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Just as the name suggests, manual therapy physiotherapy is the use of one’s hands when administering the treatment to the patient. The procedure can be accompanied by an exercise program so that the patient as well as electrotherapy. Usually, it depends on the type of injury that the patient has.

Different types of manual therapy can be administered.  Some of them are:

1. Massage

It is a technique that aids in the reduction of tension within the muscles and promote fast healing. Most people get massages so relaxation purposes, but it can be used to increase the healing rate as well. There are numerous types of massages that can be administered, but the one used often is the deep friction massage. The physiotherapists usually apply pressure on the deep tissues, thus helps in relieving built up tension.

Benefits of massage therapy

There are so many advantages of getting a massage.

  • It relieves tension in the muscles-The deep friction usually releases tension after suffering from an injury.
  • Helps in smooth movements of the joints and muscles-It helps in breaking down of scar tissues, therefore, making movements easy.
  • Promotes fast healing of the injury incurred-Once the muscles are relaxed the healing usually quickens.

The patient may feel some pain during the massage because of the tissues that the massage therapist may put under pressure, but there is usually a huge improvement after a few days.

Who can benefit from having a massage?

Massages can be performed on anyone who needs it. Our qualified massage therapists usually know which kind of massage to administer depending on the ailment or injury.

You can see positive changes once you get a massage if you are issues like:

  • Osteoarthritis
  • Injuries to the muscle
  • Muscle tightness
  • Scar tissues
  • Contractures

2. Muscle Energy Techniques

Muscle Energy Techniques usually shortened to MET is a type of manual therapy. It is generally done to help in strengthening or lengthening of the muscles. Our professional therapists typically guide you on a range of movements that will make you contract and improve on the muscle movements. The therapist normally helps you to stretch the ligament or muscles without causing further damages. It is done while incorporating short rests in between the exercises.

Benefits of Muscle Energy Techniques

  • The muscles will be able to relax when the other one is contracting.
  • The muscles will become flexible and strong
  • You will be able to stretch the muscle to its full potential, therefore giving it more length.

Who can benefit from Muscle Energy Technique?

Our professional therapists can use this form of manual therapy benefits to heal issues like

  • The tightness of the muscles
  • Sciatica
  • Scoliosis
  • Muscle Injuries
  • Leg length discrepancy
  • Pain that makes moving your shoulders, neck, or back tricky.

Even if you are healthy, you can still use MET to help you be flexible and prevent injuries.

3. Acupressure

Acupressure resembles acupuncture in every single form, except the therapist will use their hands instead of needles. This manual therapy has a lot of advantages and is usually administered by applying different kinds of pressure to the pressure points. The pressure can be gentle or firm depending on the intensity of the injury. The pressures points are usually stimulated for healing to take place are known as acupressure points.

What are the benefits of acupressure?

When one of our able therapist subjects acupressure points to different pressures and frequencies, then the patient will be able to see the following positive results.

  • Pain reduction
  • Good blood circulation
  • Reduction of muscle tension
  • You can combine acupressure with other treatments for better rehabilitation.

Who can acupressure benefit?

This manual therapy can help people suffering from muscular conditions like:

  • The tightness of the muscles
  • Tears within the muscles
  • Bruises

4. Trigger Point therapy

Trigger point therapy is supposed to help the muscles of the patient to heal faster from any injuries. It ensures that the muscular imbalance is corrected and lessens the pain that might be experienced by the person.

  • This neuromuscular therapy also helps in realigning the muscles hence good circulation.
  • The physiotherapist usually stretches the muscles and then put pressure on the knots in the tissue.

What are the benefits of trigger point therapy?

This therapy is excellent in helping you to:

  • Reprogramming the muscles so that pain will reduce
  • It helps in aligning the muscles back to its original form
  • Encourages speedy healing
  • Reduces inflammation and tightness of the tissues.

Who is trigger point therapy designed to help?

This type of manual therapy can be beneficial to people who are suffering from issues like:

  • Carpel tunnel syndrome
  • The tightness of the muscles
  • Muscle injury
  • A strain due to repetitive injuries.

5. Traction

Traction is the stretching of the spine by the help of a qualified physiotherapist. This helps in minimizing the pressure that may be on the vertebral disc hence reduction of pain as well.

What are the benefits of traction?

  • Traction is used to push the vertebra further away from the disc, which usually lies between the spine and each vertebra.
  • In case a disc is subjected to a lot of pressure, then it can protrude and cause damage to the outer layers. Usually, this can make an individual to feel a lot of pain and discomfort.
  • Traction technique helps in releasing the pressure.

Who can benefit from this technique?

A therapist can use traction to solve problems like:

  • Spinal stenosis
  • Neck pains
  • Sciatica
  • Degenerated disc disease
  • Herniated or prolapsed disc

6. Soft Tissue Mobilisation

It is a term used to refer to the different types of massages. The physiotherapist will make use of manual therapy to affect the muscle and other soft tissues. This helps in the healing process, the muscles become relaxed, and scar tissues get to break down.

Benefits of soft tissue mobilization

  • Eliminates waste from the injured areas to quicken the recovery rate
  • Releases tension and enable the muscles to move freely
  • Breaks down scar tissue

Who can benefit from soft tissue mobilization?

