Manipulation Therapy

Manual therapy and Manipulative therapy, are both physical treatments primarily used to treat musculoskeletal pain and disability; it most commonly includes kneading and manipulation of muscles, joint mobilisation and joint manipulation. 

Manual Therapies are the application of an accurately determined and specifically directed manual force to the body, in order to improve mobility in areas that are restricted; in joints, in connective tissues or in skeletal muscles.

Three notable forms of manual therapy are manipulation, mobilization and massage.

Manipulation is the artful introduction of a rapid rotational, shear or distraction force into an articulation to release joint restriction.

Mobilization is a slower, more controlled process of articular and soft-tissue (myofascial) stretching intended to improve bio-mechanical elasticity (flexibility).

Massage is typically the repetitive rubbing, stripping or kneading of myofascial tissues, (muscle,tendons and ligaments), to principally improve interstitial fluid dynamics, (blood and lymph flow)

At the Fettle Clinic we use all of the above techniques when appropriate and in consultation with the patient



Acupuncture is a treatment derived from ancient Chinese medicine. Fine needles are inserted at certain sites in the body for therapeutic or preventative purposes.

Acupuncture can be used to help with the following conditions:

• Chronic pain, such as neck and back pain

• Joint pain

• Dental pain

• Post-operative pain

• Chronic tension-type headaches

We also use acupuncture to that the follwoing symptoms:

• Migraines

• Nausea

Acupuncture can also be used to reduce cravings (i.e. smoking).