Manipulative Physiotherapy


Examination and treatment from a physiotherapist with advanced manual therapy skills (manipulative physiotherapist) will involve an interview and a physical examination, both of which are essential to good management of your problem.


The manipulative physiotherapist will ask you many questions to help them decide how to examine you safely and how best to manage your problem. The interview will let the physiotherapist know if there is any reason certain examination or treatment procedures should not be carried out.

Physical Examination

You will need to undress, usually to your underclothes dependent on the area of the body needing to be assessed. (gowns or shorts are available on request.) The examination involves a hands on assessment and includes assessment of your:

  • Posture
  • Active movements
  • Passive movements
  • Muscle length, strength and endurance
  • Nerve conduction and mobility
  • Massage to assess the texture of soft tissues

Manipulative Physiotherapy Treatment

Manipulation is directed at your spine or other joints, and possibly includes a thrust manipulation of your joint.  If this is the case, the manipulative physiotherapist will discuss the particular treatment technique with you before using it. Some forms of gentle manipulation are sometimes called mobilisation. Other types of treatment may include massage, stretching, exercise, electrotherapy and taping. Treatment will also include advice and an indepth explanation of your problem and the best way for you to manage it.


Your manipulative physiotherapist is trained to know what treatment is appropriate and has the skill to apply your examination and treatment effectively and in as safe a manner as possible.