The Power of Targeted Manual Therapy: Why “Hands-On” Care Still Matters
- Shawn Christensen

- 2 days ago
- 3 min read

If you’ve dealt with chronic pain long enough, you’ve probably heard the same advice over and over again: “Stretch more.” “Strengthen your core.” “Rest for a while.” “Take anti-inflammatories.”
And while those recommendations can sometimes help, many people with stubborn musculoskeletal (MSK) pain find themselves stuck in the same frustrating cycle—pain that lingers for months or even years, limiting activity, sleep, and quality of life.
At Healing Arts Physical Therapy, we want people to know there is a highly effective option that often gets overlooked:
✅ localized manual therapy applied directly to the source of pain and dysfunction.
As a clinician of 17 years, I’ve seen firsthand how powerful skilled hands-on treatment can be—especially for the most chronic and stubborn pain conditions.
What Is Localized Manual Therapy?
Manual therapy is a broad term that includes hands-on techniques used by physical therapists to help improve mobility, reduce pain, and restore function. Localized manual therapy means we are focusing specifically on the tissues and structures that are contributing to the pain, including:
Muscles
Fascia
Tendons
Joints
Trigger points
Scar tissue or adhesions
This might include treatment such as:
Deep soft tissue mobilization
Myofascial release
Trigger point work
Joint mobilization/manipulation
Stretching and mobilization techniques
The goal is simple: address the true source of restriction and irritation, so the body can begin to move normally again.
Why Targeting the Source of Pain Works So Well
Many chronic pain issues develop because a specific area has been “locked down” for too long. The body compensates, movement becomes altered, and pain signals become more persistent.
When manual therapy is applied strategically and precisely, it can help:
✅ decrease local inflammation and sensitivity
✅ relax overactive or guarded muscles
✅ restore healthy tissue glide and flexibility
✅ improve joint mobility
✅ improve blood flow and healing response
✅ reduce protective tension patterns
✅ create faster improvements in movement and comfort
Sometimes, that change can happen quickly—because you are finally treating what hasn’t been treated.
Real Examples: Chronic Pain That Changed Quickly
Chronic Right-Sided Low Back Pain – “Untouched for Years”
One gentleman that I still remember had chronic right-sided low back pain that had gone essentially untouched for years.
He tried what most people try:
Exercise
Rest
Medications
“Waiting it out”
But nothing truly solved the problem.
Once he received high-quality, targeted manual therapy, he noticed something he hadn’t felt in a long time:
Relief.
After just one session, he reported he felt about 90% improved.
That kind of instant change isn’t “magic”—it’s what happens when treatment finally matches the problem.
CrossFit Athlete With a Chronic Hamstring Strain
Another powerful example was a CrossFit athlete who had a chronic hamstring strain that kept her from returning to the workouts she loved.
She wasn’t just frustrated—she felt limited in her lifestyle, and she missed the confidence and strength training gave her.
After just a few sessions of deep soft tissue work and localized treatment, things began to shift dramatically.
It didn’t just “feel better”—it started healing.
She was able to gradually return to exercise again and begin building progress:
reps and sets increasing
weight gradually coming back
confidence improving each week
That’s what we want for every patient:not just pain relief, but forward momentum.
Manual Therapy Doesn’t Replace Exercise — It Makes Exercise Work Better
At Healing Arts Physical Therapy, we strongly believe in exercise-based rehab. But here’s the truth:
Sometimes people can’t strengthen what they can’t move.And people won’t exercise consistently when movement hurts.
Manual therapy can “turn the dial” toward healing by reducing pain and improving mobility—so that strengthening, corrective exercise, and return-to-activity plans finally become effective.
Think of manual therapy like the reset button.
Then we build lasting improvement through:
mobility drills
strength training
movement correction
education and lifestyle support
The Truth: Hands-On Care Changes Lives
Manual therapy is one of those “shout it from the rooftops” interventions.
People need to know it exists.People need to know it can work.And people need to know they don’t have to accept chronic pain as normal.
Hands-on care makes a world of difference in people’s lives.
If you’re dealing with a musculoskeletal issue that is limiting your ability to be active, sleep well, or enjoy daily life, we want you to experience what targeted manual therapy can do.
Ready to Feel the Difference?
If you’ve been struggling with chronic pain, stiffness, or an old injury that just won’t go away, we’re here to help.
📍 Healing Arts Physical Therapy – Yuba City, CA📞 (530) 329-8490🌐 www.healingartspt.org
Come experience for yourself what skilled, targeted manual therapy can do — and start moving forward again.







what a BIG difference it has made for me Thanks so much