Manipulative Therapy Techniques

Manipulative Therapy Techniques For Lower Back Pain

Posted on Posted in Manipulative Therapy

When it comes to restoring the function of various muscles in your body, there are a variety of techniques that can be used. Some of these are exercise therapy, acupuncture, massage therapy and manual therapy or manipulative therapy at Willowpark Physio & Health Clinic in Leduc. The main focus of this article is manual therapy. We will discuss various manual therapy techniques that can help in relieving lower back pain.

Before beginning with any therapy session, your physiotherapist will first perform an appropriate assessment. Based on the assessment, your physiotherapist will perform the following manipulative therapy techniques to alleviate your lower back pain:

Soft Tissue Mobilization

Soft tissue mobilization or myofascial release is a hands-on technique. It is used to break up inelastic or fibrous muscular tissues such as scar tissue from a back injury and to move tissue fluids and relax muscle tension. This relaxes your muscles and helps in relieving pain. The aim of soft tissue mobilization is to restore mechanical movement and improve your range of motion by releasing tension in the fascia. Fascia is a sheet of fibrous tissue that surrounds and supports your muscles by separating them into layers.

Most soft tissue mobilization techniques involve placing a traction force on the lower back area. This will eventually restore the movement in the tissues and reduce the pain associated with that area.


Strain and counter-strain is a popular technique used in manipulative therapy in Leduc. This technique involves the use of passive body positioning of spasmed muscles and dysfunctional joints towards positions of comfort or tissue ease. Your therapist finds out your point of comfort by constantly asking you at what point the pain diminishes. You will then be held in this position of comfort for about 90 seconds. At this point, an asymptomatic strain is induced by mild stretching and eventually, your body gets used to resetting its muscles to a normal level.

Muscle Energy Technique

The aim of muscle energy technique is to mobilize restricted joints and lengthen shortened muscles. As the name suggests, this technique uses your muscle’s own energy in the form of gentle isometric contractions to relax the pain. The procedure involves using the voluntary contraction of your muscles against a distinctly controlled counterforce from a precise position in a specified direction which is performed by your physiotherapist. After 3-5 contractions, your therapist will take the joint to its new barrier where you need to reperform a muscle contraction.

Joint Mobilization

Joint mobilization is a common technique used by physiotherapists to relieve tightness or pain in the muscles and/or tendons and increase the range of motion of the joint. During this procedure, the therapist moves your joint passively to achieve a therapeutic effect. This technique can also assist in the reabsorbing of scar tissue, speed up muscle healing and promote joint mobility by facilitating accessory motions.

If you have been suffering from chronic lower back pain, then manual therapy could provide you some relief. Get in touch with our physiotherapists to know more about manipulative therapy techniques.

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