Menu

Manual Technique

image of woman getting chiropractic adjustment.

Manual therapy, also known as manipulative therapy, is a physical treatment primarily used by chiropractors to treat musculoskeletal pain and debility.

How Does Manual Therapy Work?

This form of physical therapy takes a hands-on approach rather than using devices or machines. When a chiropractor uses their hands during manual therapy, they apply pressure on the muscle tissue and maneuver the joints in an effort to reduce pain associated with muscle tension, muscle spasm and joint dysfunction.

How Does Manual Therapy Help?

When a person has insufficient movement and range of motion in their joints, it can lead to pain, discomfort and an interruption in function, movement and posture.

By implementing manual therapy, the following can occur:

  • An increase in range of motion
  • A decrease or elimination of soft tissue inflammation
  • Pain regulation
  • Relaxation
  • Healing, stability and/or extension of contractile and non-contractile tissue
  • Ease in movement and restoration of function

Types of Manual Therapy Movement

There are many manual therapy techniques, and, as a group, they aim to relax tense muscles and ease restricted joints. Overall, however, these procedures exercise three main types of movement:

  • Manipulation. Sheer, rotational or agitated force that is rapid and results in an audible popping sound caused by the sudden breakdown of gas bubbles that develop during joint cavitation
  • Massage. Recurring stripping, kneading or rubbing of the soft tissues for the purpose of redistributing fluid, relaxing muscles, increasing circulation, easing muscle tension, breaking up scar tissue and reducing pain
  • Mobilization. Stretching the soft tissues in a slower, more regulated process in order to improve flexibility

Mobilization and manipulation are often talked about together. They use calculated movements of various speeds (slow to fast), force (moderate to strong) and distances to pull, rotate or thrust joints and bones into position to help release stiff tissues around the joint, minimize joint pain, reestablish alignment and assist with flexibility.

Types of Manual Therapy Techniques

Prior to executing manual therapy, the chiropractor will typically do an assessment of the nerve and blood supply in the treatment area, as well as look at the bone and muscles themselves. This helps him or her determine whether this physical therapy is appropriate for the patient’s needs. Contingent on the assessment, the chiropractor may perform one or more of the following manual therapy techniques:

  • Soft tissue mobilization. Breaks up hard or rubbery muscle tissue (e.g., scar tissue), circulates tissue fluids, restores normal texture to tissue, reduces pain and lessens muscle tension through rhythmic stretching and deep pressure
  • Strain and counter-strain. Focuses on fixing irregular neuromuscular reflexes that trigger structural and postural problems. Here, the chiropractor first determines where the patient’s tender points are. The patient is then asked at what point the soreness diminishes. The patient is next held in position (at a point where they are comfortable) for up to two minutes. During this time, the muscle is stretched mildly and then slowly taken out of this position, which lets the body reset its muscles to a natural level of tension so that healing can occur.
  • Joint mobilization. Loosens the constrained joint and boosts range of motion by delivering slow speed and amped up distance of movement.
  • Muscle energy technique. Designed to activate restricted joints and lengthen shortened muscles by using voluntary contractions of the patient’s muscles against a defined counter force implemented by the chiropractor, who helps by taking the muscle to a specific position and placing it in a precise direction
  • High velocity, low amplitude thrusting. Restores the sliding motion of joints and allows them to open and close efficiently. This more aggressive technique involves taking a joint to, but not beyond, its restrictive barrier

Please contact your chiropractor with any questions.

Act Now - Get A Free Consultation/Meeting With the Doctor To Discuss Your Problem

Fill out this form and we will get back to you within 24 hours.



Business Information

Millar Chiropractic Clinics -
Appointment Center (All Clinics)

Huntsville, Madison, and Jones Valley Alabama

Book an Online Appointment Here

Local Phone: (256) 830-0000
Toll Free: 1-800 Go Chiro (1-800-462-4476)

Millar Chiropractic Clinics - Corporate Office

Millar Chiropractic Associates, Inc.
PO Box 21157
Huntsville, Alabama 35813
303 Williams Ave SW, Suite 133
Huntsville, Alabama 35801

Millar Chiropractic Clinics - Corporate Office

Phone: (256) 519-3550

Email Us at [email protected]

Millar Chiropractic-Madison AL

Dr. Justin Walbom, DC
Dr. Christian Voran, DC
1908 Slaughter Rd
Madison AL 35758
(256) 430-2700

Millar Chiropractic-Huntsville AL (Jones Valley)

Dr. Christian Voran, DC
2124 Cecil Ashburn Dr SE, Ste 150
Huntsville, AL 35802
(256) 713-1830

Millar Chiropractic-Huntsville AL (Downtown)

Dr. Eric Hayes, DC
2021 Clinton Ave W, Ste A
Huntsville, AL 35805
(256) 539-2000

Millar Chiropractic Functional Medicine (Williams Ave)

Dr. Greg Millar, DC CCEP
Dr. Bonnie Sims, ND M.Div.
303 Williams Ave SW, Ste 133
Huntsville, Alabama 35801
(256) 513-4888

Neuropathy Laser Center Huntsville

Dr. Greg Millar, DC CCEP
303 Williams Ave SW, Ste 135
Huntsville, Alabama 35801
(256) 830-4545
1-800 Why Hurt

Alabama Laser Spine Decompression

Dr. Greg Millar, DC CCEP
Dr. Justin Walbom, DC
303 Williams Ave SW, Ste 134
Huntsville, Alabama 35801
(256) 539-1000

American Spine & Rehab

Dr. Jack Langston, DC
2021 Clinton Ave W, Suite E
Huntsville, Alabama 35805
(256) 519-6800

Location

Find us on the map

© 2002-2019 Millar Chiropractic Associates, Inc. All rights reserved. Nothing may be copied or reproduced without expressed written consent.  See our Notices and Disclaimers page and Terms of Use page on this website as they restrict your rights herein.  

Millar Chiropractic Associates, Inc., is the franchisor and marketing company for Millar Chiropractic and Millar Chiropractic Clinics.  Each franchise clinic is independently owned and operated.  Each franchise clinic practices as a separate group practice from the other clinic corporations with each having its own unique NPI (National Provider Identifier) number.  

Free* Consultation - A Free consultation is just that. A 15-20 minute meeting to talk about your problems and our possible solutions. No Exams preformed. No Chiropractic treatment given. Should the person receiving the Free* services as outline above be accepted as a patient of the individual franchise Millar Chiropractic Clinic then additional regular charges for treatment will be incurred in individual cases as needed for related services. It is up to YOU to determine if you can receive Free* services. This offer only to new consultations and does not apply to existing patients, personal injury, or workers comp consultations. Cash value of Free* consultation $0.01. 

For all services, results vary patient to patient in individual cases.  No guarantee is made for services performed. 

Persons appearing in videos on this website are not necessary patients and may be paid actors in marketing videos.