Joint mobilisation is a very powerful physiotherapy technique to alleviate spinal segmental hypomobility. It is achieved by applying a localised force to the symptomatic joint level/s and gradually increasing the motion at the tension point of the joint. Precision is important when performing the technique, which is why joint mobilisation should be performed by physiotherapists with expertise in this area.

Joint mobilisation is a ‘hands on’ manual technique that involves the application of gentle oscillating movement of skeletal joints.

Physiotherapists use their comprehensive knowledge of anatomy to safely and appropriately apply different grades of mobilisation on clients to improve joint mobility and reduce pain.

Mobilisation works by selective activation of different mechanoreceptors in the joint.

Mobilisations range from gentler grades (Grade I and Grade II), generally used for pain relief, to firmer grades (Grade III and Grade IV) which are used to reduce joint stiffness and pain.  A grade V mobilisation, also known as a joint manipulation, involves a high velocity thrust of a joint near the end of its range.  This procedure is often accompanied by a ‘clicking’ or ‘cracking’ sound in the joint.

Research has demonstrated positive effects on pain, function, joint range and recurrence rates of acute and subacute spinal pain in individuals who receive joint mobilisation or manipulation from physiotherapists.

The physiotherapists at the Castle Hill Physiotherapy & Sports Injuries Centre have had extensive experience and training in the delivery of joint mobilisation techniques and use these musculoskeletal physiotherapy treatment methods in conjunction with other techniques to deliver superior results for their clients.

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Research has revealed that pelvic floor exercises can offer health benefits especially with the help of an expert. Pelvic floor training strengthens and improves the control of the muscles of the pelvic floor.  These exercises are ideal for women who are pregnant or have just given birth and for those suffering from incontinence.

A review of the best available scientific evidence concludes that pelvic floor muscle training for female urinary stress incontinence and pelvic organ prolapse should be the first line of treatment.

Daily pelvic floor muscle training can improve symptoms in women with pelvic organ prolapse and may help to reverse the development of the prolapse.

To be effective proper instruction and close follow-up is required.

Physiotherapist, Kathryn Barry, has been providing women’s health services for the past 28 years.  Call for an appointment with Kathryn to discuss any problems you may be experiencing with urinary incontinence, vaginal prolapse or pre/post natal pain.


Bo, K., (2011) World J Urol. Oct 9

Brackken IH., (2010) Am J Obstst Gynecol 203: 170, el-7

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To thank our valued clients & to welcome new patients, we are delighted to give away a McKenzie Slimline Lumbar Roll (Value $35.00) to the first 50 patients who mention this ad when they attend our practice for an initial consultation.

Using a Slimline Lumbar Roll will improve your sitting posture & help to reduce back & neck pain.

It is a privilege to serve the Hills Districts residents & we guarantee to always strive to provide every patient with the highest standard of physiotherapy care.

We welcome your enquiry on 02 9634 7788.

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