SERVICES
Manipulative therapy
Manipulative therapy is a specialised branch of physiotherapy used to treat musculoskeletal disorders. This is a hands-on approach that uses a variety of treatments, including soft tissue mobilisation, joint manipulation, and myofascial release. These methods are used to break adhesions, stimulate proprioception, minimise local ischaemia, restore motion, stimulate synovial fluid production, and lessen pain. In order to determine whether there is an elevated risk of complications from these techniques, a practitioner from Bakone Physiotherapists typically conducts a thorough assessment of the blood and nerve supply in the area and a bone and muscle assessment before beginning manipulative therapy or any other form of physiotherapy. We may perform manipulation techniques based on the finding of that evaluation and adapt treatment accordingly.
Joint manipulation
"Cracks" or "pops" in our joints frequently happen. The popping of the joint can happen on purpose occasionally or at random and without warning. This audible "pop" frequently results in quick relief of pressure or discomfort in that joint, making it more flexible and less rigid. In joint manipulation, a trained professional quickly and with a limited amplitude applies a passive movement to a joint. This is sometimes referred to as manipulation of low-amplitude, high-velocity thrust. When it is determined that you are suitable for manipulation, the therapist at Bakone Physiotherapists will position you appropriately depending on which joint is being worked on. You may hear one or more "pops" as they apply a small but quick force to the joint, generating cavitation.
Soft tissue mobilisation
Soft tissue damage covers any soft tissue injury. In soft tissue mobilisation, a type of manipulative physical therapy, one of our therapists at Bakone Physiotherapists performs hands-on techniques on your muscles, ligaments, and fascia to dissolve adhesions and improve muscle function. With soft tissue mobilisation, adhesions are broken down and reduced, muscles and tendons are lengthened, swelling and pain are reduced, the function is restored, and your range of motion is enhanced.
The conditions that we treat but are not limited to are:
- Adhesions
- Bursitis
- Carpal tunnel syndrome
- Contractures
- Contusions
- Golfer’s elbow
- Hip pain
- Morton's neuroma
- Plantar fasciitis
- Shin splints
- Sprains
- Strains
- Stress injuries
- Tears
- Tendonitis
- Tennis elbow
The techniques that we use include:
- Direct oscillation - Pushing that is rhythmic on the constricted tissue
- Friction massage - Straining against the tendons, ligaments, and muscles' natural grain
- Parallel mobilisation - Muscular seams are pushed together
- Perpendicular mobilisation - Right angles are used while pressing on the myofascial tissue
- Perpendicular strumming–The muscular border is rhythmically pushed, and then afterwards, the top of the muscle
- Sustained pressure - Direct pressure is applied to the constricted tissue and holding
- Unlocking spiral - Spinning in a clockwise and counter-clockwise direction, pushing on the constricted tissue
Myofascial release
Myofascial release is a common treatment modality used to treat myofascial pain syndrome. Myofascial tissues that are sensitive and constricted have a persistent pain problem called myofascial pain syndrome. Your body's muscles are supported and surrounded by these tissues. Typically, trigger points—specific locations where pain first manifests—exist inside your myofascial tissues. Myofascial release aims to lessen the discomfort by loosening up the tightness and tension in the trigger points in the muscle. One of our therapists at Bakone Physiotherapists uses manual light pressure to detect myofascial areas that feel locked and tight rather than elastic and malleable during myofascial release therapy. Indirectly, myofascial release therapy reduces pain by loosening restricted movement through concentrated manual pressure and stretching.

HEALING HANDS
FAQ
Frequently Asked Questions
How often can you get manipulation therapy?
Depending on your condition, you may need between six to twelve sessions which can last up to four months.
Is manipulation therapy safe?
You should not feel pain during or after manipulation therapy.
Who should not get manipulation therapy?
Anyone with a bone-weakening condition and certain neurological and vascular conditions should avoid manipulation therapy. At Bakone Physiotherapists, we will carry out a thorough assessment to determine if you are a candidate.
