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198 West 21th Street, Suite 721
New York, NY 10010
+88 (0) 101 0000 000
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Manual Therapy

As the name suggests, manual therapy is delivered by the hands of physiotherapists. These are specialized techniques mastered by physiotherapist to achieve desired results in functioning of human body. The techniques of manual therapy needs great precision as minor errors can have debilitating effects. The skill of manual therapy is developed over the years of practice. Some of the manual therapy techniques that has been practiced over years and have proved beneficial are soft tissue manipulation, massage, Maitland’s and Mulligan’s mobilization techniques, McKenzie, Cyriax manipulations, HVT, neural mobilization etc.


We at PAIN FREE PHYSIOTHERAPY CLINIC practice all of these techniques and lot of patients have benefited since the clinic was set up, rather, we would say manual therapy distinguishes us from other clinics. Dr. Roshan Jha (PT) is specialized in dealing with sports and orthopedic cases manually with least use of modalities. Contact us for any detailed information.

Manual 01

Maitland cervical mobilization

Manual therapy is skilled hand movements used to passively move the joints (intraarticularly) to increase the range of the joint and relief pain. It can be used to manipulate the soft tissue to improve tissue extensibility, break the adhesions within the muscle or inbetween the muscle and fascia, improve circulation, soft tissue relaxation and relief pain. Techniques of manual therapy can be used for lymphatic drainage, reduce swelling and release trigger points in muscles. Passive mobilization can be used to keep the joints moving to reduce the harmful effects of prolonged immobilization in bed ridden cases. Manual therapy techniques like gliding techniques in spine help in relieving pain and increase mobility. HVT (high velocity thrust) are used to relief facetal locking, mechanical faults and tissue restriction. Neural mobilization helps relief nerve related pain in cases like cervical and lumbar radiculopathy (sciatic). It prevents adherence of nerve along its bed while it’s compromised at one point i.e. entrapped. In modern time’s various manual therapy techniques like cranial and visceral osteopathy, dry needling, APBC etc have come up.

Manual 02

Neural mobilization (radial nerve mobilization)

Physiotherapists while implementing manual therapy should evaluate the patient properly to rule out whether manual therapy can be given to the patient or not. The selection or most appropriate technique is important to achieve the desired result in quick time interval. Manual therapy is done appropriately gives results at times in just one sitting.

Manual 03

Mulligan mobilization technique

The indications for manual therapy as discussed earlier can be summed up into –

  • Decrease edema,
  • Relief pain,
  • Relief spasm or swelling,
  • Increase the ability to move,
  • Prevent or remediate impairment in body functions and structures, activity limitations, or participation restrictions.
  • Enhance health, wellness, and fitness.
  • Enhance or maintain physical performance.
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