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Pain & injuries

Manual Therapy

Skilled hands-on techniques to restore mobility, reduce pain, and promote healing

What Is Manual Therapy?

Manual therapy is the hands-on foundation of physiotherapy care — skilled techniques performed by trained physiotherapists to assess, diagnose, and treat musculoskeletal conditions.

At its core, manual therapy encompasses:

  • Joint mobilizations — Restoring proper joint mechanics and range of motion
  • Soft tissue release — Addressing muscle tightness and fascial restrictions
  • Myofascial work — Targeting connective tissue restrictions throughout the body
  • Muscle energy techniques — Using active muscle contractions to improve mobility

What sets manual therapy apart is its highly personalized nature. Your physiotherapist continuously assesses your tissue response, adjusting pressure, technique, and focus areas in real-time based on what they feel and what you report.

At our South Surrey clinic, our team brings extensive training and experience in manual therapy techniques. We welcome patients from Langley, Ocean Park, and nearby communities, combining traditional hands-on methods with current evidence-based practices.

Learn more about how polyvagal theory informs our manual therapy approach and our nervous system approach to better movement.

Best for
Joint pain, muscle tension, post-injury stiffness
Typical course
3-8 sessions
Coverage
Extended health benefits (physiotherapy)

Who is this for?

  • Experience musculoskeletal pain — whether neck pain, back pain, or shoulder pain — whether new or long-standing
  • Have reduced flexibility or difficulty moving joints through full range
  • Are recovering from an injury (sports, accidents, or daily activities)
  • Prefer hands-on, personalized treatment from a skilled practitioner
  • Have a sedentary lifestyle causing postural stress
  • Are an active individual looking to maintain optimal mobility

Conditions and concerns

How it helps

  • Pain Relief

    Targets pain-generating tissues directly while promoting release of natural pain-relieving chemicals

  • Restored Mobility

    Breaks down adhesions and restrictions that limit your range of motion

  • Muscle Tension Release

    Addresses tightness, trigger points, and fascial restrictions

  • Improved Circulation

    Increases blood flow to bring healing nutrients and remove waste products

  • Nervous System Calming

    Activates your parasympathetic nervous system to support healing

  • Better Movement Patterns

    Restores normal movement patterns to prevent compensatory problems

What to expect

  1. Assessment

    Comprehensive evaluation of your movement patterns, posture, and specific areas of restriction or pain through observation and hands-on examination.

  2. Treatment

    Hands-on techniques tailored to your needs including joint mobilization, soft tissue release, and myofascial work. Your therapist adjusts in real-time based on your feedback.

  3. Home Program

    Personalized exercises to maintain and build upon gains. Most patients notice improvements within the first few sessions.

Meet the Practitioners

Our team of experienced physiotherapists and kinesiologists are ready to help you on your path to recovery.

Megan Davis

Megan Davis

Registered Physiotherapist

Larissa Vishniakoff

Larissa Vishniakoff

Registered Physiotherapist

Michaela Toffoli

Michaela Toffoli

Registered Physiotherapist

New to physiotherapy?

Start with an assessment. You do not need to choose a treatment technique.

First visit & fees

Why choose At Ease Physio?

  • Specialized Training

    Our physiotherapists bring advanced training in manual therapy techniques, combining years of hands-on experience with ongoing professional development.

  • Personalized Approach

    Your treatment plan reflects your unique presentation, goals, and preferences rather than following a one-size-fits-all protocol.

  • Integrated Care

    We combine hands-on treatment with therapeutic exercise, education, and other evidence-based modalities for comprehensive care.

  • Convenient Location

    Easy access at South Surrey with ample parking makes attending your appointments straightforward.

Frequently asked questions

Is manual therapy painful?
Manual therapy should not be painful, though you may experience some discomfort when tight or restricted tissues are treated. Our physiotherapists work within your comfort level, adjusting pressure and technique based on your feedback. Some temporary soreness after treatment is normal and typically resolves within 24-48 hours.
How is manual therapy different from massage?
Manual therapy is performed by physiotherapists with extensive training in anatomy, assessment, and treatment of musculoskeletal conditions. It includes joint mobilization and manipulation techniques that massage therapists do not perform, and integrates with comprehensive physiotherapy assessment and treatment planning. We also offer complementary services like dry needling and craniosacral therapy for comprehensive care.
How many sessions will I need?
The number of sessions varies based on your condition, its duration, and your individual response to treatment. Acute conditions often improve significantly within 3-6 sessions, while chronic or complex presentations may require longer treatment courses.
What techniques do you use?
Our manual therapy services include joint mobilization and manipulation, soft tissue release, myofascial techniques, muscle energy techniques, and neural mobilization. Your physiotherapist selects techniques based on assessment findings and your specific needs.
Does insurance cover manual therapy?
Manual therapy provided by registered physiotherapists is typically covered under extended health benefits that include physiotherapy. Coverage amounts and requirements vary by plan. Our clinic can provide receipts and documentation needed for insurance claims.

Ready to Move Without Pain?

Pain and stiffness shouldn't hold you back. Book an assessment and let skilled hands help restore your mobility.