Key Techniques in Manual Therapy

1. Joint Mobilization & Manipulation

• Purpose: Improves joint movement, reduces stiffness, and realigns structures.

• Techniques:

  • Low-velocity mobilization – Gentle, repeated movements to increase range of motion.

  • High-velocity manipulation (adjustments) – Quick, precise thrusts to realign joints (common in chiropractic care).

2. Soft Tissue Mobilization (STM)

• Purpose: Releases muscle tightness, adhesions, and trigger points to improve flexibility.

• Techniques:

  • Myofascial Release (MFR): Slow, sustained pressure to stretch fascia and reduce restrictions.

  • Trigger Point Therapy: Direct pressure on tight muscle knots to relieve tension.

  • Cross-Friction Massage: Helps break down scar tissue and improve healing in tendons/ligaments.

3. Muscle Energy Techniques (MET)

• Purpose: Uses active patient participation to improve joint function and flexibility.

• How it Works:

  • The patient gently contracts a muscle against resistance, then relaxes while the therapist stretches the muscle.

  • Effective for postural imbalances and mobility restrictions.

4. Manual Traction

• Purpose: Gently stretches the spine or joints to reduce pressure on nerves and discs.

• Types:

  • Cervical traction: Relieves neck tension and disc compression.

  • Lumbar traction: Helps with lower back pain and sciatica.

5. Lymphatic Drainage Massage

• Purpose: Helps reduce swelling and improve circulation by encouraging lymphatic flow.

• Common in: Post-injury recovery, post-surgical swelling, and chronic conditions like fibromyalgia.