Manual Therapy: How Does It Really Work?

Perhaps a friend told you that a physiotherapist "put back" their shoulder with a dramatic crack. Or an acquaintance swears their vertebrae were "out of place" before manual treatment. Does it hurt? Is it dangerous? Does anything actually get "put back" into place?

Here's the reality: manual therapy can complement a treatment plan, but it does not realign any joints. Some people notice a change after a manual therapy technique, while others notice little to no change.

Nothing “pops back into place” in your body, and your vertebrae are not misaligned. Simplistic mechanical explanations do not adequately describe the observed effects. Current models propose an interaction between nervous system responses, the treatment context, and certain mechanical effects, but the precise mechanisms have not ^{been established.¹, ²} Manual therapy is sometimes used in conjunction with an active treatment plan, but results vary depending on the condition, the technique, and the comparison group studied.

What is manual therapy and how does it work?

Short answer: Manual therapy encompasses techniques that a physical therapist applies with their hands. These techniques can temporarily alter pain, movement, or sensitivity, but their exact mechanisms remain unclear.

Manual therapy encompasses the techniques that a physical therapist applies with their hands to your joints, muscles, and tissues. It includes joint mobilization (gradual movements), manipulation (rapid movements that may produce a cracking sound), sustained pressure on soft tissues, other soft-tissue techniques, and neuromuscular techniques. It is one tool among many and is never used on its own.

The physical therapist does not “put anything back in place.” Rather, manual therapy conveys information through touch and movement. The brain, the spinal cord, expectations, and context can all play a role in the response, though no single mechanism explains all of the effects.

The spinal cord transmits and modulates messages between the body and the brain. The “gate control” theory proposes that certain sensory information can temporarily alter pain-related messages ³. This theory describes pain in general and does not prove the specific mechanism underlying manual therapy ³. However, it helps explain why rubbing a painful area can change how it feels.

The brain also has systems that can reduce sensitivity to pain ¹. Manual therapy may temporarily alter certain signs of sensitivity, but the biological mechanisms remain unclear ⁴. A temporary response does not guarantee a lasting effect.

After a session, the response varies from person to person. A temporary reduction in symptoms may make it easier to perform movements or exercises that were previously uncomfortable. However, a single session does not guarantee a lasting change in the nervous system or tissue strengthening.

Many professions use manual techniques. In physical therapy, these techniques can be incorporated into assessments, exercises, explanations, and strategies for returning to activities. To see how this approach can be applied to a specific condition, check out our guide on physical therapy for shoulder pain.

What are the main manual therapy techniques?

Short answer: The main manual therapy techniques are mobilizations, manipulations, sustained pressure on soft tissues, other soft-tissue techniques, and nerve mobilizations. The physical therapist chooses a technique based on the person’s condition, preferences, and response.

Your physiotherapist uses five main categories of manual techniques.

Joint mobilizations

Mobilization involves slow movements applied to a joint. The physical therapist moves the joint and observes pain, range of motion, and tolerance. The therapist selects the range of motion and the specific part of the movement based on the treatment goal and your response. A review on frozen shoulder suggests a possible benefit from end-range mobilization, but with very low certainty ⁵. Treatment must remain tolerable.

Manipulations

Manipulations are rapid movements that sometimes produce the well-known “cracking” sound. This sound results from the rapid formation of a gas bubble in the synovial fluid, as demonstrated by a real-time imaging study of finger joints ⁶. The cracking sound does not mean that something has been “put back in place”; it simply corresponds to the formation of a gas bubble in the joint. Its presence is not an established measure of the treatment’s effectiveness, and several equally effective techniques do not produce this sound at all. Your physical therapist prepares the joint before performing a manipulation, if indicated.

The method of spinal manipulation appears to matter little: in 161 pooled trials, the differences between spinal manipulation procedures are small and likely of no clinical significance, although the certainty of this evidence remains low to very low ⁷.

Sustained pressure on soft tissues

Cette technique applique une pression soutenue sur les tissus mous. Le physiothérapeute maintient la pression pendant un certain temps et l'ajuste selon votre tolérance. Vous pouvez sentir la pression ou percevoir un changement pendant l'application. Cette sensation ne prouve pas que le fascia (notre article sur le rôle et le traitement du fascia) a changé ni que la technique sera utile.

