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What is the difference between manual therapy and physical therapy?

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Home Health

What is the difference between manual therapy and physical therapy?

by Smith Wills
7 December 2023
in Health
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Manual Therapy
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When it comes to enhancing physical well-being and managing musculoskeletal conditions, Carter Physiotherapy in Austin TX stands as a beacon of specialized care. Within the realm of healthcare, two distinct methodologies play pivotal roles in addressing pain, improving mobility, and fostering overall health – manual therapy and physical therapy. 

Carter Physiotherapy, a trusted name in Austin, seamlessly integrates both approaches to provide a comprehensive spectrum of care. This article aims to unravel the nuances between manual therapy and physical therapy, shedding light on their unique characteristics and applications.

Defining Manual Therapy 

Austin Manual therapy uses hands-on techniques to evaluate and treat musculoskeletal injuries, pain, and restricted mobility. Manual therapists have advanced training and skills in:  

• Therapeutic Massage – Applying kneading, friction, and vibration to relax muscles

• Mobilization – Gently moving joints/tissues to improve mobility  

• Manipulation – Using targeted motions to adjust restricted joints 

• Muscle Energy Techniques – Engaging voluntary muscle contractions to mobilize stiff joints

• Neuromuscular Treatments – Reducing nerve pressure, improving tissue dynamics

• Myofascial Release – Applying sustained pressure to release connective tissue restrictions

Other interventions like stretching tight structures, dry needling trigger points, and correcting postural imbalances are often included. Treatment sessions tend to concentrate on these manual techniques.

Who Practices Manual Therapy?

Practitioners come from diverse clinical backgrounds, including physical therapy, osteopathic medicine, chiropractic, sports rehabilitation, and naturopathic medicine. Many pursue extensive post-graduate specialty training in manual techniques, often requiring several additional years beyond entry-level education. 

There are opportunities to gain specialized orthopedic, neurological, or sports manual therapy competencies. 

Practitioners can earn credentials confirming advanced manual skills such as Certified Manual Therapist (CMT), Registered Manual Therapist (RMT), Fellow of the American Academy of Orthopaedic Manual Physical Therapists (FAAOMPT), or Certified Sports Manual Therapist. 

Board certification demonstrates mastery in evidence-based manual therapy assessment, treatment, patient management, clinical reasoning, and advanced clinical skills.

Defining Physical Therapy

Physical therapists (PTs) take a whole-body, movement-based approach to rehabilitation. Goals center on reducing pain, restoring mobility, rebuilding strength and endurance, re-establishing balance/coordination, preventing complications, and improving overall health. Their diverse skillset includes:

• Manual Therapy – Massage, manipulation (as described above)

• Therapeutic Exercise – Strength, flexibility, balance, coordination training  

• Neuromuscular Re-education – Repatterning movement control 

• Gait and Mobility Training – Improving transfers, walking, transitions  

• Pain Relief Modalities – Heat, ice, electricity, ultrasound, traction

• Patient Education – Self-care strategies, lifestyle modification

• Custom Assistive Equipment – Braces, supports, taping, footwear

Treatment sessions tend to incorporate various modalities based on the patient’s evolving needs. PTs take a long-term view focused on maximal recovery.

Overlapping Skillsets Between Disciplines  

There is a definite overlap between manual therapy and physical therapy when it comes to hands-on treatments. Many PTs pursue specialized post-graduate training in techniques like spinal manipulation. Advanced practice PTs may use “orthopedic manual physical therapist” or “manual physical therapist” in their credentials.  

Additionally, some manual therapists prescribe rehabilitative exercises, teach movement patterns, or recommend assistive devices. However, a manual therapist’s primary focus remains on providing hands-on interventions to relieve pain and improve joint and soft tissue mobility.

PTs have a wider range of competencies, including functional training, modality treatments, strength/endurance conditioning, balance retraining, patient education, and long-term management. Exercise prescription and re-establishing motor control are significant components.

Some practitioners hold dual credentials as PTs and manual therapists or sports medicine specialists. This allows them to integrate manual techniques into Austin physical therapy exercise and rehab programs.

Choosing the Right Therapy for Your Condition  

How do you know whether to see a manual therapist or a physical therapist?

Here are some general guidelines:

See a manual therapist for assessment and treatment if you primarily have:

• Acute or chronic musculoskeletal pain in back, neck, limbs  

• Joint stiffness after injury or surgery

• Muscle, ligament, or tendon strains and sprains

• Osteoarthritis pain in major joints like knees, hips, shoulders

• Postural imbalance, movement restrictions  

See a physical therapist for assessment and treatment if you have:  

• Balance, gait, or mobility dysfunction after illness, injury, or surgery

• Neurological disorders like stroke, spinal cord injury, traumatic brain injury

• Multi-system disorders like diabetes, heart disease, cancer

• Need to correct poor movement patterns long-term

• Arthritis, repetitive strain injuries, degenerative joint conditions

Your provider may refer you to a manual therapist for short-term pain relief and joint mobilization. And a physical therapist for core strengthening, proprioception training, and developing self-management strategies.

Getting Properly Evaluated 

When considering manual therapy versus physical therapy, the most vital factor is choosing a provider who thoroughly evaluates your health history and unique circumstances. An accurate diagnosis comes first before developing the optimal treatment plan. 

Here in Austin, TX, the highly skilled therapists at Carter Physiotherapy specialize in both manual therapy and physical therapy. For customized care of your hip injury or back pain, contact Carter Physiotherapy for a comprehensive assessment. 

Their providers can then recommend integrated manual, functional, and pain management therapies so you achieve full rehabilitation. With evidence-based treatment tailored to your needs, you’ll finally resolve nagging dysfunctions and return to peak mobility and independence.

Tags: Manual Therapymusculoskeletal conditionsPhysical Therapy
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Smith Wills

Smith Wills

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