

Orthopedic Manual therapy / physical therapy is the assessment and treatment of neurological, cardio-respiratory and orthopedic problems through hands-on interventions. The treatment can include hands-on work that includes mobilization of the nerves, soft tissue mobilization, myofascial release, and mobilization of spinal segments and joints.
According to clinical recommendations, manual therapy can also include manipulation which enhances joint movement beyond its range of motion with the use of high velocity, low amplitude force. Manual therapy treatment is achieved through specific exercises as well as in the use of electro-therapy equipment like short-wave diathermy and ultra-sound.
The objective of manual therapy is treating the neuro–orthopedic part of any disorder, thereby focuins on the disease or condition itself. For instance, after a cardiovascular surgery, a patient may experience decreased movement of his ribcage, which may interfere with his usual breathing pattern.
The manual therapy treatment will mobilize the intercostals joints which lie between the spine and the thoracic spine and help the patient achieve a better breathing pattern.
PT Health clinics utilize skilled manual therapy techniques performed by registered physiotherapists, to assess and treat soft tissues and joint structures.
Research summary entitled, “The Benefits of Integrative Manual Therapy on a Patient with Chronic Low Back Pain” covered a report on the benefits of Integrative Manual Therapy (IMT) on a 32 year old woman who was being treated for lower back pain and inability to stand erect. The result was, "static, standing posture was improved, and after completion of six hours of treatment, she could stand fully and comfortably erect without any deviation to the right.”
“Efficacy of Manual Therapy” from the Departments of Rehabilitation Medicine and Otolaryngology, University of Minnesota. The study wrapped up with conclusive evidence that manual therapy can be an effective modality when used to treat patients with lower back pain problems.
Cases like back pain, whether they are chronic or acute, can be treated through manual therapy. There is no known side effects because the treatment is hands-on. It also deals with mobilization of nerves, soft-tissue, and fascia. Relief is obtained in less time than most therapies and at a less financial strain on the patient as well.
Near the end of treatment, muscles feel relaxed, calmed, and there is an increased circulation of oxygen in the bloodstream. There is very little to no discomfort due to the specific types of exercises and massage techniques used in manual therapy, which are geared to allow you movement of the body beyond your current restricted range of motion.
1. How often will I need manual therapy? The total duration of manual therapy depends on the severity of your condition. Most patients usually go to two to three physical therapy sessions in a week.
2. How long does the duration of manual therapy last? The initial evaluation where your case will be studied and an individual treatment plan devised may take one to one and a half hour. Each successive sessions of therapy will last 30 minutes to an hour depending upon the condition.
3. Can I speed up the recovery process by doing exercises at home? Yes, of course; a home treatment program on how to reduce pain and a series of prescription exercises will be given to you so that you can continue the rehabilitation process at your home along with the professional manual therapy sessions at the clinic.
4. How qualified is a manual therapist? A manual therapist (physical therapist) is a licensed healthcare professional.
He or she has graduated from a Physical Therapy program from an accredited university. These professionals pass provincial board exams to get their license.
5. Will I be covered my health insurance for manual therapy? Most health insurances companies cover physiotherapy. However, you can check with your health insurance provider for more details.

If you experience numbness and weakness in your legs, numbness across your lower back or loss of bowel or bladder control, see your physician immediately. It is also important to let your therapist know if you are experiencing discomfort or pain while on the treatment.
There is little risk involved in manual therapy as long as you have a highly trained therapist whom you trust to perform the sessions. If you are suffering from muscoloskeletal conditions or any other diseases, always talk to your doctor before starting treatment.

Top 6 reasons to consider manual therapy
1. Help for acute and chronic back pain: Manual physical therapy provides back pain relief for people with chronic back pain that involve joint problems like sacroiliac joint dysfunction or acute problem like back muscle strain. Manual physical therapy techniques can help relax stressed back muscles and restricted joints so that relief is achieved from back pain and experience flexibility of movement.
2. Mobilization of soft tissues: The massaging techniques can mobilize soft tissues by relaxing the muscles, breaking up scar tissues, increasing circulation, and easing the pain in soft tissues. Muscle tension can reduce once joint motion is restored, but the spasms will continue to hinder movement. Soft tissue mobilization will break up fibrous and inelastic muscle tissues like the scar tissue, move tissue fluids and soothe the tension of muscles. The therapist will focus on the areas of greatest tissue restriction through layer-by-layer assessment. Once recognized, these restrictions can be released with a wide variety of techniques.
3. Manipulation of joint movement: Measured movements with varying speed and pressure will push, pull, and twist joints and bones into position, thereby enhancing movement beyond the restricted range of motion. This can aid in loosening taut tissues around a joint, decrease pain in a joint and the tissues around it as well as helping with alignment and flexibility.
4. Myofascial release: Through this, we can get relief from muscular spasms and be able to stretch ourselves without any problem. Manual therapy is strongly recommended in getting relief from spasms and feeling energetic once again.
5. Muscle energy: Manual therapy leads to increased muscle energy and strengthening of weakened muscles. Hands-on therapy improves blood circulation and supply of oxygen to the tensed muscles, invigorating them in the process.
6. Strain-counterstrain: Manual therapy reduces and counteracts improper proprioception problems. Proprioception refers to the mental ability to sense the location, position, and movements of body parts. Manual therapy is based on rectifying irregular neuromuscular reflexes that cause postural and structural problems, which result in painful ‘tenderpoints’.