Manual Therapy

Once Dr. Pesale has examined you to pinpoint the source of your pain, he will determine which manual therapy(ies) will benefit you most. Manual therapy involves hands-on techniques to diagnose, assess and treat the joints or soft tissues. Typically, it involves kneading and rubbing of the muscles. Chances are, some form of a manual therapy regimen will be incorporated into your ongoing personalized treatment plan.

Manual therapy can be applied to the spine, lumbar region, cervical, knee, foot or ankle, elbow, shoulder wrist/hand, or hip.

At Stratford Chiropractic Spine & Injury Center, we use three different forms of manual therapy: massage, mobilization and manipulation.

Stratford Chiropractic Spine & Injury Center

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Great service, professional! Complimentary massage was very nice.
I like the atmosphere in the office. Receptionist is very pleasant.

Woman receiving manual therapy.

I have never experienced a fair appointment, it has always been excellent! I’ve have told many people I know about the care I have received at Dr. Pesale’s office.


With the goal of improving musculoskeletal fluid dynamics (including both blood flow and the water that carries waste and nutritive properties between your muscle cells), massage involves the rubbing, stripping or kneading of the myofascial tissues, or muscles. Most patients appreciate the relaxing, warming, “loosening” feeling of massage.


Some patients require, as part of their therapy, the active movement, or “mobilization” or stretching of a joint beyond a point they are able to achieve in their current unaided course of movement. By assisting the patient in moving their joints in this manner, Dr. Pesale is able to gradually achieve a better range of motion for the joint over time.


This manual therapy method involves the cavitation, or popping, of the joint to release gases within the joint that had built up, limiting the joint’s range of motion. For example, we’re all familiar with cracking knuckles. As with all impeded joints, the cracking or popping sound is a desired effect of manipulation as the cavitation in the joint implodes, releasing the gases that impede motion. Manipulation treatment usually involves a careful and strategic, measured thrust to the joint. The speed, direction, depth and angle of the thrust applied to the joint are guided and determined by Dr. Pesale’s years of experience, practice and his thorough understanding of joint mechanics.

Benefits of Manual Therapy

Manual therapy delivered as part of your chiropractic treatment plan can provide significant benefit to your level of pain and range of motion. Primary benefits include:

  • Stress and tension reduction
  • Pain reduction
  • Improved joint mobility
  • Restoration of injured tissues to normal function
  • Cost effective
  • Immediate improvements (frequently)
  • Improved strength and control

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We’d love to show you how our systematic approach to healing can change your life.