MANUAL THERAPY

Manual Therapy

Manual therapy is a hands-on treatment by clinicians to treat muscle aches, joint pain, and limited range of motion. It encompasses a variety of techniques including soft tissue mobilization of muscles, specific joint mobilization, and joint manipulation.

Notable Forms of Manual Therapy

1

Manipulation is the application of a rapid force into a joint(s). Manipulation is often associated with an audible popping sound called cavitation.

2

Mobilization is a slower, more controlled process of articular and soft-tissue stretching intended to improve joint mobility.

3

Massage is typically the repetitive rubbing, stripping or kneading of muscle and fascia tissues to facilitate healing.

Examples of Manual Therapy Treatment

Myofascial Release

(Also known as trigger point therapy) - a hands-on technique used to break up and release irritable bundles of soft tissue that can cause pain and limited range of motion.

Soft Tissue Mobilization

The use of gentle, slow, passive movements or gentle pressure to break up and relax tense, fibrous muscle tissue.

Strain-counterstrain

Designed to relax spastic muscles by holding a specific position, typically for 90 seconds, and then gently pulling away from it to restore mobility and decompress tissue.

Instrument-assisted soft tissue mobilization (IASTM)

Involves the use of ergonomically designed hand-held instruments that physical therapists use to identify and break down soft tissue adhesions, including excessive scar tissue to restore full function. Examples of IASTM techniques include Graston Technique, HawkGrips, Sound Assisted Soft Tissue Mobilization (SASTM) and Fluid Motion Soft Tissue Tools (FMST).

Joint Mobilization

Similar to soft tissue mobilization, joint mobilization involves the use of gentle, slow, passive movements to activate joints for the purpose of restoring motion and reducing pain and muscle spasms.

Joint Manipulation

Stretching and manipulating major joints (including the elbow, knee, pelvis, back and neck) for the purpose of loosening adhesion and freeing the joint to increase mobility and reduce pain.

Muscle Energy Techniques (METs)

A broad class of manual therapy techniques commonly used by physical therapists and other healthcare practitioners to increase range of motion, muscular hypertonicity (abnormally rigid muscles that hamper movement), and reduce pain.

Additional Information

Manual therapy has been proven to be an important part of an overall conservative treatment plan for a variety of conditions including:


  • Adhesive capsulitis
  • Shoulder impingement
  • Shoulder stiffness/limited range of motion
  • Tennis elbow
  • Golfers elbow
  • Pinched nerves
  • Limited joint range of motion
  • Capsule tightness
  • Postsurgical stiffness
  • Much more

Manual therapy is typically part of a complete treatment plan that is customized for your specific needs. Give us a call to learn how we can incorporate manual therapy into your rehabilitation program.

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“No man has the right to be an amateur in the matter of physical training. It is a shame for a man to grow old without seeing the beauty and strength of which his body is capable.”

- Socrates

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