Q. Are there different kinds of Chuna manual therapy?

There are two broad strands: setting a joint that is out of place, and addressing the soft tissue (muscle, fascia, ligament) that holds that joint.

It is applied by region as follows.

• Pelvis and lower back — a back suddenly put out, chronic low back pain, lumbar sprain, lumbar disc, flat back, rounded back, a twisted pelvis, sciatica, scoliosis, spinal stenosis, spondylolisthesis
• Jaw joint and skull — jaw pain and noises, difficulty opening the mouth, facial asymmetry, headache, trigeminal neuralgia, torticollis
• Neck and shoulder — neck and shoulder pain, shoulder blade pain, trapezius pain, cervical disc, flat neck and forward head, frozen shoulder, rotator cuff tear
• Joints by region — arthritis and joint pain, osteoarthritis, joint instability, carpal tunnel syndrome

For example, if the cause for someone who comes in with low back pain lies in a difference in leg length, treatment to even out the leg length has to go alongside, rather than concentrating only on settling the low back pain.