Manual therapy is a hands-on approach used in physical therapy to help
improve comfort, reduce stiffness, and restore movement. It focuses on treating joints and soft
tissues in a controlled way and may help improve range of motion and overall function.
Manual therapy is available at iMotion Physical Therapy in Fremont, Los
Gatos, and San Jose, and it is often used as one part of a personalized plan of care.
How can manual therapy help?
Manual therapy (sometimes called hands-on physical therapy) may be helpful when pain,
tightness, or stiffness is limiting how your body moves. It may support:
improved comfort during movement
reduced stiffness
improved joint mobility
improved range of motion
recovery after surgery
improved movement quality during daily activities
Manual therapy may be especially helpful for people dealing with joint stiffness, muscle
tightness, or limited range of motion.
Manual therapy is often combined with other parts of physical therapy—such as guided
exercise, movement training, and education—based on your needs and goals.
What to expect during manual therapy
Manual therapy is typically performed in short, focused segments. Your therapist may use
hands-on techniques for a few minutes at a time, then reassess your movement to see how your
body responds. Techniques are always adjusted based on your comfort and clinical needs.
It’s also normal to feel temporary soreness after treatment—similar to how you might feel
after using muscles that haven’t been active in a while. If you experience soreness, it
should improve as your body recovers, and your therapist can adjust your plan if needed.
Is manual therapy safe?
Yes. Manual therapy is a non-invasive treatment performed by trained physical therapists.
Your therapist will assess your condition and select techniques that are appropriate for
your symptoms, diagnosis, and comfort level.
Your therapist will explain what they’re doing and adjust the technique based on your
feedback.
Common types of manual therapy
Manual therapy techniques may include:
Mobilization (Joint Mobilization) — for stiff or restricted joints
Mobilization is a gentle hands-on technique used to improve movement in a stiff or
restricted joint. It is performed in a controlled way and may help improve mobility and
comfort.
Soft Tissue Massage — for muscle tightness and restricted soft tissues
Soft tissue massage in physical therapy is focused and treatment-based (not spa-style).
It is used to address muscle tightness and restricted soft tissues and may help improve
comfort and mobility in the area being treated.
Manual Traction — gentle decompression to support movement and comfort
Manual traction involves applying a gentle, controlled pulling force to help reduce
pressure and improve movement in certain areas of the body. It is commonly used for the
neck but may also be used in other areas when appropriate.
Manual therapy is one part of your plan of care
Manual therapy is one tool your therapist may use to support your recovery. Your care
plan is tailored to your goals and designed to help you improve movement, comfort, and
function safely over time.
Manual therapy is a hands-on treatment approach used by physical therapists to
help improve mobility, reduce stiffness, and support better movement and
function.
Manual therapy is typically performed in a controlled and patient-specific way.
You may feel pressure or stretching, but your therapist will adjust the
technique based on your comfort level.
Soft tissue massage in physical therapy is treatment-based and focused on
improving mobility and function. It is different from spa massage because it is
performed as part of a clinical plan of care.
Your physical therapist will evaluate your movement, symptoms, and goals, then
recommend the techniques that best fit your needs as part of your treatment
plan.
Laser Therapy
Laser therapy is a non-invasive treatment that uses focused light energy to support the body’s
natural recovery process. LightForce® Class IV laser therapy is also referred to as
photobiomodulation (PBM), a process where light interacts with tissue to support cellular
activity.
At iMotion Physical Therapy, laser therapy is offered as an add-on service and is most effective
when used in conjunction with physical therapy as part of a complete plan of care.
What is Laser Therapy used for?
Laser therapy is commonly used across rehabilitation and sports medicine settings for both
acute and chronic musculoskeletal conditions.
Your therapist will determine whether laser therapy is appropriate for your specific plan of
care and goals.
What does Laser Therapy feel like?
Most patients describe laser therapy as comfortable. You may feel gentle warmth in the area
being treated. LightForce notes that the primary safety risk is eye exposure, which is why
protective eyewear is always required during treatment.
How long does Laser Therapy take?
Laser therapy sessions are typically short and targeted. Treatment usually takes only a few
minutes, depending on the area being treated and the nature of the condition.
Because laser therapy delivers therapeutic energy efficiently, it can often be completed
quickly within your visit.
How Laser Therapy fits into your plan of care
Laser therapy is not a replacement for physical therapy. It is used as an additional tool
that may help improve comfort and support your ability to participate in movement-based
treatment.
