Physiotherapy is related to the osteotherapy, but is not as specifically dedicated to the manipulations of the joints and also does not include the cranio-sacral therapy.

Physiotherapy pays attention to the function of the soft parts (muscles, tendons, ties, fascias, etc) which as you know move joints. Simplified, one can say that a muscle emerges from a bone, moves over a joint and enters again into neighboring bones. Thus, joint mobility and muscle function are inter-dependant.

Muscles are nourished by blood circulation. (A joint is different. It has a cartilage coating. The joint liquid produced in the joint capsule provides its nutrition. It is pressed into the cartilage with every movement.)

Small blood vessels, the capillaries, go through the muscles. They end in the tissue that encloses each individual cell. It is called extracellular matrix (EZM). One can say that the capillaries pore their nutrients into the EZM.

From the extracellular matrix –EZM the nutrients are led through the half-permeable cell membrane from the blood into the cell interior and emerge as by products of the cellulose change.

These processes can only proceed unhindered if the mobility of the tissues is guaranteed and the extra cellular tissue is in a good liquid condition. A shortened, braced or scarred muscle forces the capillaries away and thus obstructs the nutrient supply to the extracellular tissue. The more gel-like (stickier) it is, the worse the nutrient exchange and evacuation. The more fluid it is, the better this exchange occurs. The pre requisite for a good metabolism is naturally a good blood-quality, which is achieved by means of an appropriate nutrition. Sufficient movement, oxygen and light are also a condition for this function.

Physiotherapy uses various manual mobilizations, muscle extensions and other medical movement techniques to achieve the relaxation of the different tissue structures. It has the goal of bringing both the blood circulation of the muscle to optimal function and also the nerves which likewise run through all tissue layers.

A good knowledge of the anatomy is important for the physiotherapy techniques and especially a good palpation ability with the hand. Strength does not create treatment success, but rather a sensitive feeling and movement with the understanding of different tissue structures. As far as the bone, all tissue layers must show a good mobility, so that the muscle can be optimally nourished and moved.