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Chiropractic or Manual Therapy is a comprehensive mechanism for treating musculoskeletal problems.

As a complete method it consists of all the necessary steps that will make a treatment successful:

  • Get a medical history
  • Diagnostic tests
  • Differentiation tests
  • Joint mobilization techniques
  • Muscle control and susceptibility techniques
  • Reassessments
  • Reintegration into functionality
  • Exercise and strengthening

Manual Therapy and Clinical Reasoning

It is perhaps the most important step of treatment because the effective and successful treatment of the patient's problem requires the identification and resolution of all the factors involved.

Clinical reasoning begins with listening to the patient and the subjective way he or she feels and experiences his or her problem.

A detailed medical history is then obtained. For example, even a simple car accident many years ago could be responsible for severe neck pain today!

The following is the practical presentation of the problem and the reproduction of the symptoms with special tests.

Differentiation through the use of a sequence of clinical trials can provide important insights to the experienced therapist in forming the appropriate rehabilitation program.

The additional use of special techniques of analysis of the movement of the spine (Kinetic control - Spinal movement Approach), but also of the posture and gait (Gait analysis - Orthotics concept) can give important clinical data for the targeted approach.

Manual Therapy And Personalization Of The Therapeutic Plan

The treatment is never the same for anyone. An individualized treatment plan is always followed which is constantly updated in the patient's response.

The application of special techniques of mobilization of the rigid joints (Manual Therapy Concept - Biomechanical Approach), but also sliding of the nervous tissue (neurodynamics concept) are important axes of the treatment.

At the same time it is necessary to resolve the muscle problems (Trigger Point therapy) that complicate the recovery plan. This can be done with trigger point techniques directly or with soft tissue techniques (Muscle Energy Techniques) to relax muscle spasms.

An important part of the treatment plan is the recognition of muscle imbalances and joint instabilities. They are the most often neglected problem that unfortunately is not seen with the various imaging methods. For example, back pain or sore shoulder may be symptoms of muscle imbalance.

Individual retraining of the appropriate muscle groups with therapeutic exercise (Clinical Pilates, Clinical Suspension Training) can have ideal results.

Holistic Approach Of The Patient

The Concept of Manual Therapy understands that each patient has a different psychosynthesis, lives in a different social environment and all this must be included in the treatment plan.

Thus, the treatments are always done in such a way as to fit the biopsychosocial profile of each individual.

Information, Education and Self-Management

Manual Therapy wants patients to be active in maintaining the result and independent

The end of treatments does not mean the end of problem management. A series of treatments is a very serious investment in money, time and effort. It is a pity to lose all this and for this the patient should be well informed and trained to maintain the biomechanical changes made with manual therapy. This can be done based on 2 axes:

The first axis concerns the education of the patient on the improvement of his daily activities. The way someone sits in the car, bends over to lift a heavy object or stands for a while are examples of cases where appropriate instructions are needed to improve the way the activity is performed.

Many times, back pain or a persistent neck pain can disappear with a simple change of daily posture.

The second axis is oriented to therapeutic exercise. The participation of the patient in an exercise program under the guidance of a specialized therapist who will take into account his particularities, guarantees the optimal maintenance of the positive results that have been achieved. Otherwise, our therapist will give in writing a detailed exercise book for the home so that the exercise is safe and constructive.

Treatment Plan

Manual Therapy - Maitland Concept is essentially a scientific system for the identification of musculoskeletal problems and their management with special mobilization techniques and exercise.

However, the organization of this system and its clinical basis is so stable and detailed that it allows us from the first appointment to determine the treatment plan with great accuracy.

Thus, the patient knows what he has, is informed about the working mechanism of his pathology and is presented with a specific treatment plan with a specific number, cost and duration as well as the expected results.

It is typical that patients who had done physical therapy sessions for years with the classic outdated way of using machines (ultrasound, diathermy, massage, currents), solved their problem with 5-10 sessions of Manual Therapy!

Visit our modern centers and find an immediate solution to the musculoskeletal problem that concerns you. Whether it is a simple back pain or recovery of musculoskeletal problems after surgery we have the solution!