Why Manual Therapy Works Best with Consistent Care—Especially in the Beginning
- Dr Michael Elliott MSc, D.C., CFMP.
- 7 days ago
- 2 min read
If you’ve ever wondered why your manual therapist recommends seeing you more frequently at the start of care, the answer lies in how the nervous system, muscles, and joints adapt and relearn function.
It’s About Retraining the Body’s Memory
Your body has what we call neuromuscular memory—an ingrained pattern of how muscles contract, how joints move, and how posture is held. If your joints have been restricted, or your muscles imbalanced for months (or years), your nervous system considers that “normal.”
Manual therapy—whether through chiropractic adjustments, joint mobilizations, or soft tissue techniques—helps to restore normal joint play and function, but these changes are often subtle and need repetition to become lasting.
That’s why early sessions are closer together:
To reinforce correct joint movement before the body slips back into old patterns
To retrain postural and stabilizing muscles to support new alignment
To create new muscle memory for long-term benefit
Think of it like learning a musical instrument—practice and repetition early on are what create proficiency and coordination.
Incremental Gains in Joint Movement
Joint play refers to the small, natural gliding and sliding motions within a joint. Loss of joint play leads to stiffness, compensation, and pain. It cannot be stretched or massaged out—it must be restored through specific manual techniques.
Restoring normal joint movement is like unlocking a door that’s rusted shut:
The first few turns (visits) may only budge it slightly
With each session, the range and ease improve
Eventually, smooth movement becomes the new normal
But without reinforcement, the “rust” of poor movement habits can return.
The Value of Maintenance in a Stress-Filled World
Even after symptoms subside, life continues to place stress on your body:
Sitting for hours at a desk
Poor sleep positions
Physical demands of work or parenting
Emotional stress, which affects posture and breathing
Past injuries that never fully healed
These micro-stresses accumulate and pull you back toward dysfunction.
That’s where maintenance care comes in—not because you’re broken, but because you’re human.
Just as you brush your teeth daily to prevent decay, a periodic manual therapy session helps:
Keep joints mobile
Prevent tension build-up
Detect and correct subtle imbalances early
Support energy, posture, and pain prevention
Summary
Manual therapy is not just about a quick fix—it’s a process of retraining your body toward better function.

More frequent visits at the beginning help your body adapt faster, and ongoing care helps you stay resilient in a world that constantly pulls you out of alignment.
Your body is designed to move well—let’s keep it that way.