Manual Therapy

Lesley uses a variety of different manual therapy and mobilisation techniques to free stiff PERIPHERAL JOINTS such as ankles; shoulders; elbows; hands; knees and SPINAL JOINTS of the neck; thoracic spine ; lower back and sacroiliac joints. These may have become stiff and painful due to:

  • Traumatic injury causing swelling of synovial joints, fibrosis and scar tissue contracture, pain and muscle imbalances;
  • Post surgery and fractures having been immobilised in casts and braces;
  • Arthritic changes due to reduced use and pain;
  • Repetitive overload and overuse injuries;
  • Lack of postural control can cause injuries at 0 miles per hour.
Lesley says "In the case of disc management these can be useful where there are intradiscal changes. Often freeing the facet (side) joints can be of great benefit in allowing less overload at the dicsal level.In the treatment of chronic sciatic pain following prolapsed disc or post laminectomy, mobilisations can be used to free adhesions of spinal nerves to capsular tissue."



These are graded techniques which can work right through and up to end range without forcing the joint past its normal range and can be of great benefit in releasing joints allowing normal physiological movements during exercise. These work by accessory glides to facilitate normal ranges of movement developed by Maitland.

They can also be a combination of accessory and physiological movements as in Snag techniques developed by Mulligan.

How do these work? By the action on the mechanoreceptors within the capsules of the joints causing an alteration of the way the nerve fires causing reflex relaxation of tight muscles!


These sudden high speed thrusts at the end of range are rarely required to free a joint and not advised repetitively to help prevent the need of recurrent manipulation. It is better to mobilise a joint then stabilise by exercise!

Deep Tissue Myofascial Techniques

If you have an injury or pain it is advisable to see a physiotherapist first as you may aggravate a condition by massaging a tight painful muscle which is overworking in order to protect another area.

Often tight muscles can be guarding neural tissues or they may increase in tone due to weakness or muscle imbalances.

Deep Frictions

These may be useful part of a treatment process at musculo tendinous junctions of eg 'Tennis elbow' syndrome or scar tissue following surgery or injury.

Peripheral Nerve Palpation

This can be an extremely beneficial way of dealing with pain where is swelling and thickening of the nerves as in upper limb work related disorders and also useful where there may be e.g. Sciatica and sciatic nerve entrapment on its route.

For more information or to arrange an appointment, call now on 07711 419858 (The Strand) or email:

Back to top
Powered By Physio123