Manual Therapy - Massage

Best Massage Techniques

Manual therapy means any hands on treatment provided by a physiotherapist. This can include soft tissue massage, deep transverse friction, neuromuscular facilitation techniques, trigger point therapy, and mobilisations or manipulations of body joints or spinal segments. When visiting our Centre, our physiotherapist may offer this form of treatment because it can have a strong short term pain relieving effect. It can occasionally lead to slightly increased pain followed by pain relief later the same day. It should always be paired with active rehabilitation strategies to achieve a long lasting and meaningful treatment effect.

Soft Tissue Massage

Soft tissue massage works by assisting to release tight muscles that have had a short or long term injury resulting in tightened and/or protective muscle fibres. It can help to relax muscles, promote blood flow for tissue healing, and reduce swelling through drainage in lymph ducts in the body.

It can provide comfort, reduce pain, and increase range of motion in the affected body part. This can aid in healing and recovery by loosening tight structures to allow the patient to be able to perform home exercises more freely, which can promote faster recovery.

Mobilisations & Manipulations

Mobilisations aim to reduce pain and free up restricted joints from acute or chronic injuries. They are graded from one to four depending on the amplitude of force applied by the therapist, with a grade five considered a manipulation (more detail on that below). Mobilisations can be performed into multiple directions and through spinal segments, or throughout various joints in the body. This includes, but is not limited to hip, knee, ankle, shoulder, elbow, wrist, etc.

Mobilisations may also be used during your physiotherapy session in conjunction with movement, and this helps to free up your joints under different levels of stress and at different ranges of motion. This is often a useful treatment to use to help restore range of motion, decrease pain, and increase function in the affected area.

Manipulations are considered a grade five mobilisation. They differ from mobilisations in that rather than being a slow oscillating movement, they are a short sharp thrust, often with an audible crack or pop being heard. It is a common misconception that this is a realignment or movement of a joint or spinal segment when it is in fact a release of built up pressure in the affected joint.