Manual Therapy Brielle, Sea Girt & Manasquan, NJ

Manual Therapy

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 I’ve been plagued by multiple orthopedic problems throughout my adult life, including chronic low back pain, knee pain, heel spurs and plantar fasciitis. I am also a physical therapist, but was unable to diagnose and treat myself. My pains impacted my ability to bend, kneel and squat with my patients and I could no longer run or do mud races due to my pain. My doctor referred me to Dr. Luke at Coast Rehab and in just 2 sessions I was able to bend over and touch my toes – something I haven’t done in over 20 years. After 4 sessions I have no knee pain or foot pain and my back is no longer stiff in the morning. I can squat, kneel and bend at work with no pain as well. If you’re suffering from pain that is impacting your life, both personally or professionally, come see Dr. Luke at COAST Rehab!

What Is Manual Therapy?

Manual therapy is a treatment method used by physical therapists to treat musculoskeletal pain.  It often includes joint mobilizations and manipulation, soft tissue work to muscles and fascia, and massage. Manual therapy is a hands-on techniques to increase the range of motion, treat joint structures, reduce pain, reduce inflammation and enhance healing. There are many different styles and methods of manual therapy used by physical therapists.

 

The Types of Manual Therapy

Often, patients are instructed to treat pulled muscles with rest and massage. These methods work well, but it is likely that the pain will return. That’s because the pain and muscle spasm are a result of a restricted joint. Joint mobilization used by physical therapists loosens up the restricted joint by applying slow velocity and increased amplitude. This type of manual therapy actually applies movement to the barrier of the joint. Joint mobilization is painless.

Soft tissue mobilization is used by physical therapists to break up fibrous muscle tissue and is often applied to the musculature surrounding the spine. This method of manual therapy entails rhythmic stretching and deep pressure. The therapist localizes the area of the greatest tissue restriction and begins to mobilize it with specific techniques, such as Instrument Assisted Soft Tissue Mobilization.

Joint Manipulation is a high velocity, low amplitude thrusting technique that entails taking a joint to its restrictive barrier and actually thrusting it. This technique is used for the restoration of joint motion and does not move a joint beyond its normal anatomical limit. Although it is a more aggressive type of manual therapy, it does not cause pain.

The strain-counterstrain method focuses on fixing abnormal neuromuscular reflexes that cause both postural and structural issues. The physical therapist will locate the patient’s position of comfort and hold that position for approximately 90 seconds. When holding, an asymptomatic strain is induced through stretching. The patient is then brought out of this position. This allows for a resetting of the muscles and sets the muscles for healing. It’s a gentle technique that is commonly used for back problems.

Muscle energy techniques (METs) are procedures used to lengthen shortened muscles and mobilize restricted joints. During this procedure, the patient’s muscles are voluntarily contracted against a controlled counterforce applied by the physical therapist from a specific direction. After the contraction, the joint is taken to its new barrier. This is an active procedure technique in which the patient participates and is well-tolerated.

 

How Manual Therapy in Physical Therapy Helps

Before any physical therapist initiates manual therapy, a full assessment of the source of pain and dysfunction is performed. The physical therapist will then implement the best type of manual therapy for the patient. Manual therapy increases blood flow, reduces pain, increases the range of motion, and just plain feels good. Contact Us today at Brielle, Sea Girt & Manasquan, NJ Centers to learn more about how manual therapy can help you get on the road to recovery.