Spinal manipulation is a clinical tool used in practice at PTS for those patients would benefit from this method. Joint stiffness—a common condition and cause of pain—often is remedied with the use of spinal manipulation. For patients who qualify, it is a very powerful clinical tool to address joint issues. The physical therapists at PTS are fully certified in spinal manipulation methods through the Spinal Manipulation Institute. This certification has its basis on the model of spinal manipulation taught at the British School of Osteopathy. These methods are scientifically proven to be safe and effective.