Manual therapy is the skilled “hands on treatment” used by physiotherapists and principally involves joint mobilisation or manipulation and gentle massage techniques.

In joint mobilisation and manipulation the therapist carefully and skillfully moves the joints through the available range of movement and/or applies overpressures as appropriate.

While gentle massage techniques are used to improve blood flow which facilitates the flow of nutrients, oxygen and endorphins (a natural pain killer) which can decrease muscle spasm and reduce pain. Deep tissue massage is used to break down scar tissue or facilitate the reduction of trigger points in muscle that have become tight, either as a result of injury or after sporting activity.