This manual therapy can benefit and treat people suffering from conditions like:

  • Arthritis
  • Sciatica
  • Whiplash
  • Muscle injuries
  • Carpal Tunnel Syndrome
  • Fibromyalgia
  • Muscle Spasm
  • Scar tissues

7. Natural Apophyseal Glides (NAGs) and Sustained Natural Aphyseal Glides (SNAGs)

This manual therapy is a mobilization technique. It is usually part of the Mulligan Concept. A physiotherapist can use NAGs to treat the neck and upper back. The SNAGs are used to treat ribcage, tail, bone, and the spine. The gliding mobilization should be painless when performed.

How do NAGs and SNAGs help a patient?

The repeated mobilization free-range movements on the joints help:

  • Help the joints to function better
  • Decrease pain
  • Allow free movements of joints

SNAGs help a patient to:

  • Reduce strain on the limbs
  • Let limbs have a free function
  • Increase movements on the joints

Who can be improved with NAGs and SNAGs?

This can help people who are suffering from:

  • Stiff joints
  • Pains while moving
  • Limited movements

8. Myofascial Release

This technique is usually light muscle stretching and massage by a physiotherapist. It often helps the muscle tension to be released and break up the scar tissues. Our expert physiotherapists usually gently twist the joints.

How does this technique help?

  • It prevents injury due to the flexibility that the individual has
  • It relaxes the muscles
  • It helps the scar tissue to break down

Who can benefit from Myofascial Release?

You can benefit from this technique if you are suffering from any of these conditions:

  • Muscle Spasm
  • Fibromyalgia
  • Contractures
  • Muscle Injuries
  • Whiplash
  • Carpal Tunnel Syndrome
  • Arthritis

9. Mulligan Concept

The physiotherapist usually uses different mobilizing techniques to help the spine to heal. NAGs AND SNAGs and Mobilisation with Movement’s techniques are some of the methods used in the Mulligan Concept.

How does the Mulligan Concept help patients?

The mobilization techniques used in this technique help in

  • Reduction of pain
  • Free movement of the joints, limbs, and spine

Who can benefit from the Mulligan Concept?

This concept can benefit people who are suffering from:

  • Back, neck, and limb pain
  • Stiff joints
  • People with movement difficulty.

This is one of the manual therapy techniques for low back pain.

10. McKenzie Concept

This technique concentrates on back pains. The patient usually makes specific movements guided by the physiotherapist until the structure causing the pain is known.

How can the McKenzie Concept help?

This concept revolves around exercise programs that will help alleviate pain. The exercises have to be specific so that the patient can feel the positive results. The patient will experience:

  • Pain relief
  • Function restoration
  • The patient will be advised on how to avoid reoccurrence.

Who can benefit from it?

It will help anyone who suffers from;

  • Reduction in range of movement
  • Stiffness of joints

11. Manual Lymphatic Drainage

The lymphatic system deals with the removal of waste from the tissues. This is a manual therapy technique that is done to increase the stimulation of the lymph vessels. The physiotherapist massages the body while directing the waste to the lymph nodes. This usually eliminates waste from the affected areas and hence brings relief to the patient.

How does this technique help?

When waste is eliminated from the area affected, it usually heals quickly. It also helps in :

  • Reducing swelling
  • Reducing pain

Who can benefit from it?

Manual lymphatic drainage can help people who suffer from?

  • Oedema
  • Muscular injuries
  • Lymphoedema
  • Rheumatoid arthritis
  • Wounds and scars
  • Burns

12. Maitland Concept

This is also commonly known as Maitland technique. Both passive and accessory mobilizations when treating the pain and stiffness of joints. There are five grades of the Maitland concept, namely:

Grade 1-Small movements are usually done within the spine.

Grade 2-Larger movements are done within the spine resistance

Grade 3-Larger movements are done into the spine resistance

Grade 4-Some small movement is done into the spine’s resistance

Grade 5-A high-velocity movement is done into the spine resistance.

How will it help?

It helps in:

  • Reduction of stiffness on the joints near the spine
  • Reduction of pain and makes movements easy.

Who can benefit from this concept?

Patients with the following ailments can benefit from this concept:

  • Mechanical back pains
  • Joint pains
  • Joint stiffness


The physiotherapist can help you to treat joint pains and stiffness.

They manually use a wide range of Manipulation and Mobilisations to increase the range movement of a joint.

How does it help?

When the patient is relaxed, the physiotherapist can move the joints in any desired range hence :

  • Increase the movements and function of the joints
  • Reduce joint stiffness
  • Bring relief

Who can benefit from this technique?

This technique is very beneficial to patients suffering from:

  • Neck pain and stiffness
  • Joint stiffness
  • Back pains
  • Low range movements

14. Mobilization with Movements

MWMs techniques are part of the Mulligan Concepts. If a person has restricted mobility due to spinal injuries, then the mobilizations will help them.

How does MWMs help?

The glides done on the joints will help:

  • Reduce any pain on the limbs
  • Increase joint functions
  • Help and add to the range of movements

Who can it benefit?

MWMs can help people who have issues with their limbs such as

  • Pain when there is movement.
  • Decreased range of movements on the limbs

If you are looking for a manual therapy near me, then Prime Physiotherapy and Rehabilitation Services is always at your service for any manual therapy physiotherapy that you may need. Our qualified therapists will work with you to give you the best therapy according to what you need. You can reach us through:

Cell phone: +254790498255 and +254710939066.