Manual Therapy

Manual Therapy

Manual Therapy is a specialized branch of Physiotherapy wherein assessment and treatment of the disorder is carried out manually by the therapist. Various AIDS like tapes, resistive bands, belts, electrical equipment are used.

Manual Therapy mainly aims at treating the neuro–orthopaedic component of any condition, thereby helping treat the condition itself.

For instance, following a cardiovascular surgery, a patient may have decreased mobility of his ribcage, hence an altered breathing pattern.

Treatment with manual therapy would involve mobilizing the thoracic spine and the intercostal joints (joints between ribs) and hence help the excursion of the chest wall to get a better breathing pattern.

In any joint, there are two types of movements–one which can be performed actively, e.g. lifting your arm and movements which occur within the joints but cannot be actively controlled e.g. when the arm is lifted, in the ball socket joint of the shoulder, there are finer gliding–rolling movements of the ball in its sockets. These latter movements are called the accessory movement of joints.
A manual therapist not only assesses the active movements, but also these finer accessory movements. If any alteration of these accessory movements is found, it can be treated in a more holistic manner, thereby achieving quicker and longer lasting results. Also, for instance, in knee movements–to bend or straighten, there are gliding accessory movements of the knee–cap (patella) which assist the movement. In many conditions involving the knee–e.g. surgeries, arthritis, sports–injuries, if the normal patellar glide is not maintained, any amount of exercise will not achieve a pain–free and/or stiffness–free knee joint. Our spine as a whole has many movements, but none would have been possible if there was no movement between each spinal segment with its neighbours. A manual therapist achieves this interplay by mobilizing each segment individually and thereby assisting the whole picture. Hence, various conditions of spondylitis, prolapsed discs, nerve impingements have been treated successfully by manual therapists.

Each person having a problem, is specific in his own right. Although a condition is described in a certain manner, as every individual has variations in structure, age, sex, kind of work, postures assumed for activities etc., an individual–specific assessment is needed. Once a diagnosis is reached for a person, individually tailored treatment plans are laid down by the manual therapist. This also involves ergonomics, posture correction, gait analysis, correction of movements in various sporting activities. Once a treatment plan is outlined, the person is treated by the therapist and a maintenance program is given, to be carried out at home. The number of visits required would depend upon the condition being treated, patient compliance, skill knowledge and experience of the therapist. To conclude: A manual therapist has a holistic treatment approach for various conditions thereby adding “Life to years” as opposed to “Years to life”.


Our Approach

Please feel free to contact me at any time to ask a question about your condition and I will try to be of assistance to you as fast as possible, in some extreme cases a home visit may be required, or a simple online consultation may clear up and questions you may have.
We are only too happy to help and look forward to hearing from you.

A message from our lead physiotherapist Ian Andrews MCSP, HPC Registered, Chartered Physiotherapist

Ian Andrews Physio in Bingham

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Our Location

We are conveniently located in the centre of the market town of Bingham, centrally located opposite the doctors surgery. We are able to cover the whole of Nottinghamshire and further afield into the Vale of Belvoir and surrounding areas. With free private parking through the arch to the rear of the building making it easy to visit us why not arrange a visit to assess your needs, call us now on 01949 831648 to speak to a professional for advice on treatment.

Oakwood Physiotherapy Practice, 19 Needham Street, Bingham, Nottinghamshire, NG13 8AE.
Tel:  01949 831648