While laser therapy is encouraged in conjunction with physical therapy, anyone who is
medically cleared may purchase laser therapy sessions, even if they are not currently
receiving PT at iMotion.
Your therapist will guide you through a plan that may include:
hands-on therapy (when appropriate)
strengthening and mobility exercises
movement retraining
education for long-term results
Pricing & Packages (Cash-Based Service)
Laser therapy is a cash-based service and is not covered by insurance.
We offer:
Single laser therapy sessions
Discounted laser therapy packages
Our team can review current pricing and help you choose the best option based on your needs
and treatment frequency.
Yes. LightForce states their therapy lasers are FDA-cleared for temporary relief
of pain and increased micro-circulation. Protective eyewear is required during
treatment.
Laser therapy is typically a quick add-on treatment and often takes only a few
minutes.
Many patients feel little to no sensation, or a gentle warmth in the area being
treated.
Not necessarily. Laser therapy is an optional add-on. Your therapist will
recommend it only when it fits your condition, goals, and plan of care.
No. Laser therapy at iMotion is not covered by insurance and is provided as a
cash-based service.
Yes. While laser therapy is often most helpful when paired with a full physical
therapy plan, anyone who is medically cleared may purchase laser therapy
sessions, even if they are not currently receiving PT at iMotion.
Call your nearest iMotion Physical Therapy clinic and ask about adding
LightForce® Laser Therapy to your plan of care.
Shockwave Therapy
Shockwave therapy—also known as Extracorporeal Shockwave Therapy (ESWT)—is a non-invasive
treatment that uses acoustic (sound) waves applied through the skin to support recovery in
certain musculoskeletal conditions. It is often used for longer-lasting (chronic) pain,
especially in tendon-related issues where symptoms may be slower to resolve.
At iMotion Physical Therapy, we provide shockwave therapy using the Shock Vitalize device as an
added treatment option when appropriate.
What is Shockwave Therapy used for?
Shockwave therapy is commonly used for chronic musculoskeletal conditions, particularly
those involving tendon pain and tendon attachments to bone. Cleveland Clinic notes ESWT is
primarily used for chronic conditions, especially medium to large tendons and their
insertions.
At iMotion, shockwave therapy may be used as part of care for conditions such as:
Plantar fasciitis (heel pain)
Tennis elbow (lateral elbow pain)
Neck/shoulder tightness, including the upper trapezius (upper shoulder) area
Shockwave therapy is commonly used as therapy for plantar fasciitis and tennis elbow, and it
may be recommended based on your evaluation and goals.
Your therapist will determine if shockwave therapy is appropriate based on your symptoms,
goals, and plan of care.
Who is a good fit for Shockwave Therapy?
Shockwave therapy may be a good fit if you:
have tendon-related pain that has lasted several weeks or longer
have persistent stiffness or discomfort that isn’t improving as expected
want an added treatment option to support your recovery plan
What does Shockwave Therapy feel like?
During treatment, you may feel tapping, pulsing, or pressure in the area being treated. Some
patients find it mildly uncomfortable, especially over sensitive tissue, but intensity can
typically be adjusted based on your tolerance.
What to expect after shockwave therapy
You may have temporary soreness or tenderness in the treated area after your session. This
is normal for many patients. Your therapist will guide you on what activities to do (or
avoid) that day based on your plan of care.
How long does Shockwave Therapy take?
Shockwave treatments are usually brief and targeted, and are often completed within a few
minutes depending on the area being treated and your therapist’s plan.
How Shockwave Therapy fits into your plan of care
Shockwave therapy is not a replacement for physical therapy. It is often used as an
additional tool to support progress—especially when combined with a plan that includes
mobility work, strengthening, and movement retraining.
Your therapist will guide you through an individualized plan designed to help you return to
daily activity, work, and recreation as safely as possible.
Shockwave therapy is widely used as a noninvasive treatment option for certain
musculoskeletal conditions.
Your therapist will screen for whether it’s appropriate based on your condition
and medical history.
Evidence supports shockwave therapy for certain conditions. For example, research
has found shockwave therapy to be effective for improving pain, function, and
quality of life in plantar fasciitis under specific treatment protocols.
Results can vary depending on the condition being treated and how long symptoms
have been present.
The number of sessions depends on your condition and how your body responds. Your
therapist will recommend a plan based on your goals and clinical findings.
Shockwave therapy can cause temporary discomfort during treatment. The intensity
can usually be adjusted, and your therapist will communicate with you throughout
the session.
