What Is Manual Therapy?
Manual therapy is targeted, hands-on care for muscles, fascia, and joints to relieve pain, improve mobility, and restore efficient movement. At B2B Chiropractor in Midtown East, it’s the backbone of our longer sessions and pairs seamlessly with chiropractic adjustments, shockwave, ultrasound, taping, and exercise cues—so your results last beyond the table.
Benefits
Reduces muscle tension and trigger points
Improves joint and tissue mobility
Boosts circulation and speeds recovery
Calms nerve irritation and movement “guarding”
Enhances performance and durability for athletes
Techniques We Use (Matched to Your Goals)
Myofascial release & pin-and-stretch for stiff, bound-up tissue
IASTM (“scraping”) to address adhesions and improve glide
Cupping for decompression and circulation
Active/assisted release for movement-based soft-tissue work
Joint mobilization (non-thrust) to restore range without a “crack”
PNF/MET to reset tone and improve control
Kinesiology/rigid taping to reinforce gains
Conditions We Treat with Manual Therapy
Neck and low-back pain with muscle spasm or guarding
Tendinopathies (Achilles, patellar, rotator cuff, elbow)
IT band/hip flexor tightness and glute inhibition
Shoulder impingement and overhead stiffness
Shin splints and calf tightness in runners
Postural strain (desk/tech neck) and tension headaches
Scar/adhesion-related mobility limits (as appropriate)
How It Works
We assess how you move, then apply precise pressure, stretch, mobilization, or decompression to the right tissue at the right time. Expect focused work that blends pressure with guided movement and breath. The manual-therapy portion typically takes 15–30 minutes within a 30- or 60-minute appointment that also includes assessment and any indicated adjustments or modalities.
What to Expect
30- or 60-minute visit tailored to your sport and schedule
Clear post-session guidance (mobility, activation, or taping)
Back to normal activities the same day; mild, workout-like soreness can last 12–24 hours
Safety & Notes
Manual therapy is generally safe and adjustable to comfort. We avoid direct work over open wounds, active infection, acute fractures, or areas with significant sensory loss and modify techniques for blood-thinners, varicosities, or skin sensitivity. You’ll be screened thoroughly first.
FAQs
Does manual therapy hurt? You may feel “good pressure” and some tenderness in tight areas, but intensity is always adjusted to your comfort.
How many sessions will I need? Simple issues can shift in 1–3 visits; performance or chronic cases often benefit from a short, focused plan.
Can this help before training or competition? Yes—strategic manual work plus activation can improve movement quality and reduce compensation patterns.

