Manual Therapy for Shoulder Pain

Professional female physiotherapist giving shoulder massage to blonde woman in hospital. Medical check at the shoulder in a physiotherapy center.


Extremity manipulation/mobilization is widely used, safe and a relatively inexpensive treatment for shoulder sprain/strain. Doctors of Chiropractic receive more education and training regarding “manipulation” (mild movements which may or may not produce and audible noise or “cracking sound”), but both Doctor of Chiropractic and physical therapists are trained in the art of “mobilization” (gentle movements designed to restore range of motion).

RESCU Treatment Ratings

R = Risk      E = Effectiveness      S = Self-Care

C = Cost     U = Usefulness (overall rating)

1 = Least Favorable     5 = Most Favorable


RISK: 5/5


Both manipulation and mobilization are exceptionally safe if performed by providers educated and trained in the associated techniques. Both Doctors of Chiropractic and physical therapists are trained in manipulation and mobilization.


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