Pure Physio Blog


Published on
02 May 2024

Written by
Kate Senini
Consultant Physiotherapist

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Most of us are familiar with treatment for musculoskeletal injuries with a physiotherapist, osteopath, chiropractor or massage therapist.  We all know the painful feeling of being pushed and pulled and prodded to get the desired outcome.  But have you ever realised there is science behind the pushing and pulling?  

The muscles, joints, and bones of our body are all carefully and cleverly designed to move in particular directions depending on what we are doing.  This may be forward, backward, or rotating movements.  


Pain and injury are often accompanied by disruption to the normal movement of all these parts of our body.  It is therefore incredibly important for a practitioner to consider exactly how the body should move, and compare it to how an injured client is compensating with their movement.  Understanding the direction of normal movement will then help the practitioner to correctly push, pull, stretch and massage these tissues to facilitate “optimal” movement. 


There is definitely more to it than simply oiling the elbows and getting stuck in!


If you are suffering from a long standing injury that is not improving, the direction of treatment used, or even the position chosen to treat you in, may be a factor.  This is where our experienced and highly educated clinicians can help. 

About the Author

Kate Senini — Consultant Physiotherapist

Kate, who was a founding partner at Pure Physio in 2010, is now working exclusively in a clinical role. Helping people recover from injury and prevent future injuries has always been her true passion!

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