Does Manual Therapy Actually Work?! Part 2 | Expert Physio Reviews!

[@mracw21]

As a PT Student in my final internship who studied in the uk and am now in North America I find this interesting. In the UK it is usually discouraged though I have seen my current educator have immediate symptoms improvement after manual therapy. I believe there’s a high degree in skill needed and the techniques used need to be relevant to the patients condition. For example, thoracic trigger point release can lead to full rotation and all someone with a shoulder injury to gain enough ROM to participate in there exercises. Passive stretching can also temporarily improve shoulder ROM for adhesive capsules. I do think there is a place for it after what I have seen however I would like to see more supporting evidence.

[@ClinicalPhysio]

Great thoughts Andrew! The evidence is exactly what I hope to process during this series - and I’m really looking out for those ones that truly support manual therapy as well

[@golfranriverapa]

Khalid, this was PHENOMENAL. really well done review of the literature. I specifically love that you appreciate the nuance of the evidence. Thank you for making this!

[@ClinicalPhysio]

Wow, thank you so much for your kind words!

[@matthewzadrov6141]

As Brian Mulligan said " he's surprised not more people do manual therapy cause hands on is everything "

[@ClinicalPhysio]

Interesting!

[@BoyShyShy]

it's interesting, isn't it? I would be curious to find out if lying still, on a plinth (or floor), in silence for 30 minutes had any effect on pain/muscle tension?

[@ClinicalPhysio]

AMAZING QUESTION!!!

[@LilY-xu5tg]

Why on different part of the body. I had been in a sports medicine clinic and observed the therapists, they used a lot of the manual therapy to surrounding tissues and muscles that can get involved or compensating, plus specific exercises, all of the patients came back better and finally good enough to be discharged. The manual therapy can change the pain signal, loosen up the muscles, and allow patients to participate in the excise needed which is significant.

[@ClinicalPhysio]

Yes that’s very true but there’s a big difference between surrounding areas and “a different part of the body” completely. Some of the trials in the research for example completed manual therapy on the foot to treat neck pain.

[@grantwilding376]

@@ClinicalPhysio it's all linked via fascia though 😉👍🏻🤫

[@ClinicalPhysio]

@@grantwilding376 👏🏼👏🏼👏🏼

[@ricardoguerrero5062]

This is so subjective, and as a long-time practicing therapist and teacher, I often hear, see, and run into people who you have to wonder WHY they call themselves or are considered experts! Many people consider themselves experts but ONLY have opinions, or opinions that reflect the time and experience phase of their self-growth. With that said, It doesn't take an expert to quickly realize that all palpating types of massages can help somewhat but to fix, correct, or heal a particular chronic musculoskeletal issue in the body, you have to realign what most patients come with, compensating or crooked ribs, facet joints, and vertebrae that hence affect COMPLETELY all surrounding tissue, tendons and ligaments. If you do not ultimately do this, as you say, all therapy is temporary in its pain relief effects, leaving the cause of the pain intact. I have been an expert massage and manual therapist for over 34 years, and it took me a long time to not only figure this out but to develop the skills that go along with it to realign the body. I think it is this long phase of time that it takes to do such things, where mostly opinions come in, or people are UNAWARE that this is possible or even how it is done. I combine massage, manual, and osteopath therapy to achieve an almost 100% success rate, I apply manual therapy with the strokes of massage and the knowledge of osteopath therapy, and the results are not only astonishing, but almost always the same when you learn to realign the body, or simply put back a misaligned rib. WHY? The theory is straightforward: when a body or structure is aligned, there is no longer any hypertonic resistance; all of the soft tissue, underlying structures, and fascia are in alignment, preventing unnatural pulling that could cause pain, discomfort, or tightness. So, again, I question many tests and opinions, especially when one's opinion is so subjective. Experience, or the one I talk about above, takes SO long to achieve, and if it is not achieved, I think it just leaves a lot of misplaced opinions that may be questioning everything because they have to put in the time, experience, and knowledge to acquire the great skill of manual therapy for realizing the body. www.massageandmaualtherapy.ca

[@tonytone1378]

I grabbed my popcorn for this. 🍿

[@ClinicalPhysio]

🙏🏼🙏🏼👍🏼👍🏼

[@siddhimodcoicar4985]

Where would be the best places to do internships for PT in different areas?

[@DavidLMT.Rocks.]

Amazing I have been doing something for 23 yrs and it didn't work on any one of them... Perhaps I will just become a doc and hand out pills...

[@logancobb4330]

Curious on your perspective of what he's presented here.. I'm currently in school to get my license and lmbt, and seeing some folks like this say its not actually doing anything substantial at all to the tissue is a bit discouraging. Why do deep tissue at all then? Why not just make every massage a swedish massage if the range of effect of manual therapy is relaxation?

[@DavidLMT.Rocks.]

@@logancobb4330 Sometimes text or messaging doesn’t allow you to see sarcasm I believe that was the case when I stated what I stated in regards to this video. As a manual therapist for 20+ years I have only good things to say about massage in regards to the work I do I’ve seen a great deal of results. Realize every one has a belief and an opinion. Many will try to steer you down the path that they only use evidence. 🤓😜🤓😜 Just like Big pharma right.

[@dhayes5151]

I've seen this performed first hand for treatment of a back injury. I keep getting the nagging feeling that this only exists because of misconception. My mind is always open but that feeling always seems to hang around. For some reason.

[@ClinicalPhysio]

🙌🏼🙏🏼

[@MrJJS09]

Would be interesting to do a similar review of exercise or 'sham exercises' that is to say random non specific movements and specific exercises for a particular area.

[@ClinicalPhysio]

I would love to! Do you any pieces of research that do this?

[@p1zto1w1pp]

It’s been done. There are hundreds of articles showing a direct muscle (area) specific effect of exercise on strength, hypertrophy, and function.

[@MrJJS09]

@p1zto1w1pp Was thinking more for pain. It will depend on the disorder particularly chronic pain disorders. Wouldn't be suprised if non - specific exercises have a positive effect equal to that of targeted exercises. 🤷🏽‍♂️

[@bestphysiotherapytreatment5446]

Thank you so much.....for valuable information

[@ClinicalPhysio]

You are most welcome!

[@grantwilding376]

Social creatures getting sympathetic touch makes them feel better..... Seems about right!

[@ClinicalPhysio]

🙏🏼🙏🏼🙏🏼

[@luffysh]

This is huge! Thank you so much!!

[@ClinicalPhysio]

🙏🏼🙏🏼🙏🏼

[@circleview21]

What's about chiropractice?

[@ClinicalPhysio]

Thank you! This is something we will absolutely be covering in future episodes in this series!

[@r_khadka99]

Hi did i saw you treating LOGAN PAUL? Please say yes😂

[@ClinicalPhysio]

Definitely not me!! 😂

[@mariumkhan245]

Plus: I never knew manual therapy is massage? How can this be? Physical therapists don’t do massages of any kind. Why PTs here keep saying massage in their videos!! I hate it 😩

[@ClinicalPhysio]

I’m surprised to hear you say PT’s don’t do massages of any kind 🙏🏼 Many do!

[@mariumkhan245]

Well those who do ruins our profession! PTs don’t do massages. It’s not in their profession. That’s really sad and disappointing

[@mariumkhan245]

I didn’t understand a thing here.

[@ClinicalPhysio]

🙏🏼