I take this opportunity to express my gratitude to those who have assisted me with this book. First of all, I thank my teacher Dr.S.M.Tuli, Professor and Head of the Department of Orthopaedics, Institute of Medical Sciences, Varanasi, who guided and encouraged me. Though we often in our thinking, we were imbued with the common objective of relieving suffering.

I am thankful to George W.Northup, Editor, Journal of the American Osteopathic Association, for his advice. I thank my friend Dr.Claude S.Dutton, LRCP,MRCS,DA,LLCO, who made his collection of world wise publications on osteopathy available to me. My gratitude to Dr. Thomas G.Dummer , DO, a believer in the use of specific and less force during manipulation for better results, and Dr Jamshed P.Randeria, LLCO, for acquainting with thee orthopaedic developments in UK.

A special thank you to my father Vithal Das Modi without whose encouragement and guidance this work would not have been possible. My gratitude to my wife Usha whose endurance, untiring co-operation and support helped to make this book a reality. A big thank you to my patients who put their firm belief in treatment by manipulation. And last, but not the least , I extend my appreciation to all those who by word and deed are helping osteopathy to get a firmer footing in this country.