Manual therapy

The hands-on part of physiotherapy: joints mobilised, soft tissue worked, movement restored by touch.

What it involves

Manual therapy covers the techniques a physiotherapist performs with their hands: mobilising stiff joints through their range, manipulation where it is appropriate, and soft-tissue work on muscles, tendons and fascia. It is precise work: the point is a specific joint or tissue, not a general rub-down.

What it is commonly used for

  • Stiff, painful joints: neck, lower back, shoulders and ankles most often.
  • Muscle tightness that keeps pulling a problem back after exercise alone.
  • Restoring movement after injury or immobilisation, alongside a loading program.

Where it fits

Manual therapy usually gives symptom relief and a movement window; exercise therapy then builds the strength that keeps the change. Most plans use both. Whether manual techniques suit your problem is an assessment decision: some conditions respond well, others need a different approach, and your physiotherapist will say which is which.

General information, not a diagnosis: whether this treatment suits you is decided at your own assessment with a registered physiotherapist.

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