Orthopedic therapy requires attention to both passive (manual therapy) as well as active (movement) techniques. Good orthopedic therapy uses a combination of both techniques to ensure independence and long term transformation.
Manual therapy is an important part of restoring healthy movement- particularly in the presence of joint stiffness with the onset of osteoarthritis or following a period of immobility (such as after a surgery).
Manual therapy techniques use hands on methods to achieve increased mobility. Soft tissue massage, myofascial release, joint mobilization, neural glides, joint stretching are a few of the techniques that are used to enhance mobility. The tissues that are targeted are always soft tissues: nerve, muscle, ligaments (including joint capsule) and fascia.
Physical movement requires attention to biomechanics- how movements are being performed. Through working to establish good mechanics, you can change the physical forces across the bones, joints and ligaments. Exercise allows our muscles to grow and our motor cortex to create new movement pathways. These changes allow for limitless possibility in our functional outcomes.