Manual and manipulative therapy encompasses the treatment of musculoskeletal ailments of various etiologies through 'hands-on' physical intervention. A manual therapist provides comprehensive conservative management for spinal and extremity joints and neuromusculoskeletal dysfunction. A stringent post graduate education process is well respected within the field and among different professions. Manual intervention is based on sound scientific research and clinical basis. Physical treatments include mobilization and manipulation of joints, soft tissue mobilization, various connective tissue techniques, myofascial and trigger point release, mobilization of neural tissue, visceral mobilization, and strain/counter strain.