Type of treatment

What sort of TreatmentTreatment


The MGS Physiotherapists use a wide range of treatment methods. The approach that is best for you will depend on the condition you present with and what you are ideally suited to. Some conditions are resolved with direct treatment such as mobilization, manipulation or soft tissue release while others are better treated with exercise. Generally it is a combination of both hands on treatment and exercises that provides the best results. We will always discuss with you what we think is the best treatment approach for your particular situation before we begin any treatment.

We start with a diagnosis from which we develop a treatment and recovery plan. We will attempt to map out expected time frames for you to see various stages of improvement. Our treatment approach and treatment plan may change based on your rate of recovery. We find that in most cases if you are happy to do home exercises that things get better faster and stay better longer.

The key to successful Physiotherapy treatment is to have expertise in a variety of techniques. Nothing works for everyone. Some of the treatment techniques utilised by our Physiotherapists include


Manipulation is what we call the cracking of a joint. It is technically described as a high velocity, low amplitude thrust movement of a joint producing a click or cracking sound”. We do not think about this techniques as some do as a method of “putting something back in”, rather we know that it has a short term freeing up effect on a joint allowing improved movement and hopefully sustained improvements in function as a result. Our Physiotherapists are highly trained in the use and benefits of this technique however we do not use it all the time. We always discuss this technique at length before offering it to you and we only perform this technique if you are comfortable with its use. Don’t worry we would never sneak up on you and perform a manipulation without your approval.







Mulligan’s techniques

These are often referred to as SNAGs or NAGs. They are another method of mobilizing the joints and gaining increased movement of the spine and reduced pain. The Physiotherapist will glide or gently lift a spinal joint while you move. For an ankle or hip joint the Physiotherapist might use a special belt to glide the joint while you move the joint. People are often amazed by how much improvement can be gained from Mulligan’s techniques






Soft Tissue Release

This is a form of massage utilized a lot by our Physiotherapists often in conjunction with the other techniques described. It is a targeted or specific type of massage where a muscle or muscle group is stretched along its length by the massaging movement. When we find certain muscles to be contributing to a problem due to their shortness or overactivity then we employ a soft tissue release technique. It is a very effective method of treatment and has a role in most musculoskeletal treatments.






Dry needling

Dry needling is a technique where acupuncture needles are used to treat overly irritated points in a muscle. We often refer to these points as trigger points. If a trigger point is significantly over active it may lead to weakness or restriction in the flexibility of the muscle. This can then lead to all sorts of musculoskeletal problems.

Dry needling can reduce the hyperactivity and sensitivity of the trigger points. It looks just like acupuncture however there is no direct use of Chinese medicine principles


Many people derive significant additional benefits from acupuncture while they are under a physiotherapy treatment program. Matt Geister utilises acupuncture within some of his treatment programs as an adjunct to treatment. We are also often likely to refer our clients to highly regarded acupuncturists in their local area.

Muscle Energy Technique

This is a treatment technique we often utilize for improving the way bones and joints move. People often hear about hip or pelvis misalignment and Muscle Energy Technique is often used to “realign the pelvis”. It involves fairly subtle muscle contractions under our direction where you push towards our resistance. For such a gentle technique people are often very surprised by what can often be very dramatic improvements in movement and pain. At MGS Physiotherapy we incorporate Muscle Energy Technique into our treatments however it is never the only thing we do. It does not take long and there is plenty of time left in the sessions to find further improvements.

Core Stability Assessment using Real Time Ultrasound

Core stability is a concept talked about very much by Physios and Personal Trainers.  It is very well known that deficiencies in your core stabilisers can lead to recurrent back pain.  It is also very well documented through clinical research that if you can improve your core stability then you can dramatically reduce the likelihood of your back pain returning.

At MGS we use a state of the art real time ultrasound imaging unit to examine your ability to activate your core stabilising muscles.  This is the same type of machine that is used when you have a pregnancy scan.  We look at all of your abdominal muscles and how they behave together when you do certain activities.  It is an excellent method for us to determine if you have good core muscle stability and control.  You are able to see for yourself just what we are asking you to do.   By watching the screen you can get instant feedback about how you are activating your abdominal muscles.  It is a very fast way of learning how to get it right without confusion.

We learn a lot more about your core stability by using real time ultrasound.  We identify those who have good control and are ready to progress their exercise regime and conversely we identify those who need more work before upgrading their activity.






Exercise prescription

Exercises carried out at home are a very important component to any individual’s recovery. When exercise is a component of treatment we refer to it as an active recovery. Our Physio’s are aware of how difficult it can be to follow an extensive exercise program. We ensure that we give you very specific activities to perform and set up your program in such a way that you will be able to keep it going as long as needed. We know that people don’t do really boring and over the top exercises.


Hydrotherapy is a fully supervised exercise programme set and supervised by Physiotherapists in specially designed warm water pools. For correct and effective hydrotherapy the pool temperature must be higher than that of a normally heated swimming pool. The warm water and weightless effect of being submersed means that even very painful conditions can be exercised effectively. We run a number of private hydrotherapy classes directly out of the Mona Vale Hospital hydro pool.

Hydrotherapy offers many benefits to a large variety of people. It is very suitable for rehabilitation following injury or surgery, for arthritis sufferers or for general spinal pain and stiffness. Fit and healthy people looking to improve their core strength or just maintain their activity levels find hydrotherapy very beneficial.

The MGS Physiotherapy hydro classes are run by highly qualified Physiotherapists who take the plunge and spend the entire session in the water. This allows the Physio to actively correct techniques and move around the participants helping them with their individual needs. The attention given in the water means that the classes are suitable for a variety of requirements and fitness levels.

There are currently limited vacancies on most days of the week. The majority of private health insurers will refund most or in many cases all of the cost of the classes. Department of Veterans Affairs and approved WorkCover claims are also accepted as payment in full. Classes are run in four terms throughout the year. To secure a place in a class or to have an information sheet about term dates and costs sent to you please contact us on 9979 6978


Staff Profiles

Find out a more info on our physiotherapists, their qualifications, how they work... even their interests. Read More

Contact Us

Find out the contact details of each MGS practice:
MGS Manly
MGS Mona Vale

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