Manual therapy involves ‘hands on’ therapeutic procedures designed to promote blood flow, relaxation and healing in areas of injury. The target tissue of manual therapy is the connective tissue in the musculoskeletal system. This connective tissue holds muscle fibers in groups to make a muscle and to hold muscles together. These structures also attach muscle to bone, bone to bone, as well as, skin to fat and fat to muscle.

Manual therapy involves applying deep pressure and slow penetrating strokes generally along the length of the muscles. It is a soft tissue manipulation and releases restricted areas of the muscles. It is not painful usually but can be very intense.