The Mulligan Concept is an exciting form of therapy that combines mobilization of the joint with concurrent movement in a systematic way to relieve pain and restore normal movement.
What I am finding in clinical practice is that combining mobilization with movement (MWM) often has some much faster and sometimes quite amazing results in a very short period of time. Chronic conditions that have needed 3-4 weeks (or more) of therapy are now improving in 3-4 visits. One important feature of these techniques is that they can be taught to patients for self-application.
There are MWMs for all joints of the body, from head to toe, and they can be safely and confidently applied. Evidence of their effectiveness is immediate pain relief and improvement of joint function. Increased pain while using MWMs indicates they should not be used.
Below is a short list of both acute and long-standing conditions that respond favorably to MWM, sometimes after not responding to other therapies:
- Chronic “migraine-type” headaches that have not responded completely to medication.
- Restoration of painful limited shoulder ROM.
- Acute pain in the hand with handshake, resolved by taping to sustain a MWM, allowing immediate return to activity.
- Knee pain with squatting or going up or down stairs. • Sciatica or anterior thigh pain positively affected by a spinal MWM combined with leg movement.
- Sacroiliac pain and dysfunction.
- Early stage hip osteoarthritis and painful stiffness.
- Chronic, finger or toe joint stiffness.