No. Shockwave therapy is most effective when used alongside a full physical
therapy plan, including movement-based treatment and guided strengthening.
Schedule an evaluation and your therapist will recommend the best options for
your condition and goals.
Compression Therapy
Compression therapy is a recovery-focused treatment that uses dynamic air pressure to gently
compress the legs in a rhythmic pattern. At iMotion Physical Therapy, we use Hyperice Normatec®
leg compression boots to help support circulation and recovery and improve overall
comfort—especially after activity or a physically demanding day.
What is Compression Therapy?
Compression therapy with Normatec® uses inflatable chambers inside the boots to create a
sequential “wave” of pressure up the legs. Hyperice describes Normatec as a dynamic air
compression system designed to increase circulation and support recovery.
This is a comfortable, passive treatment where you sit back and relax while the boots cycle
through controlled compression.
What can Compression Therapy help with?
Compression therapy may be a helpful option if you experience:
leg heaviness or tightness
general muscle soreness after workouts
fatigue from standing or walking for long periods
recovery needs between physical therapy sessions
Your therapist can help determine if compression therapy makes sense based on your goals and
activity level.
What does Compression Therapy feel like?
Most patients describe Normatec® as a firm but comfortable squeezing sensation that moves up
the legs in cycles. The pressure level can be adjusted based on your comfort.
How long does Compression Therapy take?
Compression therapy sessions typically last 15–30 minutes, depending on your needs and what
your therapist recommends.
What should I wear?
For the easiest setup, we recommend:
shorts, or loose pants that can be rolled above the knee
comfortable clothing that allows you to relax during treatment
You will be seated or reclined while using the boots.
How Compression Therapy fits into your plan of care
Compression therapy is not a replacement for physical therapy, but it can be a helpful
add-on. Many patients use it before or after therapy to help their legs feel more
comfortable as they return to exercise, activity, or daily movement.
It may be paired with:
strengthening and mobility exercises
movement retraining
hands-on treatment (when appropriate)
education for long-term progress
You will be seated or reclined while using the boots.
Important note
Compression therapy at iMotion is intended as a comfort and recovery add-on. If you have a
medical condition that affects circulation, a history of blood clots, or significant
swelling, check with your medical provider to confirm whether compression is appropriate.
Normatec® is a dynamic air compression system by Hyperice that delivers rhythmic
pressure through multiple overlapping zones in the legs to support circulation
and recovery.
Compression therapy is designed to support circulation through dynamic,
sequential pressure in the legs.
Your therapist can help determine if it’s a good fit for your specific recovery
needs.
Compression therapy should not be painful. It may feel firm, but it should stay
within a comfortable range. If anything feels uncomfortable, your therapist can
adjust the settings.
Frequency depends on your goals, activity level, and plan of care. Your therapist
can recommend how often to use compression therapy based on how your body
responds.
Yes. Compression therapy can be helpful for anyone who experiences leg fatigue,
tightness, or soreness—whether it’s from exercise, long workdays, or returning
to activity.
Ask your therapist or front desk team about adding Hyperice Normatec® compression
therapy to your visit.
Ultrasound Therapy
Ultrasound therapy is a treatment used in physical therapy that applies high-frequency sound
waves to targeted areas of the body. During treatment, a therapist uses a handheld device
(called a transducer) and ultrasound gel to deliver the sound waves through the skin.
At iMotion Physical Therapy, ultrasound may be used as an added treatment when appropriate,
often alongside exercise and hands-on care.
What is Ultrasound Therapy used for?
Therapeutic ultrasound has been used in physical therapy to support care for certain
musculoskeletal conditions. For example, continuous therapeutic ultrasound has been used for
conditions such as osteoarthritis, soft tissue shoulder conditions, and myofascial pain.
Your therapist will recommend ultrasound only if it matches your symptoms, clinical
findings, and plan of care.
What does Ultrasound Therapy feel like?
Ultrasound therapy is typically gentle and comfortable. Some patients notice mild warmth in
the treated area, while others feel very little during the treatment itself. Not feeling a
strong sensation does not mean the treatment isn’t working—your therapist selects the
settings based on your condition and treatment goals
How will I know if it’s helping?
Many patients notice the benefit after treatment, such as feeling less stiff, moving more
comfortably, or being able to tolerate stretching and exercise more easily. Your therapist
will also reassess your mobility and symptoms during your visit to see how your body
responds and decide whether ultrasound should remain part of your plan of care.
