Manual Therapy

What is Manual Therapy?

Manual therapy is applied by physiotherapists or physical therapy physicians trained in this field. The patient is positioned appropriately for the technique to be applied, and it is performed entirely by hand. No invasive procedures such as injections are used, and it is not performed painfully.

Safety tests are always conducted beforehand to ensure the procedure is safe for the patient. Verbal briefing is provided throughout the session so the patient feels confident and relaxed.

Mechanism of Action

Mechanical effect: Increases joint fluid in the joints, reduces tension within or around the joint, allowing freer movement — similar to oiling a squeaky door.

Neurophysiological effect: During mobilization, signals from the joint and surrounding tissues to the brain reduce the protective muscle tension the brain creates around that joint. Properly applied manual therapy techniques help the brain reduce its protective response, enabling pain-free movement.

Manual Therapy Techniques

• Joint mobilization and manipulation
• Soft tissue mobilization
• Myofascial release
• Neural mobilization
• Muscle energy techniques
• Traction applications

Conditions Treated

• Neck and back pain
• Lumbar disc herniation and low back pain
• Shoulder, knee, hip and ankle problems
• Joint range of motion restrictions
• Headaches and cervicogenic pain
• Sports injuries
• Postural disorders
• Fibromyalgia

Manual Therapy at ROMMER

At ROMMER International, manual therapy is applied by specialist physiotherapists with specific training in this area. A comprehensive evaluation and safety tests are performed before each session.