Spinal Manipulation / Mobilisation Miranda

Spinal Manipulation and Mobilisation



At PACT Physio & Rehab, Miranda NSW we're expert in Spinal Manipulation and Mobilisation. Our founder, Andrew Ellis, has over 15 years of hands-on experience as a Physiotherapist.



We support patients overcome:

  • Stiff or restricted spinal joints
  • Persistent neck or lower back pain
  • Poor spinal alignment or posture-related discomfort
  • Recurrent headaches linked to spinal tension
  • Reduced flexibility and range of motion
  • Chronic conditions that haven't responded to other treatments

Who Can Benefit from Spinal Manipulation and Mobilisation?

If you're struggling with any of the following, spinal joint mobilisation or manipulation may provide effective relief:


  • Office workers with mid-back stiffness or neck tension from prolonged desk work
  • Tradespeople experiencing lower back pain from years of heavy lifting or overhead work
  • Healthcare workers with spinal tightness from repetitive bending and patient handling
  • Drivers with upper or lower back discomfort caused by poor posture during long commutes
  • New parents with thoracic or cervical pain from feeding and lifting their children
  • Individuals with postural dysfunction contributing to ongoing spinal discomfort
  • Athletes and gym-goers with poor spinal mobility affecting performance and recovery
  • People suffering from tension headaches originating in the cervical spine
  • Chronic pain sufferers where spinal stiffness is limiting movement and quality of life
  • Individuals with scoliosis or asymmetrical spinal loading due to poor posture
  • Patients recovering from spinal injuries or surgery needing safe reactivation
  • Anyone with a history of whiplash or CTP injury involving the cervical or thoracic spine
  • People with rib dysfunction or upper back tightness affecting breathing or movement
  • Desk-bound professionals with reduced thoracic extension and poor ergonomics
  • Those experiencing nerve impingement symptoms due to joint compression
  • Manual labourers with cumulative strain injuries affecting spinal joints
  • Seniors with degenerative changes leading to stiffness and reduced spinal flexibility
  • Workers with acute back pain episodes triggered by lifting or twisting
  • Individuals with hip, shoulder or neck issues influenced by spinal biomechanics
  • Anyone who’s tried massage or exercise alone without lasting improvement


We regularly treat workers compensation, CTP (motor vehicle accident), Medicare, Comcare and private patients.

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Spinal Joint Mobilisation vs Manipulation: What’s the Difference?

While both spinal joint mobilisation and manipulation are manual therapy techniques used by physiotherapists to improve spinal movement and reduce pain, they differ in technique, force, and intent.


Spinal joint mobilisation is a gentle, controlled technique that involves slow, repetitive movements applied to stiff or painful joints. It aims to gradually increase joint range of motion, reduce pain, and restore normal movement patterns. Mobilisation is often used when patients are experiencing acute pain, muscle guarding, or are not suitable for high-velocity techniques. It’s ideal for sensitive or post-surgical cases and forms a cornerstone of many evidence-based physiotherapy treatments.


Spinal joint manipulation, on the other hand, involves a quick, precise thrust applied to a joint, often resulting in an audible “crack” or cavitation. This technique can lead to immediate improvements in mobility and a noticeable reduction in pain. It is typically used for patients with restricted spinal segments, particularly when traditional mobilisation or exercise alone hasn’t produced sufficient results. Manipulation is a high-skill, low-risk intervention when performed by trained clinicians like our team at PACT Physio & Rehab.



At PACT Physio & Rehab, we’re highly experienced in both techniques. We tailor our approach based on your injury, presentation, and comfort level—ensuring the right strategy is applied at the right time to get you moving and feeling better, faster.

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Spinal Manipulation and Mobilisation, Miranda

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