Physio on back
Physio on neck

Spinal Manipulation

Spinal Manipulation is commonly used by physiotherapists in the treatment of back and neck pain.

Manipulation is sometimes known by other names such as ‘spinal adjustment’. Patients often refer to this technique as ‘getting my back put back into place’ or ‘getting my back cracked’.

The intention of a manipulation technique is to correct the alignment and motion of a vertebral joint (i.e. joints of the spine/back). The techniques involve pressing firmly on a particular area of the spine, and then, with a quick and precise thrust, the physiotherapist adjusts the misaligned vertebrae, returning it to the proper position. It is usually associated with an audible "popping" sound and patients report better movement of their back/neck and reduction in pain.


Massage is a used as a treatment for back pain, neck pain, tendonitis and sports injuries. A variety of massage techniques are used in the clinic:

Deep Tissue Massage

Deep Tissue Massage is designed to relieve severe tension in the muscle and the connective tissue (known as fascia). This type of massage focuses on the body’s deeper muscles, as the name suggests. Deep tissue massage is useful for treating sports injuries and people with persistent pain.

Myofascial Release

Myofascial release refers to stretching the muscles/fascia and releasing bonds between fascia and muscles with the goal of eliminating pain and increasing movement. Myofascial release usually involves applying shear compression or tension in various directions, to restore normal flexibility of the muscles and decrease pain.

Swedish Massage

Swedish massage uses five styles of long, flowing strokes to massage. The five basic strokes are effleurage (sliding or gliding), petrissage (kneading), tapotement (rhythmic tapping), friction (cross fiber) and vibration/shaking. Swedish massage has been shown to be helpful in reducing pain, joint stiffness and improving everyday function in patients.

Trigger Point Therapy

Sometimes confused with pressure point massage, this involves deactivating trigger points that may cause local pain or refer pain and other sensations, such as headaches, in other parts of the body. Manual pressure is applied to these points to relieve myofascial pain.

Manipulation and Massage

Massage is the practice of applying structured pressure, tension, or motion to the soft tissues of the body, including muscles, connective tissue, tendons, ligaments and joints.

Sports Injury

In many cases, sports injuries are due to long term overuse of a part of the body when participating in a certain activity e.g. Achilles tendonitis in runners and shoulder impingement in swimmers.