Progressive Physiotherapy and Cardiac Fitness Clinic

Call / Whatsapp (868) 747-5297

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4 Chincuna Gardens, Chin Chin Road, Cunupia, 

Trinidad and Tobago


Spinal Adjustment Service

Before performing any type of spinal adjustment, manual therapy or physical therapy, our therapist will perform a full assessment in order to decide whether or not there is actually an increased risk of complications from the use of these type of pain management techniques. 

The results of the assessment will determine which technique or combination of techniques will be used.


Techniques available are:

  • Soft tissue mobilization
  • Joint mobilization
  • Strain-Counterstrain
  • Muscle energy techniques
  • High velocity, low amplitude thrusting

Soft Tissue Mobilization

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Manual therapy recognizes the roles muscles play by the manner in which they attach to a joint.  Once joint alignment and movement is restored, the muscle tension will decrease, but the potential to go back into spasm will still be there.  

One such method to reduce muscle tension to a more normal level is soft tissue mobilization.  This technique is used to break up inelastic adhesions between adjacent muscles (myofascial adhesions).  Doing this can help to reduce unhealthy levels of muscular tension.

This technique is commonly applied to the muscles that surround the spine and consists of stretching and deep pressure.

Our therapist will analyse the muscles layer by layer and hone in on the areas of restriction.  Once these areas are identified, they can then be mobilized by applying traction force in an attempt at muscle belly alignment and tension reduction.

If the muscle goes back into spasm, joint dysfunction will return and this is why home exercises, follow up sessions and massage therapy will be needed to address the problem until it is properly resolved.

Joint Mobilization

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The joint mobilization technique involves the loosening of a restricted joint and increasing its range of motion by using slow movements.  During the treatment, the therapist will gradually increase the distance over which the joint is moved.  These movements are painless and provided by the therapist.  They are not done by the patient.  The therapist moves the joint in ways the patient cannot do it himself/herself.

When patients get diagnosed with a pulled muscle in their back for example and are instructed to treat it with rest, ice and massage, they feel good for a while, but the pain often returns because the muscle spasm is in response to a restricted joint.  This is where joint mobilization techniques are useful. 


The Strain/Counterstrain Technique is used  to manually make adjustments to the body in order to alleviate muscle spasms and partial joint dislocations.  

This method is not used to treat damaged or injured tissues.  It is rather used to relieve muscle spasms due to malfunctioning neuromuscular reflexes.  

In many cases of injury such as a tear, the muscle will go into spasm initially.  The tear within the muscle also disrupts the nerve that supplies the muscle which triggers the spasm.