Results from clinical studies [3–6] do show promise for the use of manual approaches in the treatment of CGD. The underlying mechanism for the efficacy of manual therapy includes stimulation of cervical proprioceptors and normalization of the afferent input [14]. It must be emphasized that manual therapies should be applied with great caution in patients with CGD. Ruling out neurovascular aetiologies is of utmost importance before starting the manual therapy to prevent any untoward events in CGD.
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