The third element of the manual therapy triad is tissue manipulation. This process requires hands-on, intensive, targeted body work. Tissue manipulation helps to break apart the scar tissue and fibrous adhesions that accumulate in the soft tissues of the body following injury or postural maladaptations.
As these adhesions are mechanically broken apart, the soft tissues – such as muscles and tendons – can be restructured and realigned through attention to posture and corrective exercise. It is a process: periodic tissue manipulation, combined with a routine of exercise and stretching.