Metrow Massage Therapy

Why does manual therapy work?

It’s a question most of us have been asked — by patients, by students, sometimes by ourselves mid-treatment.

A 2025 living review in PLOS ONE (Keter et al.) pulled together 62 systematic, narrative, and scoping reviews to map the current evidence.

Manual therapy doesn’t act on one system. It produces measurable responses across the following:

- Neurological
- Neurovascular
- Neurotransmitter,
- Neuroimmune
- Neuromuscular
- Neuroendocrine
- Biomechanical

The strongest, most consistent signals are central, not local: increased pressure pain thresholds at sites distant from treatment and enhanced descending pain modulation.

The biomechanical “joint-out-of-place” model? It's not supported by the evidence. The treatments purporting to do this may help, but for the reasons above, not because the joint has been popped back in.

What this means in practice: our hands are interacting with the central nervous system at least as much as the tissue beneath them and the language we use with patients should reflect that.

The full one-page clinical summary is below 👇

📖 Source: Keter et al. (2025), PLOS ONE. doi:10.1371/journal.pone.0319586

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Notable things that happened in Mexico:
-Saw bats leave their roost the first and last night's there
-Saw not 1 but 2 dead pufferfish on the beach
-Lots of different birds
-Sunsets and sunrises
-Buzz, Jessie, and Woody performing; the next night was Frozen Español (Note:we did not stay at a Disney resort and both shows were only watched by the people aged 60+ at 9pm)
-Saving an elderly woman from choking at lunch. My first aid FINALLY came in handy.
-Saving 4 newly hatched baby turtles our last morning there. Throwing the little buggers back into the ocean was awesome

11 to 32!

We're booking for 2023! I'm on staycation for the first week of January!. Email [email protected] or call 403-254-8588 to book!

October is almost full! Call 403-254-8588 or email [email protected] to book!

I have some openings next week! Give us a call, 403-254-8588 or email at [email protected]

I hope everyone is enjoying these last 2 cooler days in this super hot summer!

Call 403-254-8588 or email [email protected] to book

Hi! As of the first of JULY we have had a price change.