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Manual Therapy Physiotherapy

Manual therapy, or manipulative therapy, is a physical treatment primarily used by physical therapists, physiotherapists to treat musculoskeletal pain and disability; it most includes kneading and manipulation of muscles, joint mobilization and joint manipulation.

We employ manual therapy and manipulation therapies for the treatment of health conditions and problems using a physical, hands-on intervention. Here in our physiotherapy clinics of Phoenix Rehab Group Singapore, we utilize and offer a range of manual techniques and solutions for you, depending on your medical conditions.

The benefits of manual therapy and physiotherapy techniques are:

  • quick bones, joints and muscles pain relief
  • accelerating recovery time for injuries
  • improving the active and passive range of motion (ROM) of joints
  • decreases soft tissue (muscles, tendons, joints) inflammation
  • induces relaxed states and optimal length of muscles
  • normalize and optimize movement
  • improving overall mobility and function

Using a manual and manipulative techniques are very useful in the management of musculoskeletal and orthopedic conditions, where pain can cause weakness and lack/fear of movement that leads to stiffness that in turn can set and lock

  • muscles
  • joints
  • tendons

Often, a quick respond and result will follow when applied appropriately.

Some patients conditions will benefit from regular sports massage and deep tissue release sessions, to decrease muscle spasms that comes from pain, prolonged contraction.

An example is with hand therapy where our senior hand therapist will apply manual therapy techniques, say for a patient who had a fall and presents with a left wrist distal radial fracture (wrist fracture).

Typically, if the fracture is mild and stable, the treating doctor will place the patient on cast or customized wrist splint, and after 2-4 weeks, once x-ray shows that the fracture is stable and healing well, to start hand therapy.

By 2-4 weeks, patients almost always presents with wrist stiffness and decreased range of motion to the wrist (flexion, extension, ulnar/radial deviations). The senior hand therapist will then, if there is no contraindication,

manual therapy Techniques

  • Myofascial Therapy targets the muscle and fascial systems, promotes flexibility and mobility of the body's connective tissues. It is said to mobilize adhesions and reduce severity/sensitivity of scarring. A critical analysis finds that the relevance of fascia to therapy doubtful.

  • Massage may be used as part of a treatment. Proponents claim this may reduce inflammation. Science writer Paul Ingraham notes that there is no evidence to support the claim.

  • Friction massage is said to increase mobilization of adhesions between fascial layers, muscles, compartments and other soft tissues. They are thought to create an inflammatory response and instigate focus to injured areas. A 2012 systematic review found that no additional benefit was incurred from the inclusion of deep tissue friction massage in a therapeutic regime, although the conclusions were limited by the small sample sizes in available randomized clinical trials.

  • Soft Tissue Technique is firm, direct pressure to relax hypertonic muscles and stretch tight fascial structures. A 2015 review concluded that the Technique is ineffective for lower back pain, and the quality of research testing its effectiveness is poor.

  • Trigger Point techniques claim to address Myofascial Trigger points, though the explanation of how this works is controversial and reviews in 2008 and 2009 call into question whether trigger points are a valid diagnosis at all given the small amounts of poor quality evidence available.



Manual therapy practitioners often use therapeutic taping to relieve pressure on injured soft tissue, alter muscle firing patterns or prevent re-injury. Some techniques are designed to enhance lymphatic fluid exchange. After a soft tissue injury to muscles or tendons from sports activities, over exertion or repetitive strain injury swelling may impede blood flood to the area and slow healing. Elastic taping methods may relieve pressure from swollen tissue and enhance circulation to the injured area.

styles of manual therapy

There are many different styles of manual therapy. It is a fundamental feature of ayurvedic medicine, traditional Chinese medicine and some forms of alternative medicine as well. Those that are linked are what we have available in our physio clinics.

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Phoenix Rehab Physio Services

Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.


Patients who sustained injuries to their elbows, forearms, hands, wrists (sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand following injuries or post-operations as well as custom made hand splints.

Commonly treated hand pain injuries includes


Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.

It is a system of safe and effective exercises, which meet specific individual needs, to treat a wide range of injuries and conditions.

You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.



Sports and deep tissue release massage helps to increase nutrient-rich blood flow to tired, tight and tense muscles to

  • accelerate recovery and
  • shorten downtime / recovery period required

It also prevents muscles from scar tissue micro-tears (and potential ruptures), and increases muscle performance.

Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.


All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).

See our entire team here with introductions and their specializations.

At the first session, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover as well as provide treatment in the same session.

Follow up sessions are inline to provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

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We appreciate you as our valued clients and want you to know that the # 1 way we grow as a clinic / brand is through word of mouth referrals from valued patients like yourself.

We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.

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