Manual therapy is a “hands on” treatment approach that mobilizes the joints of the spine and extremities, creates movement in nerve tissue or facilitates the activation, flexibility and normal tone of muscles. The goal of manual therapy techniques is to reduce pain and to restore movement and function to joints and accompanying soft tissue structures.
Spinal manipulation is a skillful passive movement of a spinal joint beyond its active limit of motion but within the limit of its anatomical integrity. It is a localized high velocity, low amplitude thrust technique. Its purpose is to restore motion and function.
Thermal and Electrical Modalities
Thermal and electrical modalities are used as an adjunct to manual therapy and exercise. Their use can stimulate tissue by increasing blood flow, decreasing swelling and inflammation, decreasing pain and increasing mobility and function. These treatments can include hot and cold packs, ultrasound, interferential current (IFC), transcutaneous electrical nerve stimulation (TENS) and muscle stimulating currents (NMES).
Exercise involves eliciting motion of the body in order to relieve symptoms and improve function. Specific stretching, strengthening and stabilization exercises are a critical part of the rehabilitation process. Continued exercise is an important component of injury prevention.