Bounce Back Approach

Manual Therapy

Manual therapy, also known as manipulative therapy, is a physical treatment that is typically used in conjunction with traditional physical therapy techniques. Your physical therapist will use their hands to apply pressure on muscle tissue and/or manipulate joints of the body, as opposed to using a machine or device. Manual therapy can be quite effective for treating both acute and chronic pain.


The goal of manual therapy techniques is to relax tense muscles and restricted joints in an effort to decrease pain and improve range of motion. Generally, manual therapy techniques refer to “hands on” work that is performed by physical therapists, and typically includes the use of three types of movement:.

Joint Mobilization

  • Can either be a sustained pressure or a rhythmic oscillation applied to the affected joint(s)
  • Helps to decrease pain and improve joint function and mobility

Soft tissue mobilization (including trigger point therapy, deep tissue massage, etc.)

  • Applies pressure to the soft tissues of the body including the muscles, ligaments, and tendons
  • This pressure helps to relax muscles, break up scar tissue adhesions, increase circulation, and relieve pain

Joint Manipulation

  • Involves a high velocity, low amplitude thrust applied to a specific joint
  • Utilized when joint mobilization is no longer effective
  • Helps to decrease pain and improve joint function and mobility
  • Often there is a cavitation, or a popping sound, as gas is released from the joint space