Other Soft Tissue Techniques

These techniques can temporarily alter how a person feels, but their effect depends on the technique and the outcome being measured. A controlled trial of trigger point massage found no change in local nutrient-rich blood flow ⁸. Pressure should remain tolerable.

Neuromuscular techniques

Nerve mobilization techniques involve moving a nerve and the surrounding tissues. They may reduce pain in certain types of lower back pain or in pain that originates in the neck and radiates down the arm. Their effectiveness remains uncertain for pain on the outer side of the elbow, known as epicondylalgia, and most clinical results are negative for carpal tunnel syndrome ⁹. To understand the mechanisms of neuromuscular pain, see our guide on pain education. A tingling sensation may occur, but it does not prove that the technique is effective.

These five categories describe different actions, but the name of the technique alone does not predict the result.

Your physical therapist selects and combines techniques based on your condition, your preferences, and your response. No single technique is universally superior: spinal manipulation techniques produce similar effects ⁷, and for frozen shoulder, certain techniques offer advantages for specific outcomes, though none is superior in all cases ¹⁰. The choice is reassessed based on your progress.

What conditions can be treated with manual therapy?

Short answer: Manual therapy can be incorporated into the treatment of certain types of pain in the back, neck, shoulders, and other parts of the body. Its effectiveness varies depending on the condition, the technique used, and the desired outcome.

Manual therapy can be part of a treatment plan for several musculoskeletal conditions, though it is not necessary for everyone.

Back and neck pain

Pour certains problèmes de dos, la manipulation ou la mobilisation vertébrale peut produire un bénéfice modeste. Ce résultat concerne la lombalgie chronique. Il ne s'applique pas automatiquement à une entorse lombaire ni à une combinaison précise avec des exercices¹¹. Pour la lombalgie chronique, les résultats sont généralement modestes et comparables à ceux d'autres traitements recommandés à court terme^{12, 13}. Pour mieux comprendre l'anatomie du dos et la hernie discale, consultez nos guides spécialisés. Pour certaines douleurs cervicales chroniques, la manipulation ou la mobilisation peut améliorer la douleur et la fonction à court terme¹⁴. Les preuves ne démontrent pas qu'un relâchement précis des muscles explique cet effet.

Shoulder Problems

Some types of shoulder pain may respond to manual therapy combined with exercises. The effect depends on the condition and the technique. In subacromial syndrome—a type of shoulder pain often triggered by raising the arm—a study on Maitland-style thoracic mobilization reported a reduction in pain and difficulty with daily activities. Other techniques have not shown a significant effect ¹⁵. The anatomy of the shoulder helps guide the evaluation. Shoulder tendinopathy does not automatically mean that a joint is restricted. Mobilization may temporarily alter movement without realigning the joint ¹. For adhesive capsulitis, the benefits of manual therapy and exercise remain uncertain. A Cochrane review reports better short-term outcomes with a glucocorticoid injection than with a combination of the two ¹⁶.

Other Body Regions

Pour une douleur au genou (notre guide sur le syndrome fémoro-patellaire), à la hanche, au pied, au coude ou au poignet, l'utilité d'une technique manuelle dépend du diagnostic et de l'objectif. Pour la fasciite plantaire, l'ajout de Joint mobilizations et de techniques des tissus mous peut améliorer la fonction; l'effet supplémentaire sur la douleur est moins constant¹⁷. Certaines mobilisations ou Manipulations cervicales peuvent réduire la douleur et les difficultés liées aux maux de tête d'origine cervicale¹⁸. Dans certains troubles musculaires de l'articulation temporomandibulaire, ou ATM, qui relie la mâchoire au crâne, la Manual therapy peut réduire la douleur et améliorer l'ouverture de la bouche à court terme¹⁹. Pour la douleur du côté externe du coude, ou épicondylalgie, et le syndrome du tunnel carpien, les résultats des mobilisations nerveuses sont incertains ou généralement négatifs⁹. Le physiothérapeute adapte le plan à l'évaluation.

Sports Conditions

Some athletes use manual therapy to temporarily relieve post-exercise symptoms and manage muscle tension. Its preventive effect on overuse injuries has not been established by the available research.

These examples show that results vary depending on the region, the condition, and the technique used.

