Manual Therapy
Manual Therapy: A Hands-On Approach to Pain
We receive many first-time physical therapy patients who come in thinking their treatments will be painful, uncomfortable, or even agonizing due to the condition they are in. However, that is not the case at all!
Are you suffering from pain as a result of injury, illness, or surgical procedure? If so, it is likely that you would benefit from manual physical therapy – a comfortable and effective way of treating pain.
At Optimus Health Center, our physical therapists in Jefferson City, Dandridge and Morristown, TN have several tools in their arsenal that are meant to relieve your pain, while simultaneously improving your body’s function.
Manual therapy – defined
Manual therapy is just one tool in a physical therapist’s kit that allows them to mobilize stiff joints and soft tissue. This specialized form of treatment helps in reducing swelling, decreasing restriction, mobilizing joints, and increasing your range of motion.
Our physical therapists have received extensive training in specialized manual therapy techniques from a wide variety of schools and instructors.
How can manual therapy treat pain?
Our physical therapists are highly trained in diagnosing and treating movement disorders. These disorders often occur following surgery, especially if a patient has undergone total joint replacement. However, many physicians will also prescribe physical therapy treatments for injuries, accidents, or illnesses – essentially, anything that makes you feel weak and unable to function at your normal physical levels.
Your treatment plan will likely include several different therapies, all aimed at helping a specific function of your body. Some exercises may focus on improving your balance and strength, while others may focus on increasing your range of motion. Manual therapy is a crucial part of a treatment plan, as it helps to reduce pain and swelling, minimize inflammation, and increase range of motion.
Is manual therapy safe?
Yes! One of the greatest aspects of manual therapy is that it is non-invasive. It also doesn’t require any harmful medications. Instead, our physical therapists use a variety of techniques that help move your tendons, ligaments, and joints in ways that relieve pain and promote healing. They also help in reducing scar tissue and minimizing swelling.
Our physical therapists are highly trained medical professionals who understand the limitations of your body, as well as its capabilities. In fact, many patients notice improvement after just one session of manual therapy!
Common types of manual therapy
Physical therapy techniques may include, but are not limited to:
Joint Mobilization
You have hundreds of joints in your body, which come in a variety of types and sizes (such as a “hinge joint” in your elbow, a “ball and socket joint” in your hip, or a “saddle joint” in your thumb). Joints, formed by the articulating surfaces of two or more bones, depend on a combination of both stability and mobility in order to help you function efficiently and comfortably. Importantly, joints are supported by a wide variety of physiological structures including capsules, ligaments, tendons, cartilage, and muscle fibers, all of which can become injured and potentially benefit from physical therapy services, including a service known as joint mobilization.
Joint mobilization is a type of manual therapy performed here at our physical therapy clinic. It involves the passive movement of specific joints using the skilled application of force, direction, and technique. A physical therapist can use his or her hands to mobilize an affected joint, or may elect to use certain tools, including straps, to help deliver the desired treatment effect.
The specific type, magnitude, speed, and frequency of joint mobilization performed depends on several factors, including the goal of treatment, the type of joint being targeted, and even your own unique anatomy. The primary effects of joint mobilizations include pain reduction, improved range of motion, and improved quality of joint movement itself (known as arthrokinematics).
What conditions can benefit from joint mobilization?
Sometimes, a joint can become irritated, swollen, or misaligned as a result of injury, stress, poor posture, repetitive movement, or even as a result of age-related wear and tear. When this happens, the joint may not move correctly and become stiff and painful. Nearby structures including muscles, tendons, and ligaments may become tense or injured as a compensatory effect of trying to support or stabilize the injured joint. This can lead to muscle weakness or even impingement and damage to nearby nerves.
Joint mobilization isn’t appropriate for all patients, and our skilled and experienced physical therapists can determine if it’s right for you or a loved one. Specific conditions which our physical therapy team successfully manage with joint mobilizations include:
- Arthritis (especially of the shoulder, spine, elbow, hip, and knee)
- Rotator cuff tears and sprains
- Adhesive capsulitis (frozen shoulder)
- Medial or lateral epicondylitis (golfer’s or tennis elbow, respectively)
- Ankle sprains
- Sciatica and other types of nerve impingement syndromes
- Facet joint locking and other types of spinal misalignments
- Whiplash
Joint issues are often the hidden underlying factors driving other types of injuries and ailments including muscle strains, ligament damage, and bursitis, so this is why we strongly encourage you to consult with a physical therapist with any type of acute or chronic dysfunction. Your joints could be contributing to your pain without you even realizing it!
What should I expect during a joint mobilization treatment with a physical therapist?
If you come to see a physical therapist at our clinic with acute or chronic joint pain, then you can first expect to be thoroughly examined on an initial examination. We’ll be assessing and evaluating everything from your range of motion, strength, coordination, pain level, posture, and even relative tissue tension and feel in order to help us devise an accurate diagnosis. Based on our exam findings, as well as the information we glean from questioning you about your current and past medical history, we’ll be able to devise a customized treatment plan to meet your unique needs. Since joint mobilization techniques have been shown to be effective for a variety of conditions, we very well may decide to implement this type of manual therapy in your plan of care.
To prepare for a physical therapy session with joint mobilization, be sure to wear comfortable and loose-fitting clothing. Your therapist will need to be able to see or at least easily palpate (feel) the specific joint he or she is mobilizing (keeping in mind of course, that your privacy and comfort is of utmost concern to our staff). Your physical therapist will be sure to offer you clear details on how to sit or lie during the session, what you should expect to feel, as well as what to do following your session in order to maximize effects and prevent recurring pain or dysfunction. To complement and optimize the effects of joint mobilizations, we’ll also instruct you in additional services which may include therapeutic exercises for strengthening and range of motion, modalities, and postural and neuromuscular retraining.
When you experience severe pain after sustaining an injury, it is usually the result of a restricted joint. Our physical therapists are specially trained in mobilizations to restricted joints by applying pressure at a low velocity. Mobilization techniques are safe, effective, and painless, allowing for an increase in your range of motion, and the improvement of the restricted joint mobility.
Soft Tissue Massage
Physical therapy massage treatments are a little different than those you might see at a spa. These are more therapeutic in nature, and with a medical intention. Our physical therapists use massage treatments as a way to manipulate the soft tissues, working to break up scar tissue and adhesions caused by inflammation or injury. This is done through deep pressure and rhythmic stretching, allowing them to find and mobilize areas of your body that are heavily restricted. These techniques also help to improve blood flow and circulation of the affected muscles and soft tissues.
Manual traction
When our physical therapists perform manual traction, they will apply gentle force to a certain area of the body, in order to gently stretch the soft tissues and restore normal, natural movement. While the neck is the most common area for manual traction, it can also be performed on other parts of the body, including the arms, legs, and back.
Relieve your pain with manual therapy today
If you are interested in gaining the many benefits of manual therapy, contact or schedule an appointment at Optimus Health Center in Jefferson City, Dandridge or Morristown, TN today! Our dedicated physical therapists will be happy to meet with you and get you moving once again.
