Manual therapy - is a method of manual mobilization, which consists of the study and treatment of dysfunction of various structures of the musculoskeletal system, especially the spine and peripheral joints. Its main therapeutic goal is to restore normal joint mechanics and counteract disorders of the osteoarticular system.
Manual therapy is the cornerstone of rehabilitation.
Before starting therapy, the physiotherapist conducts an interview with the patient, as well as a palpation (tactile examination) and functional examination of the musculoskeletal organ. This examination takes place both at rest and during active and passive movements.
The therapist evaluates the appearance and consistency of soft tissues, the range and quality of movement of bony elements, and the nature of resistance occurring when moving the various structures of the musculoskeletal system in relation to each other. He examines passive and active movements of the spine, joints and evaluates the responses of the musculoskeletal system to factors harmful to the structures of the system.
Based on the patient's history and examination, the physiotherapist selects a manual therapy method to suit the patient's current functional state.
Indications for manual therapy:
Spine
- sciatica
- intervertebral disc herniation
- discopathy
- headaches
- neck pains
- "lumbago", "roots".
- Whiplash (damage to the cervical region after traffic accidents)
- and many others
Upper and lower limb
- painful shoulder syndrome
- frozen shoulder
- tennis elbow
- golfer's elbow
- carpal tunnel
- hip pain
- ITBS hip-band syndrome
- lateral patella
- jumper's knee
- chondromalacia of the patella
- and many others
Post-traumatic conditions
- damage, muscle strain
- sprain of the knee joint, ankle joint
- Pulling, tearing, rupture of the cruciate ligaments of the knee joint (ACL,PCL)
- Sprain, tear, rupture of collateral ligaments of the knee joint (MCL/LCL)
- meniscus injury
- dislocation/subluxation of the patella
- damage to the rotator cone of the shoulder joint
- fracture states
- conditions after immobilization
- and many others