How long does Ultrasound Therapy take?
Ultrasound treatment is usually brief and can often be completed in just a few minutes as
part of your session, depending on the area being treated and your therapist’s plan.
Is Ultrasound Therapy safe?
Therapeutic ultrasound is widely used in rehabilitation settings, and your therapist will
determine whether it is appropriate based on your condition and medical history.
How Ultrasound Therapy fits into your plan of care
Ultrasound therapy is not a replacement for physical therapy. It is one tool that may be
used to support your comfort and movement as part of a complete treatment plan that may
include:
strengthening and mobility exercises
movement retraining
hands-on treatment (when appropriate)
education and guidance for long-term progress
Ultrasound therapy should not be painful. It is generally comfortable, and your
therapist can adjust settings based on your comfort and clinical needs.
That depends on your condition and overall plan of care. Your therapist will
recommend the best approach based on your symptoms, goals, and progress.
No. Ultrasound is an add-on technique. It is most helpful when paired with
movement-based treatment, strengthening, and a personalized plan for recovery.
Schedule an evaluation or ask your therapist whether ultrasound may be
appropriate for your plan of care.
Cupping Therapy
Cupping therapy is a hands-on technique that uses suction cups placed on the skin to create
gentle negative pressure. In physical therapy, cupping is often used to help reduce muscle
tightness, improve mobility, and support recovery as part of a larger treatment plan.
At iMotion Physical Therapy, cupping may be used as an added technique when it fits your
symptoms, goals, and plan of care.
What is Cupping Therapy used for?
Cupping therapy is commonly used to support:
muscle tightness and tension
stiffness and restricted mobility
recovery and movement comfort during rehabilitation
Many patients report feeling looser and more comfortable in the treated area after cupping.
What does Cupping Therapy feel like?
Most patients feel a pulling or pressure sensation under the cups. It should not feel
sharply painful. Your therapist will adjust the intensity based on your comfort level.
What to expect after cupping
Cupping commonly leaves circular marks that can look like bruises. These marks are typically
temporary and fade over time.
Some patients may also feel mild soreness in the treated area, similar to how you might feel
after targeted soft tissue work.
Is Cupping Therapy safe?
Cupping is generally considered low-risk when performed appropriately, but it isn’t used in
every situation. Cupping should not be performed over areas with open wounds, skin
irritation, infection, or burns.
Your therapist will always screen to make sure cupping is appropriate for you.
How Cupping Therapy fits into your plan of care
Cupping therapy is not a replacement for physical therapy. It is one technique that may be
used to support mobility, comfort, and movement quality—especially when combined with:
strengthening and mobility exercises
movement retraining
hands-on treatment (when appropriate)
education to support long-term progress
Cupping usually feels like pressure or pulling. It should stay within a
tolerable, comfortable range, and your therapist can adjust the intensity.
Marks are temporary and fade over time.
Yes. Mild soreness can happen for some patients, especially in areas that were
already tight or sensitive.
Yes. If cupping is appropriate for your condition and goals, your therapist may
incorporate it into your session.
Schedule an evaluation or ask your therapist whether cupping may be a helpful
addition to your plan of care.
Kinesiology Taping
Kinesiology taping is a technique used in physical therapy to provide support to muscles and
joints without restricting movement. It uses a thin, flexible tape applied to the skin to help
support movement, reduce discomfort, and improve function during daily activities and
rehabilitation. (hss.edu)
At iMotion Physical Therapy, kinesiology taping may be recommended as one part of your
personalized plan of care.
What is kinesiology taping used for?
Kinesiology taping may be used to support recovery and movement in a variety of situations,
including:
reducing discomfort during daily activity
supporting a joint or muscle while it heals
helping manage swelling in certain cases
improving movement awareness and body mechanics
improving confidence as you return to exercise, sports, or normal routines
Your physical therapist will determine whether kinesiology taping fits your symptoms, goals,
and overall plan.
How can kinesiology taping help?
Kinesiology taping may support your recovery in a few key ways:
Decreasing swelling
Injury, surgery, or overuse can result in swelling. Kinesiology tape is commonly applied in a
way that supports fluid movement in the area and may help reduce swelling and improve
comfort. (physio-pedia.com)
Relieving pain
Some patients find that kinesiology taping helps reduce discomfort during movement by
offering light support and improving movement tolerance during daily activities. (hss.edu)
Stabilizing joints (without limiting movement)
Kinesiology taping may provide added support to certain joints or muscles while still
allowing natural motion—unlike rigid athletic tape, which is designed to restrict movement.