Important Contraindications

Certain conditions require precautions or are contraindications for specific techniques. Your physiotherapist conducts a thorough screening to identify these situations before applying manual techniques.

The assessment helps identify situations in which a technique needs to be modified or avoided. The physical therapist then selects the option that is appropriate for your health condition.

What happens during a session at Physioactif?

Short answer: A session at Physioactif begins with an assessment, after which the physical therapist selects the techniques, exercises, and advice best suited to your needs. The therapist monitors your progress and adjusts the treatment plan as needed.

A session always begins with an assessment to tailor the treatment to your progress.

Initial Assessment

During your first visit, your physical therapist will gather information about your condition, medical history, and goals. He or she will observe your movements and perform tests tailored to your symptoms. This evaluation helps determine whether a manual technique is appropriate and how to incorporate it into your treatment plan.

Applying the Techniques

Your physical therapist will use a technique based on your tolerance. For mobilization, they often start with a movement and then adjust the range of motion based on your response. You may feel a stretch or pressure, but the sensation should remain tolerable.

A manual therapy technique may be recommended when the evaluation warrants it. Your physical therapist will adjust each movement based on your feedback and tolerance.

Exercises and Advice

A session may include specific exercises to improve movement, build strength, or support an activity that is important to you. The physical therapist selects these exercises based on the evaluation and your tolerance. He or she may also suggest activity modifications and self-management strategies.

Treatment Frequency and Duration

The number of sessions varies depending on your condition, your goals, and how you respond to treatment. The physical therapist reassesses your progress and adjusts the frequency of sessions. The goal is to support your independence without promising a specific number of sessions.

Does Manual Therapy Hurt, and Is It Safe?

Short answer: Manual therapy is generally safe when a physical therapist tailors it to your condition, but it can cause discomfort or temporary reactions. Any sharp pain or unusual symptoms should be reported immediately.

In the trials included in a review, no major adverse events were observed. This absence does not prove that the risk is zero. Minor and transient reactions were more common ²⁰.

Sensations During Treatment

Manual therapy may cause temporary discomfort. Any stretching or pressure should remain tolerable. You should report any sharp pain, new weakness, or other unusual symptoms. Your physical therapist will adjust the intensity based on your feedback.

Is Cracking Dangerous?

The cracking sound is caused by gas bubbles forming in the synovial fluid. ⁶ It’s not the bone that cracks. It’s the same mechanism as when you crack your knuckles. The cracking has no therapeutic value. Many effective treatments do not produce any cracking. You can ask to avoid manipulations. There are almost always alternatives.

Before performing a manipulation, the physical therapist assesses your health and identifies any situations that require an adjustment or a different approach. In Quebec, joint and spinal manipulations require training certificates issued by the Ordre professionnel de la physiothérapie du Québec ²¹. Severe osteoporosis, a recent fracture, or certain vascular problems may influence the choice of technique. Temporary tenderness may occur after a session ²².

Post-Treatment Soreness

Some people experience temporary soreness after a session. The duration varies from person to person. If the discomfort worsens, persists, or concerns you, contact your physical therapist.

Minor side effects are common after a manipulation: increased pain, stiffness, or headaches, reported in 50% to 67% of participants in the large case series included in a systematic review ²³.

Safety and Qualifications

In Quebec, physical therapists are members of the Professional Order of Physical Therapy of Quebec (OPPQ) ²⁴. Their assessment guides the choice of techniques and the necessary precautions to be taken before manual therapy.

What Are the Scientifically Proven Benefits?

Short answer: Scientific evidence shows modest and primarily short-term effects on pain, mobility, or function for certain conditions. Results vary depending on the condition, the technique, and the treatment being compared.

Manual therapy may help some people, but studies do not show a consistent effect across all conditions.

Short-Term Pain Reduction

For certain conditions (acute low back pain, neck pain, shoulder problems), manual therapy may produce modest, short-term improvements in pain or ^{function.², ²³, ¹⁴, ¹⁵} Results vary depending on the condition and the technique used. To understand how pain works, see our guide on pain education.

For acute low back pain, a major review reports a modest benefit of spinal manipulation on pain and function in the short term. The average improvement remains small, and the response varies from person to person ²³.

Improved Mobility

Certain manual techniques can increase range of motion in the short term under certain conditions. This change is not consistent and varies from person to person. It does not represent a lasting realignment of the joint, and its exact mechanisms have not been established ¹. The physical therapist will assess whether this change helps you perform an activity that is important to you.

