Structural techniques

What are structural techniques?

These are direct techniques, acting on the joint lesion itself.
We talk about structural because the osteopath will mobilize the bone structure. He will correct the lesion directly.

Principle of treatment:

Also called HVLA techniques (high velocity low amplitude). The osteopath will tension the joint and perform a small amplitude and rapid movement to release the joint. It is possible, but not necessarily, to hear a noise (creak) during the maneuver.

It is possible in this type of techniques to add parameters (breathing, compression, distraction, ...) that will promote the release of the joint.

The osteopath after doing tests, performs the maneuver very precisely, within the physiological limits of the joint and must not force beyond.
It can be unpleasant but it must not be painful.

These techniques are often used at the vertebral level. The applied movement will have an action on the neurological system and cause a reflex that more or less quickly will increase joint mobility and reduce pain.


For whom is this treatment?

These techniques will therefore be beneficial for correcting joint damage.
They may be indicated for adolescents and adults who do not have the following pathologies:

  • Rheumatological pathologies (rheumatoid arthritis, ankylosing spondylitis, spondylolistésis, ...),
  • Congenital bone malformations (spina bifida, semi-vertebra, sacralization, ...),
  • Tumors (benign or malignant),
  • Infectious diseases,
  • Osteoporosis,
  • Cardiovascular disorders (high hypertension, arteriosclerosis, circulatory disorders of the base of the skull, aneurism of the aorta, ...),
  • Fractures, muscle or ligamentous tearing, dislocations, herniated discs, ...

They are not indicated in babies and young children, pregnant women, the elderly.

Elfie Prissette
Elfie Prissette

Osteopath graduated from the Institut Dauphine d'ostéopathie

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