Seljaajust

Seljaajust is a term used in Estonian-language sources to describe a manual therapy approach focused on the spine. It encompasses techniques intended to adjust alignment of the thoracic and lumbar regions, with goals including pain relief, improved mobility, and postural support.

Etymology and usage: The name combines selja, meaning back, with ajust, a term used in clinical Estonian to denote adjustment or correction.

History: The concept emerged in the late 20th century within Estonia and surrounding regions as part of broader manual-therapy practices. It is discussed mainly in professional and alternative-medicine texts rather than in mainstream medical journals.

Practice: Techniques commonly described include spinal palpation, gentle mobilization, soft-tissue techniques, and patient-specific exercises. Sessions may last 20 to 60 minutes, and treatment plans are tailored to individual conditions. Clinicians typically screen for contraindications such as osteoporosis, recent trauma, or neurological symptoms; high-velocity thrusts are explicitly cautioned or avoided in many guidelines.

Efficacy and safety: Evidence for seljaajust is limited and mixed. Some studies report short-term pain relief or mobility gains, while others find no superior benefit to conventional care. Safety depends on practitioner training and technique, with rare but serious risks following improper spinal manipulation noted by critics.

Relation to other therapies: It is discussed alongside physical therapy, chiropractic care, and other manual therapies, and is considered by some practitioners as part of a broader approach to conservative back care.