Gentle Manual Techniques

Visceral Manipulation

Visceral Manipulation manages functional and structural imbalances within the body. This can range from musculoskeletal, vascular, nervous, urogenital, respiratory, digestive and lymphatic dysfunction. Through the treatment of organs, membranes, fascia and ligaments, Visceral Manipulation increases proprioceptive communication throughout the body which relieves pain, dysfunction, and poor posture.

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Neural Manipulation

Neural Manipulation examines mechanical relationships between the cranium/spine hard frame to the dura and neural elements. It provides assessment and treatment approaches to address restrictions of the dural and neural components not commonly focused on with musculoskeletal symptoms. Neural Manipulation identifies and releases local nerve restrictions while at the same time examines the effect these local fixations have on the rest of the body, and by accessing this relationship, resolves the more comprehensive (global) dysfunctional patterns.

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Craniosacral Therapy

CST is a gentle, hands-on method of evaluating and enhancing the functioning of a physiological body system called the craniosacral system – comprised of the membranes and cerebrospinal fluid that surround and protect the brain and spinal cord.

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Graston Technique

Graston Technique was originally conceived by an amateur athlete who suffered a debilitating knee injury while water skiing. Frustrated at the lack of rehabilitation progress following surgery and conventional therapy, he decided to apply his professional background in machining to create several instruments to treat his soft tissue injury.

Experiencing early success on his own knee, he collaborated with medical and research personnel at Ball Memorial Hospital and Ball State University in Muncie, IN to fully develop a technique and a set of instruments. As a result from this collaborative effort, Graston Technique therapy was born.

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Myofascial Release

Myofascial Release treats muscle pain and function through gentle touch by stimulating the fascia surrounding tissues within the body.

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Muscle Energy Techniques

Muscle Energy Technique (MET) is a form of a manual therapy which uses a muscle’s own energy in the form of gentle isometric contractions to relax the muscles via autogenic or reciprocal inhibition, and lengthen the muscle. As compared to static stretching which is a passive technique in which therapist does all the work, MET is an active technique in which the patient is also an active participant.


Descriptions via The Barral Institute, Upledger, Physiopedia, and Graston Technique.

April Rex, Doctor of Physical Therapy

April Rex

Holistic Physical Therapist

April Rex vs Traditional Therapy