Combining with Exercise

For certain cases of nonspecific neck pain, combining manual therapy and exercise may be more effective than either approach alone in the short- or medium-term ²⁵. For chronic low back pain, one review reports that manipulation produces effects comparable to those of other recommended treatments. Another review reports small improvements in pain and function with manipulation or mobilization, especially compared to a ^{no-intervention control group12, 13}. For examples of therapeutic exercises, explore our resources.

Manual therapy can be used in conjunction with therapeutic exercise. Exercise directly targets movement, strength, or a specific activity. The response after a session varies from person to person.

For chronic pain, manual therapy can be incorporated into an active treatment plan that includes exercise and education. This combination does not produce the same results for everyone, and manual therapy is not a substitute for active treatment.

Limitations and Realism

Some people respond very well to manual therapy. Others derive little benefit from it. Your physical therapist continually evaluates your response and adjusts the treatment plan if you are not making progress as expected.

For acute or subacute neck pain, a few sessions of home exercises, along with guidance, yield results comparable to spinal manipulation for up to 52 weeks ²⁶. In other words, exercise alone may be sufficient for this specific condition, though this conclusion should not be generalized to all conditions treated with manual therapy. ²⁶

Is Manual Therapy Covered?

Short answer: Manual therapy may be covered when it is part of a physical therapy session, depending on your insurance plan or your eligibility for a public insurance plan. Check the terms of your coverage before you begin.

Manual therapy is a physical therapy service; insurance coverage depends on your plan.

Group Insurance

Physical therapy may be covered by group insurance plans in Quebec, depending on your plan. Manual therapy is not billed separately; it is included in your physical therapy session. Check the details of your coverage before beginning treatment. Some plans require a doctor’s prescription, while others allow direct access without a referral.

Public Plans (CNESST, SAAQ)

Public insurance plans cover physical therapy when eligibility criteria are met. If your condition is the result of a work-related or car accident, you may be eligible for full coverage. Your physical therapist can guide you through the claims process.

Costs at Physioactif

At Physioactif, we provide a physical therapy receipt after each session. You can use this receipt to file a claim in accordance with your insurer’s guidelines. Manual therapy is included in the session when indicated.

Payment Options

If you don't have private insurance, ask about rates and payment options before your appointment. This information will help you choose a plan that fits your needs and situation.

Frequently Asked Questions About Manual Therapy?

Short answer: Frequently asked questions include how long the effects last, the role of manual therapy before surgery, the frequency of sessions, and adjustments based on age. The answers depend on the condition, the evaluation, and the goals.

How long do the effects last?

The effects can last from a few hours to several days, but their duration varies widely. An immediate response does not necessarily predict the long-term outcome. The physical therapist primarily monitors changes in your activities, movement, and symptoms.

Can manual therapy replace surgery?

Manual therapy alone is not a substitute for indicated surgery. For certain herniated discs accompanied by leg pain, one study reports good results with a structured nonsurgical treatment plan ²⁷. For recent cervical radiculopathy—nerve pain that starts in the neck and radiates down the arm—physical therapy combined with home exercises reduces pain more effectively during the first six weeks than a “wait-and-see” approach ²⁸. A doctor determines whether surgery is still necessary.

What is the difference between manual therapy and chiropractic?

Physical therapists and chiropractors may use certain similar manual techniques. In physical therapy, manual therapy can be incorporated into a movement assessment, exercises, explanations, and strategies for resuming your activities. The specific plan, however, depends on the professional and your condition.

How often should I receive treatments?

The frequency depends on your condition, your goals, and how you respond. The physical therapist reassesses the effects and adjusts the schedule, continuing or discontinuing the sessions based on the results.

Is manual therapy suitable for seniors?

La Manual therapy peut convenir à une personne âgée lorsque le physiothérapeute l'adapte à sa santé, à ses objectifs et à sa tolérance. En présence d'ostéoporose, certaines techniques sont modifiées ou évitées. La Geriatric Physical Therapy peut aussi inclure des exercices pour la mobilité et les activités quotidiennes. Pour l'arthrose, le plan dépend des symptômes et des capacités de la personne.

Do I need to prepare before a session?

