Manual Therapies

Soft Tissue Mobilization

Soft tissue in the human body is made up of muscles, ligaments, tendons and fascia. The soft tissue supports joint action. After a trauma, soft tissue can shorten, restricting the natural movement of a joint. Inflammation causes soft tissue thickening, which can also impede joint function.

Soft tissue manipulation is a manual technique used to reduce pain, relax muscles, increase range of motion and restore strength. It is also used to treat adhesions, which may form within the soft tissue as a result of trauma, surgery, immobilization or repetitive strain.

Soft tissue mobilization breaks down adhesions and stimulates tissue regeneration.

With this treatment, the physical therapist gently moves a joint through its natural motion, stretching the soft tissue, releasing tension from the muscles and improving blood circulation. The physical therapist slowly adds force to this movement until the deep tissue is reached and released.


Joint Mobilization

Joints are points in the body where two bones meet. They are surrounded by soft tissue, which is susceptible to injury or disease. Joint mobilization is a physical therapy technique designed to relieve pain and muscle spasms, release tension and improve flexibility in a joint. By increasing the client’s awareness of the correct position and movement of a joint and simulating smooth joint function, joint mobilization improves range of motion and mobility.

Using small, passive movements, a physical therapist manually moves a joint, gently working it through a natural level of resistance. These motions stretch and strengthen the tissue surrounding the bone, which helps reduce pain and increase range of motion.

Every joint is classified on a five grade scale for range of motion. Grades I and II are used predominantly to reduce pain and stiffness. Grades III through V are used primarily to increase mobility and joint play.

Joint mobilization should not be confused with joint manipulation, a similar manual technique for strengthening joints. With joint manipulation, the physical therapist applies a forceful thrust to the joint movement, which stretches the tissue and restores joint play.


Spinal Mobilization Therapy

Spinal mobilization is a therapy technique used to treat back and neck pain and stiffness. The bones in the back, known as vertebrae, are surrounded by small muscles, which can get tight as a result of trauma, injury or disease. This can lead to pain, stiffness and restricted range of motion for activities of daily living.

Spinal mobilization gently stretches the muscles between the vertebrae, temporarily relieving pain and encouraging healing. A physical therapist slowly and gently stretches each vertebrae through a series of controlled movements that relax the muscles and open up the space between the vertebrae.

OUR SUCCESS STORIES

  • "I am so impressed with Step Ahead PT in general and Becky specifically. These guy treat you for a full hour for the same price (unlike 30 minutes at other place, sometimes even 2 people in those 30 minutes). They had informed me that my tendonitis will take 2-2.5 months and that is exactly the amount of time it took for me to start feeling better. I absolutely love it and will be coming here for all my PT needs."
    Spandan S.
  • "Andy is the BEST! I have had chronic hamstring issues for decades. It affected my knee and hip as well. I have tried different therapies for many years and I had pretty much given up thinking I will never be able to jog again or be without pain. I recently had knee surgery and then through a friend I was lucky enough to find Andy!"
    T.H.
  • "Step Ahead PT in Marblehead is a wonderful facility with expert therapy. I have been going there off and on for years for back and hip ailments. Andy is the best. He has over 20 years experience with therapy and is always right on with his observations, evaluations, course of therapy and at home routines that will help and cure your aches and pains."
    Jacqueline R.
  • "I recently underwent knee replacement surgery. Andy has been extremely helpful with my rehabilitation. His expertise has enabled me to heal much quicker than I had expected. I most definitely recommend Andy for any Physical Therapy that one requires."
    Jackie P.
  • "Andy draws on his vast experience and knowledge, which includes cutting edge techniques. He is personable, has a great bedside manner, and he truly cares and takes pride in his work. I always looked forward to my PT sessions, which have recently ended. I am now recovered from acute on chronic neck and shoulder issues, and my quality of life is better than I hoped for. Thank you, Andy!"
    Eric F.
  • "I have seen Andy for several different injuries throughout my high school and collegiate basketball career. He has helped me get through every single one— from back pain/stress fracture/spasms, chronic ankle pain, hip flexor issues, and a broken ankle. With a combination of hands-on treatment, to providing exercises and protocols to follow, to helping you find the perfect way to smoothly get back to activity, Andy will successfully help you get back to feeling 100% and back to your daily activities."
    Emily F.
  • "I’ve spent several decades in front of a computer, which can cause many issues. I’ve been working with Andy for a couple of years now, and his PT has really helped me reduce the pain and discomfort in my shoulders/back and hands. He’s a kind person too, and that goes a long way in this crazy, fast-paced world!"
    Carrie T.
  • "This is the best PT practice I’ve experienced. The therapists are hands on and completely focused on outcome. The environment is very personalized so if your tired of being treated as simply a number or if you are looking to return to or continue an active lifestyle, you need to come see Andy and his team."
    Al Wilson
  • "I discovered Step Ahead PT through a yelp recommendation, and have not been disappointed. I was in a serious car accident in November, and by January I was back to my intense workouts under the guidance of Andy (Owner of Step Ahead). Each session was tailored specifically for me and around getting me back into my pre- accident strength."
    Abbi B.

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Cambridge Location

Monday:

9 AM – 5 PM

Tuesday:

9 AM – 5 PM

Wednesday:

8 AM – 5 PM

Thursday:

9 AM – 5 PM

Friday:

8 AM – 5 PM

Saturday:

Closed

Sunday:

Closed

Marblehead Location

Monday:

7 AM – 3 PM

Tuesday:

8 AM – 5:30 PM

Wednesday:

8 AM – 2 PM

Thursday:

7 AM – 5:30 PM

Friday:

8 AM – 2 PM

Saturday:

Closed

Sunday:

Closed