» Manual Therapy and Manipulation


Manual Therapy and Manipulation

Spine & Motion Physical Therapy

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.

Why Choose Sampsell Physical Therapy:

1. Every patient will receive one on one treatment. They will be my only patient while they during their appointment, which differs from the 2-4 patients being seen an hour in other clinics routinely

2. Every patient will receive 1 full hour of treatment every session, one on one. No paperwork, no other patients, no other phone calls. 100% attention is to the patient the entire time. Other clinics will routinely be on the laptop doing paperwork during their session and attention to other patients, staff and “busy work” will be performed.

3. Every session will be my me and my 23 years of experience. No lesser credentialed therapists like a physical therapy assistant or tech, who may or may not have a high school diploma. There will be continuity of care this way, decreasing risk of miscommunication and treatment maintaining the highest level every session.

4. Immediate appointments that will be within 24-48 hrs of calling. Most clinics are short handed, decreasing level of care, continuity and availability, often hiring less qualified staff that will decrease care.

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