Manual Therapy
Manual therapy is a clinical approach based on skilled “hands-on” therapy, it is used to assess, diagnose and treat a variety of symptoms and conditions.
Some techniques of Manual therapy: Massage, Stretch, Mobilization, Pnf, and thrust technique.

Benefits of Manual Therapy
  • Modulate pain
  • Increase joints mobility to stiff joints and range of motion
  • Improve tissue repair
  • Improving tissue stability and extensibility
  • Increase circulation
  • Reduce soft-tissue inflammation
  • Reduce muscle tension
  • Induce relaxation
  • Facilitate movement and exercise therapy

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Shockwave Therapy
A non-invasive treatment involves creating a series of energy acoustic wave pulsations that are directly applied to the site of injury through the client's skin via a gel medium.
Mechanism of action:
Shockwave is an acoustic wave that carries high energy to painful spots and myoskeletal tissues with acute, subacute, and chronic conditions.
Medical Effects
Acoustic waves with high energy peaks used in Shockwave therapy interact with tissue causing overall medical effects of accelerated tissue repair and cell growth, analgesia, and mobility restoration. All the processes mentioned in this section are typically employed simultaneously and are used to treat chronic, sub-acute, and acute conditions.
  • New Blood Vessel Formation.
  • Reversal of Chronic Inflammation
  • Stimulation of Collagen Production
  •  Dissolution of Calcified Fibroblasts
  • Dispersion of Pain Mediator “Substance P”
  • Release of Trigger Points.
Indications 
• Jumper’s Knee
• Painful Shoulder
• Tennis or Golf Elbow
• Heel Spur
• Insertional Pain
• Acute and Chronic Tendinopathy
• Medial Tibial Stress Syndrome
• Calcifications
• Hip Pain
 • Plantar Fasciitis
Fadi El Gemayel, a Physiotherapist  from Lebanon ,master’s degree in Osteopathic and Manuel therapy. More than 9 years of experience in treating a wide selection of patients with different conditions and problems such as Neck pain, Low back pain, Musculoskeletal Disorders, Temporomandibular joint disorder, Sports injuries treatment, Post-Surgery Rehabilitation, Parkinson’s disease, and Geriatrics….
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CUPPING THERAPY

Cupping has been known to help athletes decrease recovery time after undergoing strenuous training. This is because cupping helps to stimulate the chemical breakdown of toxins that delay muscles and tissue from healing. Cupping therapy also helps to alleviate inflammation.Massage cupping therapy can also help increase an athlete’s flexibility and extension capabilities. This can help them to train harder for longer periods. If muscle spasms are a problem, massage cupping can also help alleviate them as well.

Dry needling

Muscles sometimes develop knotted areas called trigger points. These trigger points are highly sensitive and can be painful when touched. They are also often the cause of referred pain (or pain that affects another part of the body). The needles are used to stimulate the tissue, not to inject medication. Dry needling is almost always used as a part of an overall plan that will likely include some type of exercise, manual therapy, heat therapy, and education.

Exercise therapy

Therapeutic exercises are movements and physical activities designed to restore function and flexibility, improve strength and decrease pain, improve gait and balance, and promote health, wellness, and fitness.

Education and advice

One of the main aspects of physiotherapy involves looking at the body as a whole, rather than focusing on the individual factors of an injury. Therefore, giving general advice about ways to improve your wellbeing A physiotherapist can also give you the specific advice that you can apply to everyday activities to look after yourself and reduce your risk of pain or injury and change your lifestyle.

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