I'll keep it short. I use TMR concepts to get them as far as able, then if needed use traction, istim ect. to further reduce when they get "stuck" on Tmr
It is on rare occasion that I use modalities. My practice has been like that since the mid '90s. I don't really see a need. 99% of what I do is neck/back related so manual therapy has been my "bread/butter".
I have evolved (and continue to do so)...I still do manual therapy but have been doing it less and less.
If I get a back patient in today I already know what I'll be doing...my bastardized "short" version of TMR. I know the results I will get...
