Manual Therapy In San Ramon

What is Manual Therapy?

Manual therapy is a safe, effective and non-invasive treatment method that is used by physical therapists, massage therapists, and athletic trainers. Typically, patients visit a manual therapist when they are experiencing musculoskeletal pain. During treatment, your physical therapist may work to relieve pain with joint manipulation, manipulation of the muscles, joint mobilization and kneading. Through this type of physical therapy, our highly-trained and experienced manual therapist is able to implement a hands-on approach to healing that is designed to help manage chronic pain, increase your range of motion, reduce inflammation, treat joint structures and promote faster healing. If you or a loved one is experiencing musculoskeletal pain, contact our offices today to learn more about the benefits of manual therapy.

Types of Manual Therapy Used in San Ramon

Joint Mobilization

One of the most common reasons for a physical therapy visit includes pulled muscles. Although many people rely on lots of rest to temporarily relieve the pain associated with a pulled muscle, it is likely that the pain will return without the help of targeted manual therapy. This is because the actual injury is most often caused by a restricted joint. With the joint mobilization technique, our physical therapist works to loosen up restricted joints with increased amplitude and the application of slow velocity. This safe, effective and painless manual therapy treatment also helps to apply movement to the barrier of the joint and increase range of motion.

Soft Tissue Mobilization

This technique is used by manual therapists to break up fibrous muscle tissue. Utilizing deep pressure movements and targeted rhythmic stretching, our experienced manual therapist is able to localize areas in the body that have the greatest tissue restriction and mobilize the area using specific techniques, including the Graston technique.

High Velocity, Low Amplitude

This is generally considered to be a more aggressive approach to manual therapy that is designed to relieve chronic pain and restore range of motion by bringing a joint to the restrictive barrier and thrusting it. The high velocity, low amplitude thrusting technique is ideal for restoring joint motion without pushing the joint beyond its normal anatomical limit. While considered to be a more aggressive form of physical therapy, this technique is still completely safe and pain-free.


This manual therapy method is designed to address any abnormal neuromuscular reflexes in the body that may result in both postural and structural issues. During treatment, our physical therapist works to locate the area of discomfort and holds that position for around 90 seconds. While in the hold position, our physical therapist is able to introduce an asymptomatic strain is with stretching. As you are brought of the hold position, your muscles are then able to reset and begin the healing process. This gentle technique is safe for patients of all ages but is most often applied to relieve back pain issues.

Muscle Energy Techniques (METs)

This popular treatment method is used to help lengthen any muscles in the body that are shortened and mobilize any restricted joints that are causing pain. During treatment, the muscles are safely contracted using a controlled counterforce that our physical therapist works to apply in a specific direction. Once contracted, the joint is taken to its new barrier, resulting in almost instant pain relief. This active procedure is also pain-free and requires patient participation to get the best results.

How is Manual Therapy An Effective Part Of Physical Therapy?

Before our physical therapist begins manual therapy treatment, a full assessment of your blood and supply is completed in addition to a comprehensive muscle and bone assessment. From there, the best type of treatment to fit your individual needs will be implemented in the hopes of achieving fast pain-relief. Manual therapy is ideal to help increase blood flow, reduce chronic pain, restore full range of motion and achieve an optimal level of overall wellness. This integral part of physical therapy treatment is safe, non-invasive and ideal for treating patients of all ages.

Our physical therapists are highly trained in diagnosing and treating movement disorders. These disorders often occur following surgery, especially if a patient has undergone total joint replacement. However, many physicians will also prescribe physical therapy treatments for injuries, accidents, or illnesses – essentially, anything that makes you feel weak and unable to function at your normal physical levels.

Your treatment plan will likely include several different therapies, all aimed at helping a specific function of your body. Some exercises may focus on improving your balance and strength, while others may focus on increasing your range of motion. Manual therapy is a crucial part of a treatment plan, as it helps to reduce pain and swelling, minimize inflammation, and increase range of motion.

See Our Manual Therapy Specialists in San Ramon

Within the scope of physical therapy practice, manual therapy is appropriate if the physical therapist have undergone adequate training in the techniques. If you think you could benefit from manual therapy, schedule an appointment with us today!

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S.P. CH.

Working with James Bateman is an incredibly personalized experience. At each session, James’ focus is on what speciffic ability I want to work on recovering. With the result that I have regained skills continually since I began working with him. He hasn’t told me to to x exercises, but instead has helped me by talking through speciffic aspects of my life and guiding me on how to recover them through lifestyle changes and special attention on how my injury feels as I do things. This training has helped me so much. It has been life changing. I’ve already referred multiple friends and family who have also valued the confidence in recovery that James brings. If you want to be told “do so many sets and so many reps,” James’ treatment style is probably not for you. If you want to learn how to understand and improve how your body works ,and gain confidence in real life situations, James is exactly the person to go to.

Debra Emerson

I have worked with Dr. James Bateman for the past several months to rehab a patellar (kneecap) fracture. James was highly recommended to me by one of my Hope Hospice co-workers who knew him through his previous work with Hope’s home health agency. Personally, I hadn’t had much experience with physical therapy despite my “advanced” age, so I wasn’t too sure what to expect; I was very pleasantly surprised. While I’ve now been officially released from PT, I know that I can always contact James should I need anything. I can honestly say that I can do everything I did before the fracture, which was our shared rehab goal. I’m not 100% pain-free and my knee still gets stiff on occasion, but I know I have the tools I need to remedy those issues, and I am confident that they will be resolved with time and with my commitment to continue the exercises prescribed by James.