Dr. Gilbert is highly trained in spinal and extremity manipulations and mobilizations, which can increase motion to the joints and decrease pain. A manipulation, which is normally but not always applied to the spine, utilizes a quick but gentle maneuver, to enable movement in joints with decreased range of motion, thereby decreasing pain. Joint mobilization is a similar to manipulation, but is used in different conditions. It is not as quick as a manipulation, but it is still effective at increasing motion in joints with limited range of motion.