When a joint stops gliding the way it should, your whole body compensates. Skilled, hands-on joint facilitation restores natural motion so pain can settle and strength can stick.

Manual therapy is skilled, hands-on care, and at Fix It its heart is joint facilitation and mobilization. When a joint becomes restricted or slips out of its normal alignment, your body works around it. Muscles tighten to protect it, movement patterns change, and pain shows up somewhere along the chain. We use precise hands-on input to gently restore normal glide and range of motion to stiff or restricted joints.
Facilitation of normal joint motion is the first step of the F.A.S.T Approach™, developed by Dr. Kelly Roberts Lane, DPT, FACSM. Rather than forcing a joint, facilitation prompts your central nervous system and the surrounding tissue to carry out proper joint motion naturally. The goal is to re-establish normal stresses at the joint level, which returns the tension and length of the surrounding tissue to normal.
Why it matters: restoring natural joint mechanics reduces localized pressure, relieves pain and rebuilds the structural foundation your body needs to move freely. It is how we resolve mechanical pain in as few as 3 visits. Then we follow with targeted exercise so your muscles learn to support the joint's new motion.
Hands-on care is often where you feel the F.A.S.T Approach work first. Range of motion can change within a single visit, and we pair every hands-on session with a plan to keep that motion for good.
Manual therapy helps anyone whose pain comes from a joint that is not moving well. These are the situations we see most.
A neck that will not turn, a shoulder that catches, a low back that locks up after sitting. Restoring the joint's glide often brings range of motion back quickly, and the muscle tension around it eases along with it.
If adjustments, massage or exercise helped for a while but the pain keeps returning, the joint mechanics underneath may still be off. We look at the whole movement chain to find the joint where the problem started.
Small joints matter too. We treat wrist and hand pain, elbow pain, foot and ankle pain, tension headaches and TMJ, using precise hands-on work suited to each joint and the way you use it every day.
Hands-on care is built into your physical therapy visits. Here is what a typical course looks like.
Your evaluation includes targeted movement tests and a careful look at joint mechanics, tissue tension and posture, so we know which joint is driving the problem and why it started.
Using joint facilitation and mobilization, along with soft tissue release when it helps, your therapist restores the joint's normal glide. Most people notice a change in how the area moves during the same session.
We follow hands-on work with neuromuscular re-education and progressive exercise, plus exercises you can do on your own, so your brain and muscles learn to hold the new motion.
Manual therapy at Fix It is gentle and precise. It is about prompting a joint to move the way it was designed to, not forcing it. Tell your therapist about any recent surgery, fracture, osteoporosis or other medical condition so your hands-on care can be adjusted for you.
I’ve had tendinitis in my wrists for over 20 years and have always been dismissed by doctors when it got bad and I sought help (ice it, take ibuprofen, etc.). Working from home during the pandemic and being on my computer 8 hours a day (instead of 2-3) made my problem so bad, the pain kept me up at night. When Kelly told me she could fix it in a session, I was highly skeptical, but after a day of tenderness, the pain was gone. I can do yoga any time I want and not have to worry about my wrists. I can even do planks and push-ups without any issue. Life-changing. It’s a miracle... of science!

Fine, solid needles release deep trigger points that hands alone cannot reach.

Adult and senior care built on the F.A.S.T Approach™ and lasting strength.

Precise hands-on care for the small joints you use all day, every day.