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TREATMENT METHODS

Manual therapy in Poznań: the foundation of every visit

A form of physiotherapy based on the therapist's precise hands. Diagnosis, pain reduction, and restored range of motion, supported by current anatomical, biomechanical, and physiological knowledge.

Paweł Grajewski performing knee joint mobilization at GraMedica clinic

What is manual therapy?

Manual therapy is a form of physiotherapy that uses specialised hands-on
techniques. Its main goal is diagnosis, then improving musculoskeletal
function, reducing pain, and restoring proper range of motion. The technique
is based on current anatomical, biomechanical, and physiological knowledge
and is supported by scientific evidence.

Techniques used: mobilisations, manipulations, myofascial techniques,
stretching, neuromobilisations. Selection depends on the problem, the
patient's condition, and ongoing clinical assessment. I often combine
several techniques within a single visit.

Goals of manual therapy:

  1. Pain reduction. Working on muscles, fascia, and joints reduces
    back, neck, shoulder, and limb joint pain.
  2. Improved mobility. Manual techniques increase joint range of motion
    for free, painless movement.
  3. Biomechanical balance. Balancing muscle tension and improving posture.
  4. Soft-tissue release. Myofascial therapy and stretching techniques
    work on tense and overloaded muscles.
  5. Nervous-system stimulation. Neurodynamic techniques can improve
    nerve function, reducing numbness, tingling, or muscle weakness.

A non-invasive, effective, and safe method, used both in young, active
patients and in older patients.

Visceral therapy as an adjunct. In selected cases (e.g., chronic
thoracolumbar tension coexisting with visceral symptoms) I use visceral
techniques, which are manual work with internal organs through their
ligaments and fascia. Not as a standard component of every visit, but
where clinical indications justify it.

INDICATIONS

When I use manual therapy

Spine pain

Cervical, thoracic, lumbar, the most common patient group in my clinic.

Overuse syndromes

Muscle tension from desk work, sport, or repetitive movements.

Sports injuries

Sprains, strains, peripheral joint injuries (knee, shoulder, hip, wrist).

Post-surgical recovery

ACL, shoulder, spine, hip. Safe return to function after surgery.

Restricted range of motion

Postural disorders, frozen shoulder, stiffness after immobilisation.

Cervicogenic headaches

Headaches from cervical spine often respond well to manual neck work.

Common questions about manual therapy

Are spinal manipulations safe?
In a trained therapist's hands, yes. I precede every manipulation with full clinical assessment and ruling out contraindications (instability, bone disease, fresh injury). When manipulation isn't the right choice I use gentler techniques: mobilisations and myofascial work.
How many sessions are needed?
Acute issues (e.g. sprains) often need 3–5 visits. Chronic spine pain usually 6–10. After the first visit you get a concrete plan, no guessing.
Can manual therapy be painful?
Some techniques (especially work on tense muscles or trigger points) may cause temporary discomfort, but pain should be controlled. After a visit you may feel mild tissue fatigue, which usually resolves in 24–48 hours.
How is manual therapy different from massage?
Classical massage focuses on muscle relaxation and circulation. Manual therapy includes diagnostic assessment, joint work (mobilisations, manipulations), neurodynamic techniques, and biomechanical correction. The goal is therapeutic, not just relaxation.
Do you do visceral manipulations?
Only in selected cases where I see clear clinical indications (e.g. chronic thoracolumbar tension with coexisting visceral symptoms). Not a standard part of every visit.

Book a manual therapy session

No referral, no waiting lists. The first visit is a complete assessment and concrete treatment plan.

Book a visit