Manual therapy refers to any hands-on movement of the tissues. Most often manual therapy involves the mobilization or manipulation of the joints and can be used on the spine or extremities. Physiotherapists use varying techniques to improve the position of the joints when they are not moving optimally. Some joints require particular care when being manipulated and advanced skills are necessary to ensure optimal safety. Several therapists at Pursuit Physiotherapy have advanced training in manual therapy. You can look for credentials represented by FCAMT when you would like to consult with a therapist that has advanced manual therapy skills.