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Spinal/Joint Mobilisations and Manipulations

This therapy involves ‘hands on’ treatment provided by a Physiotherapist. Mobilisations and manipulations are graded movements of the spine or other joints to restore mobility, relieve pain and aid postural correction. The treatment may include moving joints in precise directions and may entail the patient to activate certain muscles during the therapy. Sometimes the mobilisations may be more passive and involve controlled and specific stretching. These techniques are mainly used alongside tailored exercises and postural advice that we will teach you to target the problem.

The definitions of the two techniques are -

Manipulation: A passive, high velocity, low amplitude thrust applied to a joint complex within its anatomical limit with the intent to restore optimal motion, function, and/ or to reduce pain.

Mobilisation: A manual therapy technique comprising a continuum of skilled passive movements to the joint complex that are applied at varying speeds and amplitudes, that may include a small-amplitude/ high velocity therapeutic movement (manipulation) with the intent to restore optimal motion, function, and/ or to reduce pain. 

Types of mobilisation/manipulation therapy we use –

  • Maitland
  • Cyriax
  • McKenzie
  • Mulligan
  • Muscle Energy Techniques (MET)
  • NAGs and SNAGs
  • Seat Belt Techniques.

References –

  1. NICE update 2016. Exercise not acupuncture for people with low back pain says nice in draft guidance
  2. Noten S, Meeus M, Stassijns G, Van Glabbeek F, Verborgt O, Struyf F. Efficacy of different types of mobilization techniques in patients with primary adhesive capsulitis of the shoulder : a systematic review. Archives of Phys Med & Rehab. May 2016. Vol 97 (5); 815-825.
  3. Loudon J, Reiman M, Sylvain J.The efficacy of manual joint mobilisation/ manipulation in treatment of lateral ankle sprains: a systematic review. Downloaded from on August 27, 2013 - Published by
 BJSM Online First, published on August 26, 2013 as 10.1136/bjsports-2013-092763

our services


Physiotherapy is the assessment and treatment of problems and injuries that affect muscles, joints, nerves and soft tissues.

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Sports Therapy

Sports Therapy is the assessment and treatment of musculoskeletal injuries. Treatment may involve exercise prescription, advice, hands-on therapy, electrotherapy and taping.

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Graded manipulations of the spine or other joints to restore movement, relieve pain and aid postural correction.

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Soft Tissue Mobilisations

Myofascial release, trigger point massage, deep transverse frictions, muscle energy techniques, positional release, cupping and massage.

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Sports Massage

Deep massage tailored to your needs for injury prevention, therapeutic benefits and pre and post events.

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Dry needling and electroacupuncture for relief of pain and muscle spasm. Sterile disposable needles are used.

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One to one sessions available with a Chartered Physiotherapist or Pilates instructor in our private studio.

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Injury Rehabilitation

One to one personal training tailored to your individual requirements for pre/post op and injury rehabilitation

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Biomechanical assessment of the foot and lower limb. Treatment may include exercises, strapping, manipulation and insoles.

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The use of both Psychotherapeutic Counselling and Clinical Hypnotherapy for a wide range of issues.

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What our clients say about us

  • Over the last 10 years I have consistently referred patients to the team at Physiocure. The bespoke treatment Anna and Louise offer patients is ideal for the complex hip patients we have in the practice.

    Jon Conroy BSc.MSc.MB.ChB. FRCS (Tr & Orth) Consultant Orthopaedic Surgeon

  • Anna and Louise at Physiocure have been treating patients from the Yorkshire Knee Clinic for over 15 years with excellent results. Together with their team of highly professional colleagues, they are able to provide comprehensive assessment, treatment and rehabilitation for our patients.

    Nick London, MA MD (Cantab) FRCS (Tr & Orth) Specialist Knee Surgeon The Yorkshire Knee Clinic, Harrogate, Leeds

  • I have worked with Louise and all the team at Physiocure for a number of years. Both herself and Anna run an excellent practice combining up-to-date knowledge, a wealth of experience and a highly motivated team.

    Professor Max Fehily, Consultant Hip Surgeon, Manchester Hip Clinic

  • I have worked with Anna and Louise for many years now and found them to be exceptional physiotherapists. They have successfully treated many of my more complex shoulder patients, as well as athletes.

    Lennard Funk, BSc MSc FRCS(Tr&Orth) FFSEM(UK), Shoulder Surgeon, Wrightington Hospital

  • I travelled 5 hours by car from my home in Sussex for two days of intensive sessions with many different people in the Physiocure team. I can say without any reservation that not only was it more than worth the trip, but that I would and will do it again, because the care, concern, dedication and professionalism of everyone I encountered at Physiocure was absolutely outstanding.

    Camilla Black, Sussex

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Meet The Team

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