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

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