Manual Therapy

Manual therapy techniques comprise of any \"hands-on\" treatment provided by the physiotherapist. Treatment may involve moving the joints in specific directions and at different speeds to regain movement. This includes both joint mobilisations and manipulations. Manual therapy also includes muscles stretching, passive movements of the affected body part, or having the patient move the body part against the therapist\'s resistance to improved muscle activation and timing.

Soft Tissue Massage

Soft tissue massage involves massage into muscles in the painful area which may be in spasm or have tightened up. This is helpful to ease physical tension in the tissues, so that flexibility improves. Compression/release, which is a technique where specific pressure is put on knotted muscle fibres (Trigger Points). This pressure helps to release the painful knot and free up the area.

It is when Massage is used as part of an overall treatment that the benefit of Physiotherapy is really seen. Often Massage will be used as part of Manipulative Therapy which is the skilful restoration of mobility to soft tissues and joints using a variety of massage, mobilisations and manipulations.

We occasionally use modalities such as Ultrasound as an adjunct to treatment for conditions relating to muscles, ligaments and bone. Ultrasound involves using high frequency sound waves to treat injuries to muscles, tendons and other soft tissues. It stimulates blood circulation and cell activity, accelerating the healing process and providing pain relief by reducing inflammation. It also provides micro-massage to tissues which aids in breaking down scar tissue. Electrotherapy shall be used as appropriate with treatments.

Home Visits

Our physiotherapists regularly perform home visits during which they assess and treat the patient in the comfort of their own home.

Home visits are aimed at providing a service to individuals with chronic health problems, those who are too ill or incapacitated to travel. Some of the common conditions we treat in the home setting are Stroke, Multiple Sclerosis, Parkinsons, Orthopaedic conditions such as total hip or knee replacements, falls and balance problems and palliative care for positioning and passive exercise.

Please contact the clinic for more information regarding home visits and fees.


Low back pain is the most common musculoskeletal complaint. Acute low back pain is normally self-limiting and improves quickly with appropriate management. However, a significant proportion of the population experience recurrent episodes of low back pain with a smaller group experiencing persistent pain over long time periods. The majority of low back pain (85%) is classified as non-specific in nature, meaning that no specific structure or tissue can be identified as the source of the pain.
It is well established in the research that the degree of pain a patient experiences, is dependent on the interplay between a number of factors. These include physical factors (posture, strength, endurance, motor control), psychosocial factors (mood, catastrophizing, fear, anxiety), cognitive factors (beliefs, previous pain experiences), lifestyle factors (physical activity, sleep, stress), personal factors (work) and neurophysiological factors (pain physiology). The significance of each of these factors will vary between patients and therefore an individually-tailored intervention is essential for the resolution of the pain.

Cognitive functional therapyTM, based on the pioneering research of Prof. Peter O\'Sullivan is a novel and evidence-based approach to the management of complex low back pain disorders. It aims to identify and subsequently target the unique factors (as described above) that are involved in an individual\'s experience of pain. Through a combination of education and a graded exercise-based intervention, the aim of the treatment is to gradually restore the individual to normal functioning and improve their quality of life.

At Tralee Physiotherapy Clinic we have extensive experience in the assessment and management of complex spinal pain disorders and we have undertaken specific training in the use of Cognitive Functional TherapyTM.