Manual medicine aims at diagnosing and treating different disorders of the musculoskeletal system. It is a multidisciplinary approach with special emphasis on reversible disorders of the joints, muscles and ligaments. The treatment conception includes chirotherapy, physical therapy and drug treatment. The spine, and in particular the cervical spine, is treated primarily for joint disorders characterized by a variety of symptoms (e.g. headache, vertigo, dizziness, blurred vision). Manual medicine should be an integral part of modern clinical otolaryngology.