Manipulation isn’t covered under Medicare and I don’t know if you’re in Medicare or not. I make sure I find a rehab PT place that does manual work manipulation. I also pay outside and go to a guy who does MFR deep myofascial tissue release. Each establishment is different and so you must question what is going on With them rather than with us. If it doesn’t make sense to you then have them explain it to you. I go to a place that does assessments periodically so they know if I’m having more pain or starting to heal. I have stuff that won’t heal, but I have stuff that will heal, and the trick is to know the difference at 67. I am a much slower healer than I was at 37.