Manual Therapy Approach in Spine Care
Manual Therapy Approach
Manual Therapy is defined as a clinical approach applying skilled and highly specific hands-on techniques including, for example, manipulation and mobilization. A physical therapist may use these techniques to help in diagnosing and treating soft tissues and joint structures for the purpose of regulating pain, increase range of motion, reducing or terminate soft tissue inflammation, causing relaxation, ameliorating contractile and non-contractile tissue repair, extensibility or stability, easing movement and improving function.
Manual Therapy Procedure
Joint mobilization is an evaluation and treatment system that uses the skilled passive movement of spinal and extremity joints, including the jaw (TMJ), using different grades, speeds and therapist pressure amplitudes. These advanced techniques allow the joint bones to move in ways that patients are unable to move or control. Smaller levels of pressure are intended to reduce joint and surrounding tissue and help relax the tissue, making it easier to move. Higher levels of pressure move the joint into its restrictive barrier, enabling the joint tissues to stretch, improving pain-free movement and alignment.
Evaluation and treatment techniques of manual traction are performed by direct contact with the hand of the therapist on both extremity bones, TMJ and spinal joint. A very specific and controlled distractive force is used to reduce compression and pain, relax the soft tissue and help to restore pain-free mobility. Manual traction is often used in the spine with the disorder, including sciatica and degenerative disorder, as well as arthritic conditions. Traction helps to "unload "a painful joint in the extremities, including those with arthritis, thus relaxing the surrounding soft tissues and improving the free movement of joint health and pain. Traction is often carried out in conjunction with joint mobilization and handling techniques and is also used in PNF therapeutic exercises. If you respond favourably to manual traction, your therapist may recommend a home traction unit or brace.
For patients with back, neck and extremity problems, chiropractors usually prescribe specific strengthening exercises.
Following an injury, therapeutic stretching is a significant way to prevent scar tissue from forming. Even after the injury has healed, maintaining a regular stretching programme helps keep tissues flexible, enhanced mobility, and assists you from new injuries.
Many chiropractors use spinal traction, traction devices are applied to distract areas of the spine. This treatment helps to gently separate the vertebrae leading to decompression of the disc, reduced nerve root pressure and reduced pain.
Soft Tissue Manual Therapy
To improve the function of soft tissues (muscles, ligaments, tendons and joint capsules), chiropractors use a variety of practical soft tissue therapies. These include the pin and stretch, also known as the proprietary name Active Release Technique (ART), and the mobilization of soft tissue (Graston Technique) assisted by instruments.
· Physical Therapy Modalities
· Muscle Stimulation
· Transcutaneous Electric Nerve Stimulation (TENS)
· Ice and Heat Therapy
· Diet & Nutrition Counselling
· Lifestyle Modification Counselling
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