Orthos Centre

Manual Therapy

Manual Therapy

Manual therapy is a specialized form of physical therapy that involves hands-on techniques to assess, treat, and manage musculoskeletal and neuromuscular conditions. It includes a wide range of techniques, including joint mobilization, soft tissue manipulation, stretching, and muscle energy techniques. Manual therapy is performed by skilled professionals, such as physical therapists or chiropractors, who have received specialized training in these techniques. It is often used as part of a comprehensive treatment plan to reduce pain, improve mobility, restore function, and enhance overall well-being.

One of the primary goals of manual therapy is to address musculoskeletal dysfunctions, such as joint stiffness, muscle imbalances, and restricted range of motion. These dysfunctions can arise from various factors, including injury, postural abnormalities, overuse, or chronic conditions. Manual therapy techniques, such as joint mobilization, involve skilled manipulation of the affected joints to restore normal movement patterns, increase joint mobility, and reduce pain. By carefully applying pressure, traction, or specific movements, the therapist can improve joint alignment, reduce inflammation, and promote healing.

Manual therapy also includes various stretching techniques, which are used to improve flexibility, increase muscle length, and restore balance. These techniques can be passive, where the therapist applies force to stretch the muscles, or active, where the patient actively participates in the stretching movement. Stretching helps improve muscle and joint mobility, reduce muscle tightness, and prevent further injuries. It is often combined with other manual therapy techniques to optimize treatment outcomes.

Manual therapy is effective to treat acute injuries, such as sprains, strains, or dislocations, as well as chronic conditions like arthritis or fibromyalgia. It is often integrated into a comprehensive treatment plan that may include other interventions such as exercise, modalities, and patient education. The combination of manual therapy with other treatment modalities can produce positive effects, leading to improved outcomes and long-term benefits.

It is important to note that manual therapy should only be performed by qualified professionals who have received proper training and have a thorough understanding of anatomy, physiology, and pathology. They will assess the patient’s condition, perform a thorough examination, and develop a personalized treatment plan, especially catering to the patient’s needs. Manual therapy techniques are applied with precision and caution to ensure safety and effectiveness.

Some common manual therapy techniques include:

  • Joint Mobilization: This technique involves the application of rhythmic, oscillatory movements to the joints to improve their range of motion, reduce stiffness, and restore normal joint mechanics.


  • Soft Tissue Mobilization: It focuses on manipulating the muscles, tendons, ligaments, and fascia to release tension, break up scar tissue, and promote healing. Techniques such as myofascial release, trigger point therapy, and deep tissue massage are commonly employed.


  • Joint Manipulation: This technique, often associated with chiropractic care, involves a controlled and precise thrust applied to a specific joint to restore its optimal alignment, improve joint function, and alleviate pain.


  • Muscle Energy Techniques: These techniques involve the use of voluntary muscle contractions and relaxation to improve joint mobility, correct muscle imbalances, and enhance neuromuscular function.


  • Manual Traction: It involves the application of gentle pulling or stretching forces to the spine or limbs to decompress joints, relieve pressure on nerves, and reduce pain.


  • Strain-Counterstrain: This technique involves finding tender points in muscles and gently positioning the body to reduce the tension and pain associated with the tender point.

With Dr. Dalal, it has become easier for patients to reach a manual therapy doctor in pune.

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Dr. Shrikant Dalal - Spine Surgeon at Orthos Center, Pune

Dr. Shrikant Dalal

MBBS, DNB - Orthopedics/Orthopedic Surgery Spine Surgeon (Ortho), Spine And Pain Specialist, Joint Replacement Surgeon

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