Manual therapy is the hands-on part of physiotherapy: techniques applied directly to joints and soft tissue to restore movement and reduce pain. On its own it brings relief; combined with exercise it brings lasting change. Fizyoterapist Aydın Ali therefore never uses it as a stand-alone treatment.
Fizyoterapist Aydın Ali provides one-to-one care for manual therapy at the clinic in Bursa Nilüfer — in Fethiye Mahallesi, on Kelebek Sokak, at a central point of Nilüfer, opposite the Fethiye covered market.
It is a short trip by car or public transport from İhsaniye, Odunluk, Balat, Özlüce, Ataevler, 23 Nisan and the surrounding areas. Every session is one-to-one, assessment-based and tailored to you.
The unseen half of manual therapy is assessment. Which joint is restricted, whether the restriction comes from the muscle or the joint, and which tissue the pain is coming from are all worked out through hands-on testing. Only after that does choosing a technique mean anything.
Fizyoterapist Aydın Ali runs mobilisation, soft-tissue techniques and, where needed, Graston and trigger-point work together for back- and neck-related complaints. The session doesn't end with hands-on work: the range of motion gained is lost within a few days unless it's reinforced with exercise in the same session.
The same complaint can come from a different tissue in different people: a back pain can be joint-related just as easily as muscle-related. Applying a technique without hands-on testing to clarify this — even if the technique itself is correct — ends up aimed at the wrong target.
That's why Fizyoterapist Aydın Ali starts every session with a brief assessment; the choice of technique follows from its result.
When there's long-standing soft-tissue tightness with suspected adhesion, the instrument-assisted soft-tissue technique (Graston) is added to standard mobilisation. It isn't a treatment on its own; it's used as part of the exercise programme.
Back- and neck-related pain that increases with movement, shoulder impingement, back stiffness and referred trigger-point pain are the most common areas. The common thread is that the restricted movement is what's clearing the way for the exercise programme.
Range of motion is re-measured after the session and the exercises to do that day are shown. The gain is lost within a few days unless it's supported with exercise.
Manual techniques are not used, or are modified, in active infection, a recent fracture, advanced osteoporosis, suspected tumour in the area, and certain vascular conditions. Especially in the neck region, forceful manipulation applied without assessment carries rare but serious risks. Medical history, medication and diagnoses are asked about in detail at the first session; if an unsuitable picture is found, the technique is changed or a referral is made.
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Fizyoterapist Aydın Ali · Bursa Nilüfer. Share your complaint; we plan the process together after the assessment.
It depends on how long the complaint has lasted and its cause; an estimated plan is shared after the first assessment. It's usually planned as one to two sessions a week together with an exercise programme.
Graston is an instrument-assisted soft-tissue technique; it's added to standard mobilisation when there's long-standing tightness with suspected adhesion. It's used as part of the exercise programme, not on its own.
It varies by person and by how long the complaint has lasted; a measurable change in range of motion is expected within the first few sessions, and lasting pain relief comes together with the exercise programme.
A device-assisted manual technique aimed at reducing muscle tension through the sensory organ in the tendon.
Mobilisation of soft tissue with stainless-steel instruments, carried out together with exercise.
An exercise-based, one-to-one physiotherapy programme for back pain and pain radiating into the leg.
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The appointment form does not ask for health information; details are discussed by phone.
