Manual Therapy

Manual techniques include manipulation and mobilisation. All physiotherapists are skilled in applying these techniques safely. For example, physiotherapists routinely assess the integrity of vertebral artery blood flow before considering an upper cervical high velocity thrust technique i.e. manipulation.

Spinal mobilisation has always had its efficacy described in terms of improving mobility in areas of the spine that are restricted (Korr 1977). Such restriction may be found in joints, connective tissues or muscles. By removing the restriction – by mobilisation – the source of pain is eliminated and the patient experiences symptomatic relief (Maitland). (see Manual Therapy – Spinal Vertebra Mobilisation for example of the different techniques of mobilisation)

Physiotherapists find spinal mobilisation very effective in a wide range of painful spinal conditions, particularly where restricted mobility is present.

Restoration of spinal mobility, both in physiological movement and in vertebral segmental mobility, often results in a reduction in the patient’s pain and spasm. This outcome is equally effective in the cervical, thoracic and lumbar spine.

“I had calcaneus spurs from my heavy training.  The pain levels were high enough to put me off training. With the marathon coming up, Back2Sports helped me get back to training again quickly in the shortest possible time. Unfortunately, having stayed off training for some time, my running gait was off. I needed expert independent advice to get me back on track. With the help of the Marathon Bio-Technique Analysis programme, we were able to quickly spot the corrections that I need to make to get back into form.  There were even new ideas on how to improve it by comparing against some of the top African long-distance runners!” Elangovan, Winner, 2004, 2005 & 2006 Singapore Men’s Category Standard Chartered Marathon