(hss.edu)
In some cases, your therapist may use taping techniques to support mobility and comfort in
areas affected by stiffness or tissue restriction following injury or surgery.
What does kinesiology taping feel like?
Kinesiology tape is lightweight and flexible, and most patients get used to it quickly. Once
applied, it should feel supportive but not tight or restrictive.
Your therapist will apply the tape in a way that works with your body’s movement. If anything
feels uncomfortable or irritating, let your therapist know so it can be adjusted.
How will I know if kinesiology taping is helping?
Many patients notice benefits like:
feeling more supported during movement
less discomfort during daily tasks
improved confidence using the affected area
easier participation in exercise or therapy activities
Your therapist will assess your movement and symptoms to decide whether kinesiology taping
should be a part of your plan.
How long does kinesiology tape stay on?
Kinesiology tape is designed to stay on for more than one day, but at iMotion Physical
Therapy we typically recommend wearing it for up to 48 hours to help reduce the risk of skin
irritation. Your therapist will give you guidance on how long to keep it on and how to
remove it safely.
Is kinesiology taping safe?
Kinesiology taping is generally safe when applied by a trained professional. If you have
sensitive skin, allergies, or a history of skin irritation, let your therapist know before
taping.
Kinesiology taping should not be applied over open wounds, active skin infections, or
irritated skin.
Kinesiology taping is one part of your plan of care
Kinesiology taping is one tool your therapist may use to support your recovery, alongside
treatments such as:
hands-on therapy (when appropriate)
mobility and strengthening exercises
movement training
patient education
Your plan is tailored to your needs and designed to help you move better and feel more
confident over time.
Kinesiology tape is a thin, flexible therapeutic tape used to support muscles and
joints without limiting range of motion. (hss.edu)
Not exactly. Kinesiology tape is designed to stretch and move with the body,
while traditional athletic tape is often more rigid and used to restrict
movement for stability. (hss.edu)
Kinesiology taping does not replace physical therapy or exercise. It may help
support movement and comfort, but the best long-term results come from a
complete plan of care.
In many cases, yes. Your therapist can give you tips for keeping the tape on and
removing it safely.
Your physical therapist will evaluate your symptoms and movement and recommend
taping if it fits your treatment goals.
Schedule an evaluation or ask your therapist whether kinesiology taping may be a
helpful addition to your physical therapy plan.
Mulligan Technique
Mulligan’s Concept is a manual therapy approach used in physical therapy to help reduce pain and
improve joint mobility through hands-on treatment combined with active, natural movement. It was
developed by New Zealand physical therapist Brian Mulligan and is based on the idea that certain
movements may become painful or restricted, and may improve when the right mobilization is
paired with functional motion.
At iMotion Physical Therapy, Mulligan’s Concept may be recommended as one part of your
personalized plan of care.
What is Mulligan’s Concept used for?
Mulligan’s Concept may be used to support recovery and function in a variety of situations,
including:
reducing pain and stiffness
improving joint mobility in a tolerable way
supporting more comfortable daily activity
addressing “positional faults” that may contribute to symptoms
helping with both acute and chronic joint pain
How can Mulligan’s Concept help?
Mulligan’s Concept includes two key methods:
Mobilizations With Movement (MWMs)
Used for the extremities (arms and legs). A gentle mobilization is applied while you perform
a movement, which may help improve mobility and decrease discomfort.
Sustained Natural Apophyseal Glides (SNAGs)
Used for the spine. Mobilization is combined with active movement to support improved
mobility and reduce symptoms.
A core guideline of Mulligan’s Concept is simple: treatment should not be painful. Techniques
are applied in a way that supports comfort and control instead of forcing through pain.
What does Mulligan treatment involve?
Depending on your needs, Mulligan care may include tools such as:
foam pads
mobilization belts
These methods are designed to create effective changes that carry over outside the clinic,
including home-based mobility work when appropriate.
What does Mulligan’s Concept feel like?
Mulligan techniques are designed to feel comfortable and controlled. In most cases, you may
feel:
gentle pressure or support at the joint
smoother, easier movement while the technique is performed
improved comfort compared to what you felt before
If anything feels uncomfortable or aggravates symptoms, the approach can be modified.
How will I know if Mulligan’s Concept is helping?
