» Manual Therapy and Manipulation


Manual Therapy and Manipulation

Spinal Manipulation, or “High-Velocity Low-Amplitude Thrust” or “Spinal Manipulative Therapy,” is a technique where your physical therapist applies a controlled thrust to a joint of your spine. That thrust moves the joint more than it would on its own.  You will often hear a release as a pop or crack sound.

Physical therapists use spinal manipulation to:

  • Improve muscle function
  • Relieve pain
  • Facilitate movement
  • Relax muscles
  • Increase circulation


  • Neck pain
  • Low back pain
  • Sciatica
  • Middle back pain
  • Headaches

Mulligan Manual Therapy

The Mulligan Manual Therapy Concept is a manual approach developed by Brian Mulligan, PT, FNZSP (Hon), Dip. MT, of Wellington, New Zealand. The technique involves manual “repositioning” of the affected joint by the therapist to restore function and remove pain as the patient moves through the range of motion.

The core of the Mulligan concept is Mobilization With Movement (MWM). During the examination, the therapist determines if a joint restriction, range of motion loss, or pain is generated by a joint. Then, the therapist repositions that joint, using their hands or a belt, to allow the patient to move further through theIR range of motion and reduce pain.

There is an immediate reduction in pain, improvement in range of motion, and a long-lasting effect. This approach benefits patients with joint-related pain and/or range of motion restrictions related to joint problems.

Mulligan Manual Therapy treats joint pain, range of motion restrictions, radiating back or neck pain, and headaches.

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