It is hands-on treatment of joints, muscles, fascia and nerves by a trained physiotherapist — including joint mobilization, soft tissue mobilization, myofascial release, trigger point release, muscle energy techniques and neural mobilization — used to reduce pain and restore movement.

No. Massage works mainly on soft tissue for relaxation and circulation. Manual therapy includes specific joint and nerve techniques selected from a clinical examination to address a defined diagnosis. Soft tissue work is one part of it.

They overlap but are not identical. Physiotherapy manual therapy uses a broad range of graded joint and soft tissue techniques within a rehabilitation plan. Chiropractic care traditionally emphasises spinal adjustment. Both are available at Impulse — chiropractic care is provided in-house by a trained practitioner, where it is clinically appropriate after assessment.

Some techniques reproduce your symptoms briefly, and trigger point work can be uncomfortable while pressure is being applied. It should never be unbearable. Tell your physiotherapist and the pressure is adjusted immediately.

Mild soreness for 24 to 48 hours is common and normal, similar to post-exercise stiffness. It usually settles on its own. Soreness that is severe, increasing or accompanied by new symptoms should be reported to us.

It depends on the condition and how long it has been present. A recent, simple joint restriction may need only a few sessions; long-standing spinal or shoulder problems need more. In most cases optimal results are seen with seven days of continuous therapy, and your estimate is given after assessment.

Treatment for a new problem begins as a combination session, priced from ₹500 to ₹1,500 depending on the modalities included and the session length. Once your initial course is complete, follow-up manual therapy is ₹500 for a 30-minute session. Your exact rate is confirmed after assessment, and package rates offer better per-session pricing.

Yes. Manual therapy is only safe and effective when it is targeted, and targeting requires an examination. The assessment is ₹400, adjusted against your treatment and waived entirely once you start a package.

Cervical high-velocity techniques are used very selectively, only after specific screening, only where clearly indicated and only with your explicit consent. Gentler mobilization achieves the same result for most patients and is our default for the neck.

Techniques are modified. Gentle mobilization, soft tissue work and muscle energy techniques can usually be used safely; high-velocity techniques are not used in severe osteoporosis. Tell us about any bone density scan results.

Usually yes, with modification. Deep soft tissue work, cupping and dry needling carry a bruising risk and may be avoided or applied more gently. Please disclose all medication at assessment.

Yes, with pregnancy-appropriate positioning and technique selection. Certain techniques and modalities are avoided. Pregnancy-related musculoskeletal pain is a common reason for referral — see Women's Health Rehabilitation.

Often yes, as part of a wider plan alongside exercise and, in selected cases, DTS spinal decompression. Manual therapy is not used where neurological signs are progressing — those patients need medical or surgical review first.

Dry needling targets muscle trigger points to relieve pain and improve movement. Acupuncture is based on Traditional Chinese Medicine principles. Both use fine needles, but the reasoning and objectives differ.

It can leave temporary circular marks caused by increased blood flow — these are not bruises. They typically fade within 3 to 10 days depending on skin type and treatment intensity.

Sustained, low-load pressure applied to restrictions in the fascia — the connective tissue layer running through and around muscle. It is used when tightness spans a whole region rather than a single muscle.

Techniques where your own gentle contraction against the therapist's resistance is used to lengthen a tight muscle or correct a joint restriction. They are comfortable, active and well suited to the pelvis, hip and neck.

Rarely on its own. Hands-on treatment creates the window; exercise, load management and posture or workstation correction keep it open. Every Impulse manual therapy plan includes a home programme for this reason.

Many patients notice a change in pain or movement within the first session. Lasting change takes longer, and depends on the exercise and activity changes carried out between sessions.

Yes, where the headache originates in the neck or upper shoulder muscles — cervicogenic and tension-type headaches respond well. Headaches with other features are screened and referred for medical assessment.

Yes. Intra-oral and external jaw techniques, alongside neck treatment, are part of our TMJ programme, delivered in collaboration with an Oral & Maxillofacial Surgeon. See TMJ & Orofacial Pain Rehabilitation.

Yes, with age-appropriate, gentle technique selection and written parent or guardian consent. High-velocity techniques are not used. See Pediatric Physiotherapy.

Yes. Techniques are graded to bone quality, skin condition, joint stability and medication. Manual therapy is widely used within our Geriatric Rehabilitation programme.

Yes, once your surgeon has cleared you and wounds have healed. It is valuable for scar mobility and regaining range. We coordinate with your operating surgeon on timing and precautions.

Loose, comfortable clothing allowing access to the area being treated. Shorts help for lower limb treatment. Women patients often find a salwar kurta most comfortable.

Yes, on request. Please mention it when booking.

Yes. Separate cubicles are available for all therapies requiring privacy.

Yes. Home visits are available at a higher charge than clinic sessions, though equipment-based adjuncts remain centre-based.

We do not offer cashless insurance billing. Treatment is paid directly, and we provide itemised bills with a full clinical case sheet prepared to meet insurer documentation requirements for reimbursement claims.

Manual therapy on its own is offered as follow-up therapy, once your initial course of treatment is complete. Patients who have finished their treatment plan commonly continue with 30-minute manual therapy sessions at ₹500, usually two to three times a week, to maintain their progress. For a new problem we do not start with manual therapy alone — treatment begins with an assessment and a complete plan, because hands-on work without the rest of the plan tends to give short-lived relief and a recurring problem.

Call 8009537637%20953-7637) or message the same number on WhatsApp. Walk-ins are welcome between 8:30 AM and 8:00 PM, any day of the week.