Many patients notice improvements such as:
less pain with activity
increased range of motion
reduced stiffness
improved tolerance of daily tasks
improved confidence using the affected area
Progress is monitored over time to determine what best supports your recovery.
Mulligan’s Concept is one part of your plan of care
Mulligan’s Concept is one tool that may be used to support your recovery, alongside
treatments such as:
hands-on therapy (when appropriate)
mobility and strengthening exercises
movement training
patient education
Your plan is tailored to your needs and designed to help you move better and feel more
confident over time.
Mulligan’s Concept is a manual therapy approach that combines joint mobilization
with active movement to help improve mobility and reduce pain.
A key rule of Mulligan’s Concept is that treatment should not be painful. The
technique can be adjusted based on comfort and response.
Mulligan’s Concept may be used for both acute and chronic conditions, depending
on the cause of symptoms and the overall plan of care.
TENS / E-stim
Electrical stimulation is a treatment used in physical therapy to support pain relief and
recovery for a variety of conditions. It typically uses small, self-adhesive electrodes placed
on the skin near the area being treated. These electrodes connect to a unit that delivers a
gentle electrical current designed to interact with sensory and/or motor nerves.
At iMotion Physical Therapy, electrical stimulation may be recommended as one part of your
personalized plan of care.
What is electrical stimulation used for?
Electrical stimulation may be used to support recovery and function in a variety of
situations, including:
helping reduce pain (acute or chronic)
decreasing muscle tightness or spasm
improving tolerance to movement and daily activity
supporting muscle activation and retraining (when appropriate)
What’s the difference between TENS and NMES?
We may use different types of electrical stimulation depending on the goal of treatment.
TENS is most commonly used for pain relief. It works by stimulating sensory nerves to help
reduce the sensation of pain and improve comfort during movement.
NMES (Neuromuscular Electrical Stimulation)
NMES is sometimes used to help activate a muscle that is weak or difficult to engage,
especially during rehabilitation or after injury.
What does electrical stimulation feel like?
Most patients describe electrical stimulation as a mild sensation, such as:
tingling
buzzing
a light pulsing feeling
When used for muscle activation, the sensation can feel stronger and the muscle may visibly
contract. It may be slightly uncomfortable at times, but it should not be painful. Intensity
can be adjusted to your comfort level throughout treatment.
What happens during electrical stimulation treatment?
Electrical stimulation is typically performed while you’re seated or lying comfortably, with
settings adjusted based on your goals and tolerance.
How will I know if electrical stimulation is helping?
Many patients notice changes such as:
less pain during activity
improved tolerance to exercise or therapy
reduced muscle tightness or spasm
improved ability to use or activate a muscle during rehab (when NMES is used)
Your response may be immediate, gradual, or vary depending on what is being treated
Is electrical stimulation safe?
Electrical stimulation is generally safe when used appropriately. Before treatment, we screen
for contraindications to make sure it is a safe option for you.
Electrical stimulation may not be appropriate for individuals with certain medical conditions
or implanted devices. Your provider will review your health history and determine whether
electrical stimulation is appropriate for your plan of care.
Electrical stimulation is one part of your plan of care
Electrical stimulation may be used alongside other physical therapy treatments such as:
hands-on therapy (when appropriate)
mobility and strengthening exercises
movement training
patient education
Electrical stimulation can support recovery, and it works best as part of a complete plan of
care.
Electrical stimulation should not be painful. Most patients feel a mild tingling
or pulsing sensation, and the intensity can be adjusted to your comfort level.
TENS is one type of electrical stimulation that is commonly used for pain relief.
Electrical stimulation may be used for a variety of conditions, including
repetitive stress injuries, ligament sprains, muscle strains, acute sports or
auto accident-related injuries, and certain neurological conditions such as
stroke.
Treatment time can vary depending on your plan, but it is often used as a short
portion of a therapy session.
Aquatic Therapy
Aquatic therapy is a type of physical therapy treatment that takes place in water, typically in
an in-clinic pool. It is also commonly known as hydrotherapy or aquatic rehabilitation. Because
water provides natural support and gentle resistance, aquatic therapy can be a helpful option
for improving comfort with movement while you recover.
At iMotion Physical Therapy, aquatic therapy is currently offered at our San Jose location.
What is aquatic therapy used for?
