Now in its fourth edition Manipulation of the Spine, Thorax and Pelvis continues to support the practitioner in acquiring and refining their skills on safely using high-velocity low-amplitude (HVLA) thrust techniques. This trusted and highly visual resource - now with 275 images and access to a website with 56 'technique' videos - advocates an approach that uses minimal leverage to achieve a cavitation in a safe, comfortable and effective manner. The new edition addresses the important issues surrounding patient consent and discusses safety issues in the broader context of relative risk. New sections include appropriate use of manipulation when treating radiculopathy and musculoskeletal conditions in pregnant women and children. It also further encourages the practitioner to reflect on how they are performing manipulative techniques and thus focus on improving their skills. Step-by-step coverage of 41 commonly used manipulation (HVLA) thrust techniques supported by 275 photographs/drawings and 56 videos Concise technique summaries provide an innovative review process A troubleshooting section in which difficulties with technique application can be addressed Comprehensive review of spinal kinematics and spinal positioning for manipulation techniques Examines evidence relating to cavitation and the clinical effectiveness of spinal manipulation 2-colour throughout with over 30 new images Clinical history, presentation and examination for patients presenting with cervical artery dissection Addresses the important issues surrounding patient consent Additional research and guidelines that support the: use of HVLA thrust techniques use of spinal manipulation in the treatment of radiculopathy, pregnant women and children