This broad-brush term covers a range of manual techniques used in the clinical assessment and treatment of a variety of common presenting pain issues.


clinical manual therapy approach treatment pain outcomes better movement recovery

clinical manual therapy approach treatment pain outcomes better movement recovery

What can you expect during a treatment?

A typical series of sessions comprises the following:

  • Taking a full case history from clients (the bulk of this is usually done within the first session)
    • What is causing you pain or discomfort?
    • What makes this pain better and worse?
    • Details of medical operations
    • History of accidents, scars, physical/emotional trauma
    • History of on-going/past medical pathologies
    • Current/past medications
    • Life style choices
    • Day-to-day running of the body
    • Stress levels at home and work
    • Sleeping patterns
    • Physical exercise
    • Dietary and eating habits
    • Typical movement/postural patterns
  • Performing a full functional assessment of the body: setting an initial baseline (done within first session)
    • Show me where it hurts or feels restricted
      • Bench marking existing pain: using a simple 0-10 number scale for pain
    • Assessing range of motion of joints
    • Muscle tone/tightness
    • Neurological strength assessment
    • Balance assessment
    • Movement assessment
    • Relationships between weak or strong muscle groups, spinal rotation, and joint compression
  • Analysing the results and putting together a logical treatment pathway aimed at improving baseline measurements (performed within the first session and reviewed regularly against baseline)
    • Working with clients over regular weekly/monthly sessions to reduce pain and optimise core function
    • Providing clients with self-care homework, which mimics the work we do together in clinic
    • Reviewing progress regularly to understand positive/negative impacts and changes
    • Addressing new pain manifestations, dealing with underlying/root musculoskeletal dysfunction
    • Moving clients towards maintenance sessions every 4-6 weeks
  • Hands-on work during the treatment may come in variety of forms:
    • Informed/listening touch: initial treatment begins with a soft listening touch, focusing on feedback from the client in areas of tightness and acute pain
    • Trigger point therapy: working with the client to establish hot-spots of pain, applying compression techniques and awaiting change in pain response
    • Myofascial release: using slow varied Myofascial techniques to release and stretch soft tissue
    • Soft tissue release: A combination of tissue manipulation and movement (stretching) in a specific way releases trauma and micro traumas in muscles and re-educates the nervous system. This precise technique tricks the nervous system and re-sets the muscles memory effectively restoring correct length and tone
    • Table acupressure: incorporating body-weight driven table Shiatsu to mobilise larger areas under stress/tension
    • Sports stretching: working with the client to provide slow deep stretches of limbs/muscles
    • Muscle energy techniques: emerged as a form of osteopathic manipulative diagnosis and treatment in which the patient’s muscles are actively used on request, from a precisely controlled position, in a specific direction, and against a distinctly executed physician counter force

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