Manual therapy describes a number of hands-on techniques used by practitioners that aim to improve the functioning of the body’s musculoskeletal structures, including; muscles, tendons, fascia & joints.
Manual therapies are typically applied in conjunction with exercise &/or orthotic therapy as part of a patient’s individualised treatment regime.
What Does Manual Therapy Do?
Depending on the technique used, manual therapy can achieve;
- Decrease tension & improve flexibility of muscles, tendons and fascia
- Improve joint range of motion
- Release of myofascial trigger points
- Improve blood & lymphatic circulation
- Decompress & relieve tension on peripheral nerves
What Types of Manual Therapy Do We Offer?
In addition to manual therapy techniques taught as part of the undergraduate Podiatry degrees, our Podiatrists have received further training / certifications in the following therapies for application in the treatment of lower extremity complaints;
- Joint Mobilisations & Manipulations
- Counterstrain / Positional Release Therapy (PRT)*
Which Patients Require Manual Therapies?
The successful treatment of musculoskeletal complaints require altering the way in which the affected tissues are loading. This is typically achieved through exercised based therapies and/or orthotic therapy.
In some cases the musculoskeletal system may be resistant to altering movement/loading patterns. This resistance is often the nervous system trying to ‘protect’ the area, and can present in a number of ways including;
- Muscular ‘tightness’ that won’t alleviate
- Increased pain perception when attempting to move/load an area.
- Instability of a joint / feeling of ‘giving way’
Manual therapies can assist the treatment process by decreasing the protective state the body is functioning in and allow the body to respond more effectively to the prescribed exercises &/or orthotic therapy. In order to fully benefit from manual therapies a patient must complete the prescribed exercises as the effects of manual therapies are only short-term if the associated exercise &/or orthotic therapies are not adhered to.
conditions in which manual therapies often benefit as part of the treatment regime
- Heel Pain / Plantar Fasciitis
- Chronic Ankle Pain
- Foot & Ankle Arthritis
- Knee Pain
- Muscle Strains
* Positional Release Therapy (PRT) can be effectively used for the treatment of chronic or sub-acute muscle spasms that can occur as a result of acute or chronic injuries. As a result of these injuries a muscle may enter in to a ‘protective spasm’, further increasing the level of dysfunction. PRT involves the practitioner passively moving the patient in to positions in which the muscle spasm is able to release. Talysha Reeve has undergone additional training through the Manual Therapy Institute under supervision of its founder Haydn Gambling, for the use of PRT for treating dysfunction of the sacrum, ilium, knee, ankle and foot.
If your assessments have identified pathology that is outside our Podiatrist’s scope of practice or requires further assessment you will be referred to the relevant health practitioners for treatment. Eg: Physiotherapist, Chiropractor, Osteopath, Remedial Massage Therapist etc…