Manual Therapy in Castroville, TX
Sometimes the fastest fix is a skilled pair of hands
Joint mobilization, soft tissue work and assisted stretching from licensed physical therapists, as part of your physical therapy plan.
- Licensed PTs
- Hands on
- Part of your PT plan
- In visit
- To keep the gains
- + Exercise

Manual therapy at Castroville Physical Therapy & Sport Rehabilitation is hands on treatment by licensed physical therapists, including joint mobilization, soft tissue mobilization, myofascial release and assisted stretching. It is used inside your physical therapy visit to restore motion and ease pain, followed by exercise to keep the gains. Call (830) 538-3344.

Hands on care that gets stuck joints and tight tissue moving
Some problems will not budge with exercise alone. A neck that will not turn to check your blind spot. A shoulder capsule that has tightened up after weeks in a sling. A low back that locks every time you bend to pick up a bucket. Manual therapy is how a physical therapist gets things moving again with their hands, so the exercises that follow can actually work.
It is not a massage and it is not a quick crack. Your therapist uses graded, specific pressure and movement on the exact joint or tissue that is limiting you, checks how you respond, and adjusts. You should notice a difference in how you move during the session, and your exercises are there to help you keep it.
Where manual therapy earns its keep
Neck and back pain
Stiff segments in the spine, muscle guarding, and the kind of back pain that shows up after a long day in the truck or on the tractor.
Stiff joints after surgery
Knees that will not bend, shoulders that will not lift. Gentle, progressive mobilization during post surgical rehabilitation helps you win back range before scar tissue sets in.
Shoulders, hips and ankles
Frozen shoulder, stiff hips from arthritis, ankles that never fully loosened up after a sprain.
Manual therapy or massage?
They can feel similar, but they do different jobs.
- Manual therapy is done by your physical therapist inside a PT visit
- It targets a specific joint or tissue that limits movement
- Massage works on general muscle tension, not a specific movement problem
- Every manual therapy session ends with exercise so the gains last
Part of our physical therapy clinic
Manual therapy is a core part of care at our physical therapy clinic in Castroville.
Manual therapy questions
Does manual therapy hurt?
It should not be more than mildly uncomfortable. Your therapist starts gently, checks in constantly, and adjusts the pressure. Most people feel looser and move better by the end of the session.
Is manual therapy the same as massage?
No. Manual therapy is done by a physical therapist to fix a specific movement problem, usually a stiff joint or restricted tissue. It is targeted, measured treatment inside your physical therapy visit, always followed by exercise so the gains last.
Is manual therapy covered by insurance?
Manual therapy is part of your physical therapy visit, so it is usually covered the same way as the rest of your treatment. We check your benefits before your first visit.
How many sessions will I need?
Many people feel a change in the first visit or two. Lasting results come from pairing the hands on work with the exercises in your plan, which is why manual therapy is never the whole plan by itself.
Stuck, stiff, or sore?
Tell us what will not move the way it should. We will get you in for an evaluation and put skilled hands on it.