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Manual therapy

Within the physiotherapy profession, manual therapy is defined as a clinical approach utilizing a skilled technique. This specific hands-on technique can be used for diagnosing and treatment of  pathologies. Pathologies usually involve the musculo-skeletal or neural system.

Manual therapy requires vast knowledge of anatomy of human skeleton, muscles and  neural tissues and also functional anatomy of these structures. And, it requires complex and  extensive clinical reasoning skills and experience  along with the knowledge of application of  different manual therapy techniques. A physiotherapist can choose to use one or more of these techniques at the time.

Main categories of  manual therapy can be classified as mobilization of joints, neural tissue and soft tissue , manipulation and deep tissue massaging. Mobilization  can be done passively or actively with cooperation of the patient. Manipulation is applied only when it is necessary with consent provided by the patient.

With manual therapy, the aim is to reduce  pain, increase mobility  in the spine or in other joints,  reduce or  eliminate soft tissue inflammation, induce relaxation, improve tissue repair, extensibility, and/or stability and  function.

It may be used for a wide range of problems, including low back pain; neck pain and injuries; hip, knee, ankle and foot problems; post-surgical conditions; hand, wrist, elbow and shoulder problems; and injuries caused by accidents.


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