Mulligan's Manual Therapy Concept in Perth
Don’t let joint restriction and stiffness limit your movements. At Archer St Physiotherapy Centre, our physiotherapists use the Mulligan’s Manual Therapy Concept to help you obtain the function you need.
Move pain free with the Mulligan's Manual Therapy Concept
It can be frustrating when you can no longer move your body the way you want. You may feel pain, stiffness, or restriction. These problems can make it hard to do your everyday activities that you enjoy.
There are many possible causes of pain and mobility issues but our physiotherapists can help you return to your regular activities, through a combination of assessment and treatment.
At Archer St Physiotherapy Centre, we offer Mulligan’s Manual Therapy Concept Therapy for patients who are dealing with joint pain and restriction. The Mulligan Concept of Mobilisation with Movement (MWM) is a unique manual therapy treatment approach that combines joint mobilisation with active movement or function. Fundamentally a patient’s joint pain, restriction or functional loss is eliminated when appropriate mobilisation forces are applied during movement. Our highly skilled physiotherapists are dedicated to providing individualised care to every patient, and can use this manual therapy as a treatment option as a part of their multidisciplinary approach to your management and rehabilitation.
Applications
Applications Of Mulligan's Manual Therapy Concept
Any patient suffering from joint pain or range of of motion joint restriction may benefit from this treatment approach. As the patient moves through their affected range of motion, the therapist will manually reposition and mobilise the joint to restore function and alleviate pain. Here are some conditions this approach may benefit:
Joint Pains
Poor alignment and joint restriction of a joint over a long duration of time may result in joint inflammation and pain during joint movements.
Range of Motion Restrictions
Ongoing pain and inflammation results in the decrease of range of motion of a joint, leading to stiffness and restrictions in everyday activities.
Radiating pain
This type of pain is a common outcome when inflamed or restricted spinal joints compress or irritate a nerve as it exits the spinal column.
Headaches
The tensing of muscles along the cervical spine and upper back can lead to tension headaches and pain in the head, face and jaw muscles.
Why Choose Archer St Physiotherapy Centre for Mulligan's Manual Therapy Concept
Our team will help you get back on your feet in no time. We use a combination of techniques that have been proven to be effective in overcoming symptoms of pain and stiffness.
Mulligan’s Concept Therapy at Archer St Physiotherapy Centre may be appropriate for your presentation. We offer a tailored approach to treatment that has helped many of our patients find relief from their pain. Let us help you reach your desired health outcomes. Call our clinic now to schedule an appointment.
- Easily Accessible Location in Carlisle with Handicap-friendly Amenities
- Effective and Hands-On Physiotherapy
- Multi-award Winning Physio Practice
- Free and Convenient On-site Parking
Frequently Asked Questions
FAQ's about Mulligan's Manual Therapy Technique
What are NAG and SNAG?
The Mulligan Manual Therapy Concept deals with several different techniques. Two of these are NAGs (Natural Apophyseal Glides) and SNAGs (Sustained Natural Apophyseal Glides). They vary in mobilisation technique and indication.
NAGs are used specifically on the cervical spine and the upper thoracic spine. It consists of oscillatory mobilisations instead of sustained glides, and it is applied to the facet joints of the vertebrae. In highly irritable conditions, this technique is the treatment of choice when spinal movement is restricted severely.
SNAGs have a more general indication, commonly being used on joints of the axial skeleton, like those in the spine, the rib cage, and the sacroiliac joint. The therapist applies the appropriate accessory zygapophyseal glide while the patient performs the painful movement. A full range of motion may be achieved without pain after the treatment.
SNAGs work best when symptoms are triggered by a single specific movement. Even though SNAGs are usually done in weight-bearing positions, they can also be used in non-weight bearing positions.
What is Positional Fault?
Brian R. Mulligan, the principal proponent of the Mulligan’s Manual Therapy Concept, proposed that injuries or sprains could cause a slight “positional fault” in a joint that would cause restriction of movement. He developed the technique to address these joint tracking problems.
Normally, joints are meant to allow free but controlled movement while simultaneously minimising pressure and forces generated by those movements. This is achieved through the shape of the articular surfaces, the thickness of cartilage, the direction of ligaments and capsules, as well as muscle and tendon pull.
Normal proprioceptive feedback allows one to make positional changes to maintain joint health. The alteration of any or all of the above factors would affect the joint position or tracking during movement, resulting in pain, stiffness and weakness in the patient. Using this unique therapy concept, the physiotherapist will be able to realign joint surfaces in the least invasive way possible.
How does this manual therapy technique work?
Mobilisation With Movement (MWM) is the core of the Mulligan’s Concept. Our physiotherapists will determine if there is a joint restriction, range of motion loss, or joint pain during the examination. In order to provide a situation in which the patient can move further through the range of motion and reduce pain, the physio will then reposition that joint using their hands or a belt.
The mobilisation of the joint allows patients to perform their daily life activities at their previous functional level. Studies show that it may even aid in the improvement of the gait of individuals. Other positive effects include pain relief during movement and correction of faulty accessory movements.
Who can perform the Mulligan's Manual Therapy Technique?
Mulligan’s coursework is only offered as post-graduate continuing education through the Mulligan Concept Teachers Association. “Certified Mulligan Practitioners” or CMPs are therapists who have completed the Upper Quarter course, Lower Quarter course, and Advanced course, as well as passed the rigorous written and practical exams. Our Principal Physiotherapist, Patrick Renner, has completed the Mulligan’s coursework needed to treat and manage Temporomandibular Joint (TMJ) pain and orofacial issues.
