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Manual therapy is a broad term for the hands-on techniques a physiotherapist uses to help reduce pain, improve joint mobility and relax tight muscles. It includes joint mobilisation, soft-tissue release, stretching and gentle manipulation, chosen to suit your body and your symptoms.
Manual therapy is most effective as one part of a broader, active plan — not a treatment on its own. We use it to help settle symptoms and open a window for movement, then pair it with exercise and education so the benefits last.
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It should be comfortable. Some techniques create a firm but tolerable sensation; your physiotherapist will always work within your comfort and check in with you throughout.
For most conditions, no. The evidence is strongest when manual therapy is combined with active exercise and advice, which is how we use it here.