After an anamnesis and a thorough examination the naprapath combines manipulation and mobilization with Naprapathic soft tissue tecniques. Initially, the treatment is concentrated on decreasing pain and re-establishing the function in the neuromusculoskeletal system. Thereafter, the naprapath analyses and adjusts possible anticipatory reasons, like for instance, muscular unbalance or shortages in the working environment. The latest mentioned is made by individually adapted training programs and ergonomic advice. In some cases, analyse of the work place is made.