No special preparation is usually necessary. Wear comfortable clothing and bring your imaging results if they are available. Be sure to mention any medications you are taking, any health issues you have, and any concerns you may have before treatment.

References

1. Bialosky JE, Bishop MD, Price DD, Robinson ME, George SZ. The mechanisms of manual therapy in the treatment of musculoskeletal pain: a comprehensive model. Man Ther. 2009;14(5):531-8.↩ Back to text: 1st, 2nd, 3rd, 4th mentions
2. Bialosky JE, Beneciuk JM, Bishop MD, Coronado RA, Penza CW, Simon CB, et al. Unraveling the Mechanisms of Manual Therapy: Modeling an Approach. J Orthop Sports Phys Ther. 2018;48(1):8-18.↩ Back to text: 1st, 2nd mentions
3. Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965;150(3699):971-9.↩ Back to text: 1st, 2nd mentions
4. Martínez-Pozas O, Sánchez-Romero EA, Beltran-Alacreu H, Arribas-Romano A, Cuenca-Martínez F, Villafañe JH, et al. Effects of Orthopedic Manual Therapy on Pain Sensitization in Patients With Chronic Musculoskeletal Pain: An Umbrella Review With Meta-Meta-analysis. Am J Phys Med Rehabil. 2023;102(10):879-885.↩ Back to text
5. Kubuk BS, Carrasco-Uribarren A, Cabanillas-Barea S, Ceballos-Laita L, Jimenéz-Del-Barrio S, Pérez-Guillén S. The effects of end-range interventions in the management of primary adhesive capsulitis of the shoulder: a systematic review and meta-analysis. Disabil Rehabil. 2024;46(15):3206-3220.↩ Back to text
6. Kawchuk GN, Fryer J, Jaremko JL, Zeng H, Rowe L, Thompson R. Real-time visualization of joint cavitation. PLoS One. 2015;10(4):e0119470.↩ Back to text: 1st, 2nd mentions
7. Nim C, Aspinall SL, Cook CE, Corrêa LA, Donaldson M, Downie AS, et al. The Effectiveness of Spinal Manipulative Therapy in Treating Spinal Pain Does Not Depend on the Application Procedures: A Systematic Review and Network Meta-analysis. J Orthop Sports Phys Ther. 2025;55(2):109-122.↩ Back to text: 1st, 2nd mentions
8. Moraska AF, Hickner RC, Rzasa-Lynn R, Shah JP, Hebert JR, Kohrt WM. Increase in Lactate Without Change in Nutritive Blood Flow or Glucose at Active Trigger Points Following Massage: A Randomized Clinical Trial. Arch Phys Med Rehabil. 2018;99(11):2151-2159.↩ Back to text
9. Basson A, Olivier B, Ellis R, Coppieters M, Stewart A, Mudzi W. The Effectiveness of Neural Mobilization for Neuromusculoskeletal Conditions: A Systematic Review and Meta-analysis. J Orthop Sports Phys Ther. 2017;47(9):593-615.↩ Back to text: 1st, 2nd mentions
10. Khandaloo A, Taghizadeh Delkhoush C, Ehsani F. Comparative efficacy of different joint mobilization techniques in shoulder adhesive capsulitis: a systematic review and meta-analysis of randomized controlled trials. J Man Manip Ther. 2026:1-16.↩ Back to text
11. Rubinstein SM, van Middelkoop M, Assendelft WJ, de Boer MR, van Tulder MW. Spinal manipulative therapy for chronic low-back pain. Cochrane Database Syst Rev. 2011;2011(2):CD008112.↩ Back to text
12. Rubinstein SM, de Zoete A, van Middelkoop M, Assendelft WJJ, de Boer MR, van Tulder MW. Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: systematic review and meta-analysis of randomised controlled trials. BMJ. 2019;364:l689.↩ Back to text: 1st, 2nd mentions
13. Coulter ID, Crawford C, Hurwitz EL, Vernon H, Khorsan R, Suttorp Booth M, et al. Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis. Spine J. 2018;18(5):866-879.↩ Back to text: 1st, 2nd mentions
14. Gross A, Langevin P, Burnie SJ, Bédard-Brochu MS, Empey B, Dugas E, et al. Manipulation and mobilisation for neck pain contrasted against an inactive control or another active treatment. Cochrane Database Syst Rev. 2015;2015(9):CD004249.↩ Back to text: 1st, 2nd mentions
15. Yu S, Chen S, Yang Z, Ma X, Gou L, Yang L. The effects of different types of thoracic manual therapy for shoulder dysfunction: a systemic review with meta-analysis. Musculoskelet Sci Pract. 2026;84:103565.↩ Back to text: 1st, 2nd mentions
