For many physical therapists, it’s truly hands-on care. They use manual therapy techniques targeting soft tissues and joints to relieve pain, reduce inflammation, increase range of motion, and ease restrictions. Hands-on therapy also helps decrease swelling, improve overall health, restore body functions and structures, and maintain physical performance. Before starting any manual treatment, a physical therapist performs a thorough assessment of the bones, muscles, blood flow, and nerve supply in the affected area. Based on this evaluation, your therapist will select the most appropriate manual therapy techniques for your condition.

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Common Manual Therapy Techniques

Joint Mobilization
If you’ve experienced a pulled muscle in your neck or back, you’ve likely been told to try heat or ice, which may provide short-term relief. Joint mobilization, however, focuses on gently loosening restricted joints through slow, controlled movements that you can’t perform on your own, helping to restore normal joint function.

Strain-Counterstrain
This gentle technique addresses abnormal neuromuscular reflexes causing painful tender points. Your therapist will find a comfortable position for you and hold it for about 90 seconds, inducing a strain that alleviates pain. It’s especially helpful for acute back problems and is well tolerated by patients.

Soft Tissue Mobilization
Muscle tension can cause spasms and joint problems. Soft tissue mobilization works to break down fibrous tissue like scar tissue or adhesions around muscles, often near the spine. This involves deep pressure and rhythmic stretching, with the therapist carefully assessing each layer to target the affected area. Sometimes, traction is also applied to enhance healing and restore movement.

High Velocity, Low Amplitude Thrusting
This more advanced technique aims to improve joint mobility by delivering a quick, controlled thrust at the joint’s restrictive barrier, without exceeding anatomical limits or causing pain. It effectively increases your range of motion, helping you move more freely.

Muscle Energy Techniques
In this active approach, you contract a muscle voluntarily against gentle resistance provided by the therapist. This helps lengthen shortened muscles and mobilize restricted joints. It’s generally well tolerated and tailored to your comfort.

Combining Manual Therapy with Exercise

Manual therapy is most effective when paired with a customized exercise program. This usually includes strengthening exercises, stretching, and low-impact aerobic conditioning. Your physical therapist will guide you through these exercises during sessions and provide a home routine to support your progress. Together, hands-on therapy and exercise can reduce pain and restore your range of motion.

If pain or limited mobility is interfering with your daily life, a physical therapist can be your key to recovery. Contact us at Greenwood, IN center to schedule a consultation and comprehensive evaluation. Our certified and experienced physical therapists have helped many patients get back on their feet—and we can help you too.