Manual Muscle Therapy

manual muscle therapy

The  licensed  therapists at Pure Health are highly trained individuals who primarily focus on therapeutic muscle and soft tissue treatment. Manual therapy offers a natural conservative treatment approach that relieves musculoskeletal discomfort for many patients. When combined with chiropractic treatments, medical treatments and rehabilitation this muscle work assists in the spinal remodeling process.

Manual therapy treatment is specific to each patient and prescribed by the ordering physician. Manual therapy includes many specific techniques such as Trigger Point Therapy, Orthopedic Muscle Manipulation, Lymphatic Drainage, Myofacial Release, Active and Passive Stretch, and Soft Tissue Mobilization.   These techniques are specifically designed to reduce pain, release muscle tightness/spasms, and repair injured tissues, as well as reduce scar tissue, increase strength and range of motion, and speed healing.


Trigger Point Therapy: The part of a muscle fiber that actually does the contracting is a microscopic unit called a sarcomere.  A trigger point exists when over stimulated sarcomeres are chemically prevented from releasing from their interlocked state. Normally, when a muscle is working, its sarcomeres act like tiny pumps, contracting and relaxing to circulate blood through the capillaries that supply their metabolic needs. When sarcomeres in a trigger point hold their contraction, blood flow essentially stops in the immediate area. The resulting oxygen starvation and accumulation of the waste products of metabolism irritates the trigger point. The trigger point responds to this emergency by sending out pain signals. Manual therapy of the trigger point flushes the tissue and helps the trigger point’s contracted sarcomeres begin to release. In dealing directly with the trigger point, manual therapy is the safest, most natural and most effective form of pain therapy. Trigger point massage utilizes ischemic compression of individual areas of hypersensitivity in muscles, ligaments, tendons and fascia. These trigger points are defined by their referral of pain to distant locations in muscles, connective tissues and organs. (source www.nctmb.org)


Orthopedic Muscle Work: Combining some elements of sports and medical massage, orthopedic massage integrates ten modalities to treat soft-tissue pain and injury. Emphasis is placed on understanding both the injury and its rehabilitation criteria. Three basic elements adhered to, despite the technical diversity in treatment, are assessment, matching the treatment to the injury, and adaptability of treatment. (source www.massagetherpay.com) Lymphatic Drainage link: Lymph Drainage Therapy (LDT) is unique in that healthcare professionals learn how to palpate the lymphatic flow. As they develop their skills, they can then identify the rhythm, direction, and quality of the lymphatic flow. Advanced practitioners will be able to precisely map the lymphatic flow to find alternate pathways for drainage. Developed by Bruno Chikly, MD, Lymph Drainage Therapy evolved from years of training in traditional medicine, Asian medical practices, and manual therapies. (source www.massagetherapy.com)

MyoFascial Release: The fascial system is one continuous, laminated, connective-tissue sheath that spreads without interruption throughout the entire body in a three-dimensional web. Myofascial release allows therapists to locate and address restrictions in the fascial system that are causing asymmetries, postural malalignment, abnormal tensions, and pressures that can lead to pain and dysfunction. The goal of fascial mobilization is to produce a well-balanced, symmetrical, and mobile body within the skeletal, soft-tissue, and craniosacral systems. (source www.massagetherapy.com)


Active and Passive Stretch: PNF (Proprioceptive Neuromuscular Facilitation) is a type of bodywork that involves a combination of active or passive stretching and isometric contractions to encourage flexibility and coordination throughout the limb’s entire range of motion.  Stretching the muscle using combinations of passive, active, active isolation (AIS) release, and proprioceptive neuromuscular facilitation (PNF) stretching to be effective. The basic premise is simple, just not easy. Shorten the tissue, apply a contact tension and lengthen the tissue, actively or passively to make it slide relative to the adjacent tissue.  The therapist develops a “feel” for the tissues and their texture, tension and movement and come to understand and evaluate the movement of each tissue relative to the one next to it. (source www.kneadenergy.com) Soft

Tissue Mobilization: Muscle tension can often decrease once joint motion is restored, but many times the spasm will continue to be present. In such cases, muscle tension should be addressed or the joint dysfunction may return. The goal of soft tissue mobilization (STM) is to break up inelastic or fibrous muscle tissue (called ‘myofascial adhesions’) such as scar tissue from a back injury, move tissue fluids, and relax muscle tension. This procedure is commonly applied to the musculature surrounding the spine, and consists of rhythmic stretching and deep pressure. The therapist will localize the area of greatest tissue restriction through layer-by-layer assessment. Once identified, these restrictions can be mobilized with a wide variety of techniques. These techniques often involve placing a traction force on the tight area with an attempt to restore normal texture to tissue and reduce associated pain.(source: www.spine-health.com) Manual therapy has a myriad of benefits ranging from decreased stress and anxiety, to improved immune function. Furthermore, when received regularly, the benefits include:

  • Relief for back and neck pain
  • Decreases in headaches
  • Diminishing of muscular and joint dysfunction
  • Increases in flexibility
  • Lessening of stress and anxiety
  • Aiding in the recovery of overworked muscles
  • Improvements in circulation
  • Promoting of tissue regeneration
  • Reduction of muscular spasms
  • Decreasing fatigue
  • Improvements in immune function
  • Enhancement of mental clarity
  • Fostering peace of mind

Our licenced and certified therapists are dedicated to helping others understand and experience the benefits manual therapy has to offer. At your session, they will determine your areas of concern and provide you treatment tailored to address your needs.

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