Soft Tissue Mobilization

Soft tissue mobilization is a form of manual physical therapy where your licensed physical therapist uses hands-on techniques on your muscles, ligaments and fascia with the goal of breaking adhesions.

Adhesions are your body’s attempt to heal a soft tissue injury with a lengthy inflammation process, resulting in long strands of collagenous scar tissue. These new tissues pull against one another, forming trigger points of pain.

Goals of Soft Tissue Mobilization

  • Break down or reduce adhesions
  • Improve range of motion
  • Lengthen muscles and tendons
  • Reduce swelling and edema
  • Decrease pain
  • Restore functionality

Soft Tissue Mobilization Techniques

Your licensed PT is specially trained to use his or her hands to push, pull and knead your muscles, ligaments, tendons and nerves in precise ways to help bring you pain relief and return you to functionality.

Specific techniques for soft tissue mobilization include:

  • Sustained pressure – pushing directly on the restricted tissue
  • Unlocking spiral – pushing on the restricted tissue in alternating clockwise and counterclockwise rotating motions
  • Direct oscillations – rhythmic pushing on the restricted tissue
  • Perpendicular mobilization – pushing on the myofascial tissue at right angles
  • Parallel mobilization – pushing along the seams of muscles
  • Perpendicular strumming – rhythmic pushing along muscle border, followed by rubber of top of muscle
  • Friction massage – pushing across the grain of the muscles, tendons and ligaments

To Help Ensure Success

Soft tissue mobilization can help relieve pain and improve function. To help achieve optimal results with soft tissue mobilization, we encourage you to:

  • Do your home exercises faithfully
  • Maintain a normal body weight
  • Get regular aerobic exercise
  • Engage in weight training, as directed by your physician

Contraindications for Soft Tissue Mobilization

You should not have soft tissue mobilization when you are experiencing any of the following:

  • Localized infection
  • Inflammatory skin condition
  • Fracture
  • Fibromyalgia (in inflammatory state)
  • Advanced diabetes

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