Manual therapy is hands-on treatment applied by a physiotherapist to joints, muscle and connective tissue. It is sometimes called osteopathic or manual physiotherapy technique. At Aspire Physio these techniques are delivered by licensed physiotherapists, and they are used to reduce pain and restore movement so you can load the area properly again.
The techniques we use
Joint and spine mobilisation
Controlled, graded movements applied to a stiff joint or section of the spine to improve how it moves and ease pain.
Deep tissue and sports massage
Firmer soft tissue work for muscles that are overloaded or guarding, common in people who train hard or sit all day.
Trigger point therapy
Sustained pressure on tender, tight points in a muscle to reduce pain and tension.
Myofascial release
Slow, sustained pressure through muscle and the connective tissue around it. There is a full explanation on our myofascial release page.
Dry needling
Fine needles placed into tight muscle by a trained physiotherapist, used where it suits the problem.
How we decide what to use
Technique follows assessment, not the other way round. Your physio checks how you move, finds what is stiff, weak or compensating, then chooses the hands-on work that fits. Used where it helps, for as long as it helps.
Manual therapy settles symptoms. It does not fix the cause on its own, so most plans move quickly to exercise and strength work to keep the gain.
What happens after
As pain settles, the plan shifts to corrective exercise and loading. Strength coaching is one floor above the clinic, so your coach and physio work from one plan. For back problems specifically, see back pain treatment in Bangkok.
Aspire Physio is in Asok, on Sukhumvit Soi 23, a short walk from Asok BTS and Sukhumvit MRT. The first consultation is free. Details and booking are on the physiotherapy page.