Earlier this year I attended an eight day Spinal Manual Therapy certificate course, run by Manual Concepts. Manual Concepts are well known and respected in the physiotherapy field due to the volume of research they put out and their role in changing the field of physiotherapy. They also run a manual therapy course which physiotherapists used to refer to as a ‘manips’ masters. (A manip or manipulation is a high velocity mobilisation of the joint, typically causing that ‘crack’). But perhaps we should change the name in our minds. As a skilled, patient specific treatment, when performed to its best