Manual Therapy

Skilled Hands-On Care

At Réhabital in Côte Saint-Luc (CSL), Montreal, this service is delivered by Colin Teghen Tamuton, Physiothérapeute, a bilingual (English / French) physiotherapist and member of the Ordre professionnel de la physiothérapie du Québec (OPPQ). Colin combines hands-on manual therapy, progressive therapeutic exercise and clear patient education to deliver measurable functional results.

Manual therapy is the cornerstone of modern physiotherapy. It refers to a set of skilled, hands-on techniques used to assess and treat joints, muscles, fascia and nerves. Colin is trained in peripheral joint manipulation, graded joint mobilizations (Maitland and Mulligan styles), and a wide range of soft-tissue and neural mobilization techniques. These methods can quickly reduce pain, restore range of motion and improve how the nervous system perceives movement.

Techniques Colin Uses

• Graded joint mobilizations for spine and peripheral joints to restore accessory motion

• Peripheral joint manipulation (high-velocity low-amplitude thrusts) when indicated and safe

• Mulligan mobilizations with movement (MWM) to retrain pain-free active range

• Myofascial release and trigger point therapy for muscle and fascial restrictions

• Neural mobilization (neurodynamics) for sciatic, median or ulnar nerve symptoms

• Manual stretching and contract-relax techniques (PNF)

Conditions That Respond Well

Frozen shoulder, neck stiffness and cervicogenic headaches, lumbar facet dysfunction, sacroiliac pain, post-surgical stiffness, tennis elbow, plantar fasciitis, and many sport-related joint restrictions all respond well to manual therapy when paired with the right exercise plan.

Manual Therapy + Exercise = Lasting Results

Manual therapy creates a window of reduced pain and improved mobility. Colin uses that window to coach you through the therapeutic exercises that retrain your nervous system and consolidate the change. Without exercise, manual gains fade; with exercise, they become permanent.

Is Manual Therapy Safe?

In skilled hands, manual therapy is very safe. Colin screens for contraindications (recent fractures, significant osteoporosis, vertebro-basilar insufficiency) before any technique. Manipulation is only used when clinically indicated and never as the sole treatment.