the effective management of a range of disorders of the spine and pelvic regions. The book is arranged in three sections to maximise understanding of what can be challenging areas to comprehend and effectively manage. Section One explores the biomechanics of movement and forces between adjacent vertebrae followed by a discussion of positioning and 'locking'. These chapters are then followed by a discussion about safety with particular reference to the management of the cervical spine. A chapter on evidence – and what represents good medical evidence – concludes. Section Two presents – using an ample array of clear photographs and useful summary boxes – over 40 HVLA techniques ranging from the atlanto-occipital joint (C0-C1) to the coccyx. Section Three concludes with treatment failures (often, technique derived) and analysis. Prepared by authors of international renown - and now with an associated website containing over 45 minutes of useful film footage - this book will be ideal for all manual therapy practitioners dealing with the management of the spine and pelvic areas. - Presents the scientific basis of the HVLA thrust – one of the oldest and most commonly used manipulative techniques available - Provides an accessible synthesis of the latest evidence for the effective use of the HVLA thrust - Clearly explains coupled motion and describes the latest scientific research in this area - Presents over 250 photographs, and 60 minutes of film on an associated website - Contains a detailed discussion regarding patient safety - Presents a comprehensive discussion surrounding treatment failures - Well illustrated and clearly written for easy understanding - Advises readers with regards to safe patient selection – particularly important for the management of the cervical spine - Suitable for both the novice and expert readerships - 2-colour throughout with over 30 new images - Clinical history, presentation and examination for patients presenting with cervical artery dissection - Addresses the important issues surrounding patient consent - Additional research and guidelines that support the: - use of HVLA thrust techniques - use of spinal manipulation in the treatment of radiculopathy, pregnant women and children