Aquatic therapy may be used for a variety of therapy goals, including:
improving comfort with movement during rehabilitation
building muscle strength and endurance in a supported environment
improving coordination and balance
assisting with locomotion and gait training
improving flexibility, mobility, and overall conditioning
How does aquatic therapy work?
Aquatic therapy sessions are structured and take place entirely in the water. Most sessions
begin with a warm-up using gentle, low-resistance exercises for both the upper and lower
extremities. This may include brief walking and light stretching.
From there, exercises may progress into more challenging cardiovascular and core-based
activities, such as running, squatting, arm swings, and leg swings.
Exercises are selected and progressed based on your symptoms, goals, and movement quality.
After the session, you may also go through a cool-down. Many clinics include tools such as a
massage hose, which can feel similar to a deep tissue massage and help you relax after your
workout.
What can I gain from aquatic therapy?
Water’s natural properties create a therapeutic environment that can support movement and
recovery. Water-based therapy has also been used for centuries across many cultures.
The ancient Romans and Greeks bathed in hot springs for relaxation and to improve
circulation. Hippocrates believed hot springs could heal sickness. Swiss monks were well
known to use thermal waters to treat sick people. The Japanese use hot springs to treat skin
problems and relieve chronic pain.
Aquatic therapy can help with:
building muscle strength and endurance
reducing stress and promoting relaxation
increasing aerobic capacity for better health
improving coordination and balance
improving flexibility and movement
assisting with locomotion and gait
Aquatic therapy may be added to your current physical therapy plan based on your needs and
your therapist’s recommendations.
Why choose aquatic therapy?
Aquatic therapy offers benefits that can be difficult to replicate on land, including:
Relief
Aquatic therapy can help provide relief for many conditions, including arthritis, chronic
pain, lower back pain, orthopedic injuries, sprains, strains, and tendonitis.
Improved breathing
The respiratory muscles may work harder during aquatic therapy, which can help support
improved breathing.
Relaxation
Aquatic therapy provides a soothing environment for aching muscles and joints.
Buoyancy
Water’s natural buoyancy reduces the effects of gravity, which can make movement feel easier
and less uncomfortable.
Hydrostatic pressure
Hydrostatic pressure provides support during movement and can help you feel more stable while
performing exercises.
Resistance
Water provides natural resistance that can be used to strengthen muscles and support
rehabilitation.
Wave propagation/turbulence
Wave propagation and turbulence allow your physical therapist to gently manipulate your body
during exercises and movement training.
What should I expect during aquatic therapy?
Aquatic therapy is performed in the water using guided exercises selected for your needs and
tolerance. Your program may include a warm-up, strengthening and movement activities, and a
cool-down depending on your plan of care.
Aquatic therapy is one part of your plan of care
Aquatic therapy is one tool your physical therapist may use to support your recovery,
alongside treatments such as:
mobility and strengthening exercises
movement training
patient education
hands-on therapy (when appropriate)
Your plan is tailored to your needs and designed to help you move better and feel more
confident over time.
Aquatic therapy is a form of physical therapy performed in water—usually in an
in-clinic pool—to support mobility, recovery, and improved comfort with
movement.
Many people find aquatic therapy relaxing and supportive, especially because
movement in water often feels easier than movement on land.
Yes. At iMotion Physical Therapy, aquatic therapy is currently offered at our San
Jose location.
Instrument Assisted Soft Tissue Mobilization (IASTM) is a manual physical therapy technique used
to reduce pain and improve movement. It involves using specialized plastic or metal tools to
gently glide along the skin and soft tissue in targeted areas.
At iMotion Physical Therapy, IASTM may be recommended as one part of your personalized plan of
care.
What is IASTM used for?
IASTM may be used to address soft tissue restrictions and pain associated with a variety of
conditions, including:
neck and back pain
muscle tightness and myofascial restrictions
tendon irritation (including Achilles, patellar, and rotator cuff tendonitis)
plantar fasciitis and heel pain
tennis or golfer’s elbow
IT band syndrome
muscle strains and ligament sprains
post-surgical or traumatic scar tissue restrictions
IASTM may also be used for other overuse injuries and movement-related pain, depending on
your symptoms and goals.
How can IASTM help?
Most hands-on physical therapy techniques are performed using the therapist’s hands, but
instruments can offer additional benefits. IASTM tools can help identify and address areas
of soft tissue tightness and restriction with added precision.
With certain levels of pressure applied to muscles, tendons, or ligaments, IASTM may trigger
a mild inflammatory response. While that may sound counterintuitive, this response can
support the body’s natural healing process.
