at leading edge, the physical in physical therapy also includes our hands

Across our clinics in Edmonton, Calgary, and Kelowna, manual therapy is a cornerstone of care. Our physiotherapists are extensively trained in hands-on techniques that restore movement, reduce pain, and accelerate healing. Whether you’re recovering from injury, managing chronic pain, or seeking performance enhancement, manual therapy offers immediate and lasting benefits.

Why Manual Therapy Matters in Rehab

Manual therapy isn’t just about touch—it’s about targeted, therapeutic intervention. Skilled hands can:

  • Mobilize stiff joints and restore range of motion
  • Release muscle tension and reduce pain
  • Improve circulation and tissue healing
  • Activate neuromuscular pathways for better movement control
  • Break down scar tissue and adhesions
  • Support alignment and postural correction

Manual therapy is especially effective when combined with medically prescribed exercise, creating a powerful one-two punch for recovery.

Types of Manual Therapy We Offer

At Leading Edge Physiotherapy, our therapists are trained in a wide range of manual therapy techniques, including:

  • Joint Mobilization & Manipulation – Gentle to advanced techniques that restore joint movement and reduce stiffness
  • Soft Tissue Release – Targeted pressure and stretching to relieve muscle tension and improve flexibility
  • Myofascial Release – Hands-on techniques to release restrictions in the fascia, improving mobility and reducing pain
  • Trigger Point Therapy – Focused pressure to deactivate painful muscle knots and restore function
  • Spinal Manipulation – High-velocity, low-amplitude thrusts to improve spinal alignment and relieve discomfort
  • Manual Lymphatic Drainage – Gentle techniques to reduce swelling and support immune function
  • Passive Stretching & Assisted Range of Motion – Therapist-guided movements to improve flexibility and joint health

Advanced Training, Hands-On Expertise

Our physiotherapists don’t just learn manual therapy—they master it. Many hold advanced certifications in:

  • Spinal Manipulation 
  • Orthopedic Division CPA Levels including therapists with FCAMT designations
  • Dry Needling, GUNN IMS
  • Vestibular Rehabilitation & Concussion Management
  • Advanced Soft Tissue Techniques
  • Diagnostic Imaging Interpretation

Most of our team began with a Bachelor of Science in Kinesiology before completing their Master’s in Physical Therapy, giving them a deep understanding of human movement and musculoskeletal function. This dual foundation ensures that every manual technique is backed by science and delivered with precision. It also means that it is augmented by movement.

In House Manual Therapy Training, Mentorship and Focus

At Leading Edge Physiotherapy, we believe that great hands-on care starts with great mentorship. That’s why our FCAMT-certified therapists—leaders in advanced manual therapy—don’t just treat patients, they train the next generation. Through our in-house mentorship and teaching program, these experts share their clinical wisdom, advanced techniques, and real-world experience with our entire team. It’s how we ensure that every therapist, at every location, delivers the same high standard of manual therapy our patients have come to expect. Because at Leading Edge, we don’t just pass the torch—we pass the technique.

What We Treat with Manual Therapy

Manual therapy is used to treat a wide range of conditions, including:

  • Neck and back pain
  • Joint stiffness and arthritis
  • Muscle strains and ligament sprains
  • Post-surgical recovery
  • Concussion and vestibular dysfunction
  • Sports injuries and overuse syndromes
  • Chronic pain and fibromyalgia
  • Whiplash and motor vehicle accident injuries

Clinics Across Alberta & BC

We offer manual therapy at all Leading Edge locations:

  • Edmonton: Windermere, Capilano, Royal Glenora, Old Strathcona, Heritage Valley
  • St. Albert
  • Sherwood Park
  • Spruce Grove
  • Leduc
  • Calgary: Tower Sports Medicine, University District
  • Kelowna: Landmark 7

Each clinic is equipped with private treatment rooms and rehab spaces designed to support hands-on care and personalized recovery.

Your Recovery, Our Mission – because life shouldn’t hurt™

At Leading Edge, manual therapy isn’t just a technique—it’s a philosophy. We believe in the power of touch, the science of movement, and the art of healing. Our hands-on approach helps you feel better, move better, and live better.

