We specialize in working directly with the injured site to stimulate healing and reduce pain. We use several techniques to achieve this:

• Manual Therapy

The Maitland Concept of manual therapy is a form of physiotherapy carried out by specially trained and highly qualified physiotherapists. It is a therapy with a specific approach involving detailed examination, diagnosis and treatment of a wide range of conditions which cause pain and movement problems. As is clearly implied by the term ‘manual therapy’ this is a ‘hands on’ treatment. Back problems, for example, can be precisely identified and the joints of the spine specifically mobilized and treated. This type of therapy is also very effective in the treatment of other joints. Hip, knee and shoulder problems can, for example, be treated to reduce pain and improve movement and function.

Manual Therapy can be effective in the treatment of:
-Back pain and disc problems.
-Neck pain and sinal problems of the neck region.
-Arthritis pain and stiffness for example of the hips, knees and back.
-Facial pain, headaches and jaw pain.
-Nerve irritation causing for example numbness or tingling in the fingers or sciatica.
-Knee pain caused by for example ligament and meniscus problems.
-Elbow problems such as Tennis or Golfers elbow.
-Problems in the wrist and hand for example broken bones, carpal tunnel syndrome, sprains and strains.
-Foot and ankle problems for example ligament and tendon tears.

• Intramuscular Manual Therapy (Dry Needling / Allied Medical Acupuncture)

Intramuscular manual therapy (IMT), also known as trigger point dry needling, is a technique used to treat painful conditions that are related to small contracture knots in muscles. Several of these contracture knots together create a palpable taut band within which can be one or many trigger points, both active and latent. Initial causes of trigger points may include posture, repetitive movements, compressive forces, trauma, and restrictive joint biomechanics. The nature of trigger points can easily lead to a self-sustaining pain cycle—pain that may be localized and/or referred to other parts of the body. As an example, wrist pain may in fact be caused by trigger points in the shoulder, neck, or trunk muscles and not by something wrong in the wrist. Therefore, knowing pain referral patterns is critical for identifying trigger points and for effectively using intramuscular manual therapy.

The IMT procedure involves inserting a solid filament needle directly into the trigger point. The needle insertion causes a local muscle contraction—called a local twitch response—and alterations in the affected tissue, including favorable biochemical, neurological, and mechanical changes. These changes help to break up the trigger point, improve the communication between the muscle and the nerves that innervate it, and reduce or eliminate the associated pain.

IMT can be used to treat chronic conditions as well as acute conditions caused by a sports-related injury or an accident. Some of the musculoskeletal conditions that can be treated include, but are not limited to, the following:
-Low back and neck pain (including radiculopathy)
-Shoulder and arm pain (for example, from impingement, tendonitis, carpal tunnel syndrome)
-Hip and leg pain (for example, from sciatica, muscle strain, calf tightness/spasms)
-Headaches

• Graston Technique

Graston technique is a form of manual therapy that uses stainless steel instruments to massage and scrape the skin over soft tissue structures like muscles, ligaments, tendons, and fascia. The technique aims to break down scar tissue and fascial restrictions that can cause pain or limit movement. Graston technique is an evidence-based therapy that can treat various conditions such as tendinitis, plantar fasciitis, carpal tunnel syndrome, and myofascial pain among other soft tissue injuries.