Pain in the heel

manual Therapy

Treatment is done by non-invasive manual methods to relieve pain, restore or improve the body's functions. by traction and mobilization. Here is a better description from


The goal of manual therapy is to normalize function at the structural, functional, activity and participation levels. Normal movement of joints is central to manual therapy. This is why developed a variety of methods for examining the mobility of the extremity joints (joints of the arms and legs) and the spine, as well as treatment techniques that promote normal, active movement. Guidelines for examination in manual therapy have been developed.


The causes of musculoskeletal disorders can be simple or complex. This is reflected in the practical practice of manual therapy. The manual therapist's assessment of the patients includes both biological, psychological and social conditions. The diagnosis starts with a thorough history (review of the medical history).


The history provides important information in order to make the diagnosis. It also provides information that makes it possible to assess whether serious underlying illness may be behind the complaints or whether there are factors that may increase the risk of chronicization. Particularly for the manual therapist's history is a mapping of injury mechanisms and stresses that may have triggered the complaints. Emphasis on function in work and leisure is also emphasized.


The clinical study is based on information from the medical history and aims to confirm / confirm suspicion of any patholoanatomical lesions (damage or diseased tissue), as well as to map the function of the musculoskeletal system.


Also read: - 4 exercises against plantar fasciitis!

Pain in the heel


The clinical examination consists of inspection, general function tests, active, passive and isometric muscle tests, neurological tests, nerve tension tests and other tests such as pain provocation tests, stability tests, tests to reveal circulatory failure or nerve / other tissue and palpation test, sensory motor testing. Furthermore, special tests of the joint function are performed in the extremity joints, back and pelvis.

The manual therapist selects treatment measures on the basis of the examinations and provides a "tissue diagnosis" (eg, knee ligament injury) that provides a functional diagnosis (eg, knee instability). These provide the basis for an action plan. The goal of the treatment is to restore pain and good function locally (in the knee) and in general (walking, running, etc.). Based on the knowledge of the nature and extent of the injury, the manual therapist informs the patient of the expected healing time (prognosis), and initiates a conservative treatment plan (ie, treatment without surgical intervention) or refer / disseminate to surgery and training in consultation with the patient. The treatment is based on knowledge of the healing process of the tissue (for example, the ligaments). In many cases, one will start with conservative treatment and refer / pass on surgical assessment / treatment if this does not occur.

In many conditions, such as acute low back pain, it can be difficult to arrive at a safe tissue diagnosis (pathological lesion). In 85 percent of cases, it is not possible to give a diagnosis with anchoring in a pathological lesion. The manual therapist then has only a functional diagnosis and a pain focus to direct the treatment. In such cases, a trial treatment is necessary followed by a new assessment of function and pain. It may be appropriate to treat from an "assumed" tissue diagnosis and reassess it if the treatment does not progress. The manual therapist initiates the treatment and sets short and long-term goals for what to achieve through treatment. If there is no expected effect of the treatment, the need for further investigation / investigations, interdisciplinary cooperation and referral to other actors in the health service is considered.

The manual therapists' studies emphasize subgrouping among what are commonly referred to as "nonspecific" conditions. The treatment is characterized by the fact that the manual techniques are often combined with training. Rehabilitation after injury and surgical treatment is an important part of the manual therapist's activities.


Muscle work on elbow

Also read: - Good stretching exercises for the thoracic spine and between the shoulder blades

Exercise for the chest and between the shoulder blades


The main goal of manual therapy is to normalize function in the musculoskeletal system, possibly helping patients to cope with a functional failure or pain.
Methods included in manual therapists treatment options:


Manual processing methods, etc.

Pain Relief Treatment
Mobilization and manipulation (watch videos of manipulation),immobilisation (use of corset, neck collar, rail, taping), electrotherapy and trigger point treatment.


Soft Tissue Treatment:

- Massage: classic, connective tissue massage, deep transverse frictions

- Muscle relaxing techniques based on specific reflexes: hold - release relaxation

- Specific strains to maintain flexibility in muscle and connective tissue


Mobilization of joints

Within mobilizing joint treatment, passive mobilization consists of special movements of one joint, either manually or mechanically. In addition, manipulation is used in connection with joint treatment. This consists of manual movement of a joint given at a rapid pulse and often leads to a joint sound ("cracking sound"). You can read more and watch videos on manipulation here (in Danish).


Nervous mobilization

Within the mobilizing treatment of nerve tissue, passive mobilization of the spinal cord is carried out with membranes, nerve root, stem and peripheral nerves.



The manual therapist emphasizes on providing safety-creating information and to dramatize, and gives advice on how to prevent the patient from relapsing. It is a goal to increase the patient's ability to be self-reliant.


Manual therapists provide: 

     - An explanation of what is wrong with you, and a message about the prospects of getting well again

- Advice related to rest, work and leisure activities

- Analysis of job situation and advice on ergonomics

- Referral to other relevant health and social care personnel


Targeted training

Especially for manual therapists is that in addition to the manual treatment methods, they can provide targeted treatment aimed at training the patients' reduced ability to function. This combination treatment has proven to produce particularly good results for both back and neck patients.


Displacement - stabilization may involve external support, eg splints, collar or taping and active stabilizing treatment, which consists of sensorimotor training / stabilizing exercises / training of neuromuscular control.


Daily function - exercise involves, among other things, exercises that promote muscle strength, endurance and coordination.



Also read: - 6 effective strength exercises for sore knees!

6 Strength Exercises for Sore Knees

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