Let’s put the physical touch and power of hands on care… back in your physical therapy. Book your assessment today and experience the Leading Edge difference

Learn more... you've already come this far

Here are several evidence-based articles and citations that support the effectiveness of manual therapy in relieving pain and treating musculoskeletal injuries:

Key Research Articles on Manual Therapy

Manual Therapy vs. Oral Pain Medication for Neck Pain
A 2024 systematic review and meta-analysis published in BMC Sports Science, Medicine and Rehabilitation found that manual therapy may be more effective than oral pain medications for both short- and long-term neck pain relief. It also showed a lower risk of adverse events with manual therapy.
Read the full study

Mechanisms of Manual Therapy: A Living Review
A 2025 review in PLOS ONE explored the physiological mechanisms behind manual therapy, including neurovascular, neuromuscular, and biomechanical responses. It supports manual therapy’s role in pain modulation and functional improvement, even though further research is needed to pinpoint exact mechanisms.
Explore the article

 

Evidence Supporting Manual Therapy for Pain Relief and Injury Recovery
At Leading Edge Physiotherapy, our hands-on approach is backed by science. Below is a selection of high-quality clinical guidelines, systematic reviews, and research articles that support the effectiveness of manual therapy in treating musculoskeletal pain and improving function.

Clinical Practice Guidelines & Systematic Reviews

Best Practice Care for Musculoskeletal Pain
Lin I et al. (2019). British Journal of Sports Medicine.
View Article

Low Back Pain and Sciatica Management
National Institute for Health and Care Excellence (NICE), 2016.
View Guideline

Noninvasive Management of Low Back Pain
Wong JJ et al. (2017). European Journal of Pain.
View Article

Management of Neck Pain and Associated Disorders
Côté P et al. (2016). European Spine Journal.
View Article

Manual Therapy for Shoulder Impingement
Steuri R et al. (2017). British Journal of Sports Medicine.
View Article

Manual Therapy and Exercise for Frozen Shoulder
Page MJ et al. (2014). Cochrane Database of Systematic Reviews.
View Article

Manual Therapy for Chronic Low Back Pain in Older Adults
de Luca KE et al. (2017). Journal of Manipulative and Physiological Therapeutics.
View Article

Treatment of Neck and Whiplash-Associated Disorders
Bussières AE et al. (2016). Journal of Manipulative and Physiological Therapeutics.
View Article

Canadian Guideline for Opioids for Chronic Non-Cancer Pain
Busse J. (2017). Cancer Pain.
View Guideline

Clinical Practice Guideline: Chiropractic Care for Low Back Pain
Globe G et al. (2016). Journal of Manipulative and Physiological Therapeutics.
View Article

Like any hands-on treatment, it can come with some short-term effects. Most commonly, patients may experience mild to moderate muscle soreness, stiffness, or fatigue in the treated area—similar to how you might feel after a good workout. These sensations typically resolve within 24 to 48 hours and are a normal part of your body’s healing response.

Other temporary effects may include:

  • Localized tenderness at the site of treatment
  • Mild bruising (especially after deep tissue work or trigger point release)
  • Temporary increase in symptoms before improvement, as your body adjusts to new movement patterns

These side effects are usually brief and manageable. Your therapist will always tailor the intensity and technique to your comfort level and clinical needs. If you ever feel unsure or uncomfortable after a session, we encourage you to reach out—because at Leading Edge, your safety and recovery are always our top priority.

If manual therapy is effective for your condition, most patients begin to see meaningful improvement within 4 to 8 weeks, with a minimum of one treatment per week. However, your recovery timeline is unique and may depend on several factors, including:

  • The nature and severity of your injury or condition
  • Your overall health and activity level
  • How long you’ve been experiencing symptoms
  • Your response to treatment and adherence to your care plan
  • Whether your treatment includes additional therapies like exercise, dry needling, or vestibular rehab

At Leading Edge, we tailor every treatment plan to your goals and progress. Our therapists will regularly reassess your condition and adjust your sessions to ensure you’re getting the right care at the right time. Whether you need a short burst of support or a longer journey to recovery, we’re with you every step—because life shouldn’t hurt™.

There’s no one-size-fits-all cure for musculoskeletal pain—but manual therapy can be a powerful part of your recovery. At Leading Edge Physiotherapy, we use manual therapy as part of a multimodal treatment plan designed to improve your function, reduce pain, and enhance your overall quality of life. While manual therapy alone may not “cure” chronic or complex pain, it can help you move better, feel stronger, and get back to doing the things you love.

Pain is personal, and so is your care. That’s why our therapists combine hands-on techniques with targeted exercise, education, and other evidence-based treatments to address the root of your symptoms—not just the surface. Whether you’re dealing with an injury, post-surgical recovery, or long-standing discomfort, manual therapy can help restore mobility, reduce tension, and support your body’s natural healing process.

Our goal isn’t just to treat pain—it’s to help you thrive. With the right plan, consistent care, and a team that’s in your corner, you’ll be empowered to resume your daily activities with confidence and resilience

Request an Appointment

Questions or other inquiries sent via webform will be responded to within 48 hours. The more you tell us, the more detail we can provide.

This field is for validation purposes and should be left unchanged.
Name(Required)

Learn More About Education, Injuries and Conditions