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

Deep Pressure Massage to the Low Back – Choosing the Treatment Contact

When working the low back, a good strategy is to begin with a smaller treatment contact such as thumb or finger pads to assess and begin treatment of the lumbar region, and then switch to a larger contact such as the palm or elbow to deliver deeper pressure.

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.

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.

Manual Therapy Certification for Pilates instructors teaches hands-on skills

Manual Therapy Certification for Pilates Instructors

Pilates is kinesthetic. Verbal talking to direct your client is not. Hands-on Manual direction is. Plain and simple, Pilates is a kinesthetic endeavor.

manual therapy certification teaches assessment and treatment skill sets such as palpation

Manual Therapy Certification for Chiropractors

What is most important in any Manual Therapy Certification program is marrying together the underlying science with the hands-on manual therapy skills.

Manual Therapy Certification teaches assessment and treatment skills such as piriformis palpation seen here

Manual Therapy Certification for Massage Therapists

There are two major reasons why a massage therapist should consider working toward and earning a Continuing Education Certificate in Manual Therapy.

Locked short muscles / locked long muscles in upper crossed syndrome and lower crossed syndrome

Locked Short Muscles – Locked Long Muscles

Two opposing muscle groups, the “facilitated” muscles that are locked short and the “inhibited” muscles that are locked long.