Manual therapy: manual therapy, is a treatment that is made with hands, practiced by physical therapist. Improve joint movement and flexibility, Nov reduce spasm and relieve pain and inflammation, and is used to promote tissue healing. Manual therapy techniques include:Massage: relax muscles, improve blood circulation and relieve the pain that is applied to soft tissue manipulation. Mobilization: to increase the range of joint motion, and gentle stretching maneuvers. Manipulation: immediate to restore joint function and a controlled motion.Exercise therapy exercise therapy, strengthen muscles, range of motion and flexibility