Permission Joseph E. Muscolino. Manual Therapy for the Low Back and Pelvis - A Clinical Orthopedic Approach (2013).

Deep Pressure Massage to the Low Back – Tissue Tension Barrier

Being able to feel tissue tension barriers is the one most important hands-on skill that an orthopedic manual therapist needs. Clinical orthopedic manual therapy (massage and stretching) only effects change if we reach tissue tension and then apply slightly more force beyond it.

Permission Joseph E.Muscolino. Manual Therapy for the Low Back and Pelvis - A Clinical Orthopedic Approach (2015)

Low Back Pain: Time to Consider Massage and Exercise as Effective Treatments

So if we say that the cause of most low back pain is not understood, it should mean that we do not know what mechanism is causing the low back pain most of the time. But that is not true. We can often palpate tight myofascial tissue or a dysfunctional joint that is causing back pain.

brain-3168269_1280 - pain neuroscience

Pain Science — just as Colorful, Convincing, and Vocal as the Old Guard

“Given that the physical therapy profession has clearly been wrong so many times before, why do the current pain science advocates appear to suggest that this time we have it right?” Should therapists be so “…blinkered by a single approach or school of thought that they deny, or cannot see, the value of another?”

One of the skill sets of manual therapy is stretching: here we see a stretch to the abductors of the hip joint

What is Manual Therapy?

The following techniques are considered to be Manual Therapy techniques: Massage (Soft Tissue Manipulation), Stretching, Joint Mobilization, Hydrotherapy.