Manual therapy is a non-invasive and hands-on approach that is often used as part of a comprehensive treatment plan for individuals with knee osteoarthritis. (Wikimedia Commons) 
Physical Therapy

Role of Manual Therapy in Osteoarthritis of the Knee Joint

Manual therapy is a non-invasive and hands-on approach that is often used as part of a comprehensive treatment plan for individuals with knee osteoarthritis.

MBT Desk

Dr. Mohammed Amjad Khan (PT), M.I.A.P, CDNP, CKTP

Senior Physical therapist, Physio plans Rehabilitation Centre, Medina Al Munawwarah, Saudi Arabia

Dr. Mohammed Amjad Khan (PT) preparing his patient for joint mobilizations.

Manual therapy is a non-invasive and hands-on approach that is often used as part of a comprehensive treatment plan for individuals with knee osteoarthritis. It encompasses a range of techniques performed by skilled healthcare professionals such as physiotherapists or chiropractors to improve joint mobility reduce pain and enhance overall function.

Some common manual therapy techniques used in knee osteoarthritis include:

1. Joint Mobilization: This technique involves skilled manual manipulation of the joint surfaces to improve joint mobility and reduce stiffness. The therapist uses their hands to passively move the joint through its available range of motion providing gentle stretching and reducing joint restrictions.

2. Soft Tissue Mobilization: This technique targets the surrounding soft tissues such as muscles tendons and ligaments. Various techniques like massage myofascial release and stretching are used to relax muscle tension improve tissue flexibility and alleviate pain.

3. Range of Motion Exercises: The therapist may guide the patient through specific exercises to increase joint range of motion. These exercises aim to restore full or near-full movement capabilities in the knee joint enhancing joint flexibility and function.

4. Manual Traction: Manual traction involves the therapist applying a gentle pulling force on the affected leg to decompress the joint surfaces and relieve pain. It can help reduce pressure on the knee joint promote better alignment and improve overall function.

5. Therapeutic Exercises: In addition to manual therapy techniques therapists often prescribe therapeutic exercises tailored to the individual's needs. These exercises aim to strengthen the supporting muscles around the knee improve stability and enhance functional abilities.

Dr. Mohammed Amjad Khan (PT) performing the posterior-anterior glides on the knee joint.

The benefits of manual therapy for knee osteoarthritis include:

  • Reduced pain

  • Improved function

  • Increased range of motion

  • Improved muscle strength

  • Reduced inflammation

The risks of manual therapy for knee osteoarthritis are generally low. However, some people may experience temporary pain or discomfort after treatment.

It is important to note that manual therapy should be performed by skilled professionals with expertise in the treatment of knee osteoarthritis.

The treatment plan may vary depending on the severity of the condition and the individual's specific needs. It is advisable to consult with a healthcare professional to determine the most appropriate manual therapy techniques for the knee osteoarthritis and ensure proper guidance throughout the process.

While manual therapy can provide significant benefits it is often used in conjunction with other treatment modalities such as medications lifestyle modifications and assistive devices to achieve the best outcomes for individuals with knee osteoarthritis.

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