16. Page MJ, Green S, Kramer S, Johnston RV, McBain B, Chau M, et al. Manual therapy and exercise for adhesive capsulitis (frozen shoulder). Cochrane Database Syst Rev. 2014;2014(8):CD011275.↩ Back to text
17. Fraser JJ, Corbett R, Donner C, Hertel J. Does manual therapy improve pain and function in patients with plantar fasciitis? A systematic review. J Man Manip Ther. 2018;26(2):55-65.↩ Back to text
18. Xu X, Ling Y. Comparative safety and efficacy of manual therapy interventions for cervicogenic headache: a systematic review and network meta-analysis. Front Neurol. 2025;16:1566764.↩ Back to text
19. Zhang L, Liu M, Li X, Zhao C. Comparative effectiveness of nonpharmacological therapies for adult myogenic temporomandibular disorders: a network meta-analysis of randomized trials. BMC Oral Health. 2026;26(1).↩ Back to text
20. Carnes D, Mars TS, Mullinger B, Froud R, Underwood M. Adverse events and manual therapy: a systematic review. Man Ther. 2010;15(4):355-63.↩ Back to text
21. OPPQ. Modalités administratives — Attestations de formation pour procéder à des manipulations.↩ Back to text
22. Carlesso LC, Gross AR, Santaguida PL, Burnie S, Voth S, Sadi J. Adverse events associated with the use of cervical manipulation and mobilization for the treatment of neck pain in adults: a systematic review. Man Ther. 2010;15(5):434-44.↩ Back to text
23. Paige NM, Miake-Lye IM, Booth MS, Beroes JM, Mardian AS, Dougherty P, et al. Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain: Systematic Review and Meta-analysis. JAMA. 2017;317(14):1451-1460.↩ Back to text: 1st, 2nd, 3rd mentions
24. Ordre professionnel de la physiothérapie du Québec. Les deux professions de la physiothérapie [Internet]. Consulté le 18 septembre 2026.↩ Back to text
25. Hidalgo B, Hall T, Bossert J, Dugeny A, Cagnie B, Pitance L. The efficacy of manual therapy and exercise for treating non-specific neck pain: A systematic review. J Back Musculoskelet Rehabil. 2017;30(6):1149-1169.↩ Back to text
26. Bronfort G, Evans R, Anderson AV, Svendsen KH, Bracha Y, Grimm RH. Spinal manipulation, medication, or home exercise with advice for acute and subacute neck pain: a randomized trial. Ann Intern Med. 2012;156(1 Pt 1):1-10.↩ Back to text: 1st, 2nd mentions
27. Saal JA, Saal JS. Nonoperative treatment of herniated lumbar intervertebral disc with radiculopathy. An outcome study. Spine (Phila Pa 1976). 1989;14(4):431-7.↩ Back to text
28. Kuijper B, Tans JT, Beelen A, Nollet F, de Visser M. Cervical collar or physiotherapy versus wait and see policy for recent onset cervical radiculopathy: randomised trial. BMJ. 2009;339:b3883.↩ Back to text

Nos physiothérapeutes ont défini la stratégie de recherche, le plan et le contenu clinique de cet article. Un outil d’IA a soutenu la recherche documentaire et la révision du texte pour assurer une cohérence du contenu et du style d’écriture.

Manual therapy encompasses techniques that physical therapists apply using their hands. Its mechanisms of action remain unclear, and its effects are generally modest and short-term for certain conditions.

Keep these points in mind: Manual manipulation does not realign a vertebra. The response varies depending on the person, the condition, and the technique. A cracking sound does not prove the treatment is effective. You can ask for another option.

An active rehabilitation plan can address range of motion, strength, functional activities, and independence. Manual therapy can complement this plan when it addresses a specific goal and its effects are reassessed.

If you are concerned about pain or limited mobility, an evaluation can determine whether a manual therapy technique is appropriate. The physical therapist will explain the options, potential benefits, limitations, and precautions to you.