Manual Therapy

Manual Therapy: what approach is taken?

Manual therapy covers hands-on techniques that may be considered for certain musculoskeletal complaints. Each technique must be assessed individually against the condition it is intended to treat. After examination, the appropriate technique, the expected benefit, the risks and the relationship to exercise are discussed. These approaches should not be presented as an effective treatment for all conditions.

Areas of assessment and treatment

• Low back, neck and mid-back pain and postural disorders
• Assessment of movement, balance and coordination
• Supportive treatment for post-operative pain and adhesions
• Support in myofascial pain and sports injuries

What is assessed before hands-on treatment?

The cause of the pain, restriction of movement, neurological findings and the person’s preferences are examined. Fracture, marked bone fragility, recent trauma or the suspicion of another significant disease all affect the choice of treatment. The benefits and risks must be explained, particularly before spinal manipulation.

It is considered together with active movement

Manual techniques may be chosen in certain musculoskeletal complaints to support movement and pain management. Exercise and adjustment of activity may be needed to carry the relief obtained into daily life. Broad claims such as treating all diseases of the internal organs by hand should not be accepted as evidence for this approach.

What is assessed at the first consultation?

Your medical history, your current symptoms, the medicines you take and your needs in daily life are all discussed. You may share any previous investigations you have. Suitable options are considered together after the physician’s assessment.