IASTM may also help improve mobility in areas affected by adhesions or scar tissue that can
develop after surgery, injury, repetitive use, or immobilization.
What can I expect with IASTM?
During IASTM, a specialized tool is used over the target area. You may feel pressure or a
scraping sensation in areas of tightness. The technique can be adjusted based on your
comfort and response.
It is also common to experience temporary redness, tenderness, or mild soreness after
treatment.
How will I know if IASTM is helping?
IASTM has been shown to help support improvements such as:
reduced pain with movement
improved muscle recruitment
increased range of motion
improved motor control
Progress is monitored over time to determine what is most helpful for your recovery.
IASTM is one part of your plan of care
IASTM is one tool that may be used alongside treatments such as:
mobility and strengthening exercises
movement training
patient education
hands-on therapy (when appropriate)
IASTM is often followed by exercise or movement training to help carry improvements into
daily activity.
Your plan is tailored to your needs and designed to help you move better and feel more
confident over time.
IASTM stands for Instrument Assisted Soft Tissue Mobilization, a technique that
uses specialized tools to treat soft tissue restrictions.
IASTM can feel intense in areas of tightness, but it should be tolerable.
Pressure and technique can be adjusted based on your comfort.
IASTM may be used for a wide range of conditions, including tendonitis, muscle
strains, sprains, plantar fasciitis, scar tissue restrictions, and pain related
to soft tissue tightness.
The number of sessions varies depending on your condition and goals. Your plan of
care will be based on your evaluation and response to treatment.
Myofascial Release
Are you living with stiff or tight muscles? If so, you may be experiencing myofascial pain
caused by muscular irritation. Myofascial release treatments at iMotion Physical Therapy may
help reduce pain and support improved movement, so you can return to daily life with more
comfort.
If stiffness or tightness is limiting your day-to-day activities, myofascial release may be a
helpful option.
How can myofascial release help?
Myofascial release is a type of physical therapy treatment in the form of massage that helps
alleviate pain by relieving tension within the affected muscles. Our physical therapists are
trained in myofascial release and understand what specific pressure points to focus on in
order to bring fascia back to a more elastic form.
What conditions can myofascial release treat?
When muscles become constricted or tight, it can significantly impact mobility and lead to
pain and limitations with movement. Myofascial release works to reverse this by loosening
constricted muscles and allowing for easier movement.
There are several conditions that can be treated with myofascial release. Some of the most
common include:
Myofascial pain syndrome
This is the most commonly treated condition through myofascial release, and it can affect
many muscles. The trigger points are determined and then massaged out.
Injury
Injuries can also cause muscle stiffness. The affected area is massaged to loosen the muscles
and allow for a quicker healing process.
Chronic headaches/migraines
Myofascial release has also been known to relieve the pain of chronic headaches and migraines
by massaging tightened muscles around the head and neck.
Carpal tunnel syndrome
Patients with carpal tunnel syndrome can benefit from myofascial release by having the
muscles in the hands, wrists, and/or arms massaged in order to improve function and
mobility.
Fibromyalgia
This condition can also cause stiffness in multiple muscles. The affected areas are
determined and then massaged.
Temporomandibular joint disorder
The muscles around the jaw are massaged through myofascial release in many patients with
temporomandibular joint disorder. This decreases pain and inflammation, as well as increases
mobility of the jaw.
Venous insufficiency
Myofascial release can help reduce the amount of blood pooled in the veins and allow for more
efficient blood flow, decreasing the pain felt in the veins.
If you have been diagnosed with one of the conditions listed above, contact iMotion Physical
Therapy today.
What can I expect with myofascial release?
Myofascial release is performed through hands-on pressure and massage to areas of tightness.
Pressure can be adjusted based on your comfort.
Myofascial release is one part of your plan of care
Myofascial release may be included as part of your treatment plan depending on your needs. It
is often paired with other physical therapy treatments such as:
mobility and strengthening exercises
movement training
patient education
hands-on therapy (when appropriate)
Myofascial release is a physical therapy technique in the form of massage that
helps alleviate pain by relieving tension within affected muscles and fascia.
If stiff or tight muscles are limiting your daily life, myofascial release may be
beneficial. Your physical therapist can help determine whether it fits your
treatment plan.
If stiffness or tightness is limiting your daily life, request an appointment.
We’ll evaluate your symptoms and discuss whether myofascial release may be a
helpful part of your plan of care.
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