Specialist Manual Therapy


What is the Mulligan Concept and how does it help?

The Mulligan concept uses specifically directed mobilisations of the spine whilst it is in a weight bearing position. The aim of these mobilisations is to increase the pain free range of movement of the spine and affected limbs. The mobilisations are repeated until this outcome is achieved. The Mulligan concept has the following benefits:

  • Reduces pain
  • Increase pain free range of movement of spine and limbs
  • Increases function

Who benefits from the Mulligan Concept?

The Mulligan concept is beneficial for anyone with neck or back pain and resulting limb pain such as:

  • Joint stiffness in the back or neck as well as the arms or legs
  • Reduced range of movement in the back or neck as well as the arms or legs
  • Pain in the back or neck as well as the arms or legs

Book an appointment with Garth Van Der Merwe to feel the benefits of the Mulligan Concept of Mobilisation with Movement.

Instrument Assisted Soft Tissue Mobilisation (IASTM)


What is Instrument assisted soft tissue mobilization (IASTM)?

IASTM is a skilled intervention that includes the use of specialized tools to manipulate the skin, myofascial (the tough membranes that wrap, connect and support your muscles.) muscles, and tendons by various direct compressive stroke techniques for the detection and treatment of soft tissue disorders.

How does it work?

It is applied using instruments that are usually made of stainless steel with bevelled edges and contours that can conform to different body anatomical locations and allows for deeper penetration. The ergonomic design of these instruments provides the clinician with the ability to locate restrictions and allows the clinician to treat the affected area with the appropriate amount of pressure.

Conditions for which IASTM is usually used:

  • Carpal Tunnel Syndrome
  • Neck pain
  • Plantar Fasciitis
  • Rotator cuff tendonitis
  • Patella tendonitis
  • Heel pain/Achilles tendonitis
  • DeQuervains syndrome
  • Post-surgical and traumatic scars
  • Muscle Strains
  • Back pain

Book an appointment with Garth Van Der Merwe to feel relief from your soft tissue disorders.


What is the Maitland Manual Therapy Approach?

The Maitland Approach is a diagnostic approach that centre’s primarily on the assessment and treatment of the patient’s signs and symptoms to develop an effective plan of treatment for any functional disorders in the joint, muscle, and nervous system.

The concept makes use of neurodynamic techniques, mobility training, stabilizing exercises, and specifically adapted exercises the patient can manage to perform at their home.

The Maitland Approach is excellent for diagnosing:

  • Back and disc complaints
  • Neck and cervical spine problems
  • Arthritis e.g., in the hip, knee or spine
  • Facial pain, headaches, and mandibular problems
  • Nerve irritation such as hands “falling asleep”, sciatica
  • Knee pain stemming from a ligament or meniscus injury
  • Elbow dysfunction and or pain,
  • Complaints relating to the hand (fracture or carpal tunnel)
  • Foot problems born from torn ligaments

Book an appointment with Garth Van Der Merwe to feel the relief of mobilizations recognized by the Maitland Manual Therapy approach.