Manual therapy combines passive techniques such as joint mobilisation, traction (gentle pulling on the joint) and soft-tissue work with active exercises. The therapist first carries out a detailed assessment: where is movement restricted, which joint is stiff, where does it hurt? Based on this, they apply targeted hand movements that guide the joint gently along its natural path and release the surrounding tissue. Unlike chiropractic, it usually avoids sudden, audible manipulations and instead uses measured, controlled movements.
A typical session lasts 25 to 45 minutes. Treatment is often followed by home exercises, because manual therapy works best combined with active movement. Common areas of application include neck and back pain, a restricted shoulder (such as a frozen shoulder), hip and knee problems, jaw-joint complaints and rehabilitation after surgery or sports injuries.
Manual therapy is a recognised additional physiotherapy qualification. In Switzerland the therapist needs specific advanced training. With a medical prescription, physiotherapy including manual techniques is covered by basic insurance (usually nine sessions per prescription). Without a prescription, as a self-payer, expect roughly CHF 90 to 130 per session (no guarantee).
What to look out for? Manual therapy should follow a careful assessment, because some techniques are unsuitable for acute inflammation, fresh fractures or certain pre-existing conditions. A good therapist explains each technique and adjusts the intensity to your response.