Manual Therapy

Manual therapy used in San Sanatorium is a special form of musculoskeletal dysfunctions. It is often wrongly equated with chiropractic treatment, which unlike the manual therapy does not have any grounds in sources of medical knowledge.


Manual therapy it is a part of physiotherapy and is based on scientific studies. The therapy is based on examination and treatment of peripheral joints and the spine. The first part of examination usually involves a thorough interview. Then movement quality, range, biomechanics and other factors (e.g. soreness) are assessed. During the therapy, special mobilization and manipulation techniques are used, as well as working with soft tissues to recover the dysfunctional biomechanics of joints (joint unlocking), what decreases the pain, improves mobility and remedies inflammation. One of techniques used in our manual therapy department is the FDM- watch the movie.


Our Specialist`s: 



MA Mariusz Glimasiński


Mariusz Glimasiński Graduate of Post-secondary Medical School in Kołobrzeg, specialisation - phy

siotherapy. Graduate of Społeczna Akademia Nauk in Kołobrzeg - physiotherapy. (thesis: Selected methods of manual therapy in therapy of lumbosacral spine pain). 

Graduate of Post-graduate School of Manual Therapy at Poznan University of Medical Sciences. Acquired his experience in several clinics in Kołobrzeg. Since 2009 has been working at SAN Sanatorium.


Completed training courses:

1. Manual Therapy

2. Rehabilitation Taping

3. Therapy elements: knee joint degeneration.








MA Mateusz Kubisz


 Graduate of Academy of Physiotherapy in Wrocław – specialisation physiotherapy, Nordic Walking instructor.

Acquired his professional experience as a physiotherapist at hospital departments of neurology, traumatic surgery and orthopaedics in Ludwik Błażek Hospital in Inowrocław.

Moreover, he worked as a physiotherapist in the Aid for Youth with Brain Damage Association.


Completed training courses:

1. PNF – basic

2. Rehabilitation Taping

3. Medical Therapeutic Training part 1

4. Medical Therapeutic Training part 2

5. Treatment of Muscoskeletal Disorders with Fascial Techniques, Modules 1-3.






MA Robert Kot

graduated from the University of Physical Education in Poznań, major: physiotherapy.

He gained his professional experience at the Physiotherapy Clinic and Rehabilitation, Spa and Wellness Center of the Bałtyk Sanatorium, employed as a physiotherapist. For several years, he has been working as a lecturer at various schools and universities educating future massage therapists.


Completed training courses: 





Manual therapy treats functional musculoskeletal pain and disability located in the joints and soft tissues such as muscles, ligaments and skin.


This therapy uses targeted manual techniques for the purpose of modulating pain and increasing range of motion. Basic techniques in manual therapy are soft tissue therapy, traction, mobilization and manipulation.




I. Soft tissue techniques include:


1. Muscle energy technique is a combination of different techniques that originated from the orthopaedic, physiotherapy, osteopathy and chiropractic methods. It involves active participation by the patient to eliminate soft tissue disorders:

a) post isometric muscle relaxation - relaxation of hypertonic muscles, joint mobilization and preparation for manipulation


2. Musculofascial relaxation technique improves the internal mobility of the soft tissues, particularly the fascia.


3. Active relaxation technique removes irregularities within the soft tissue, such as adhesions and contractions. This technique combined with Myofascial release technique or Muscle energy Technique is extremely effective.


II. Traction (stretching) is based on increasing the distance between articular surfaces to reduce joint compression and alleviate pain


III. Mobilization is relying on passive or active exercise of certain joint movements in order to target locked joints and reduce pain


IV. Manipulation techniques arequick movements that occur beyond the available joint play range. The purpose of manipulations, or joint thrusts, is to increase the available range if it is not full. Secondly, manipulations are done to break adhesions that disrupt joint movement.


Price of treatments: 60,- PLN (up to 30 min.)


Other available treatments:


                                    TENSEGRATION MASSAGE ( MEDICAL)


Innovative massage method developed at the University of Physical Education in Wroclaw by Dr K. Kassolika and Dr W. Andrzejewski.

Tensegration massage is based on the concept of structural relation between muscles, fascia and ligaments called the Tensegration rule according to which it is possible to determine which structures of the musculoskeletal system should be worked on to normalize their increased tension.

It involves massaging not only the affected area but also the connected areas. It results in normalization of muscle tone and elimination of pain. This method has a growing number of supporters among physiotherapists in this country and around the world.


Price of treatment: 50,- PLN (up to 30 min.)


                       ANTI-OEDEMA COMPREHENSIVE THERAPY              


This massage therapy is the most effective in the treatment of lymphoedema, post-traumatic swelling, lipid abnormality and venous insufficiency. By directingpressure at the skin and muscle areas affected by oedema, the lymphatic system is activated during the process and the fluid drains away naturally. The activation of the lymph nodes is the key to getting the body to naturally drain away the excessive fluid accumulation that causes oedema. Massage therapy includes:


Manual lymphatic drainage

It involves employing the lymphatic system to drain fluids from the area affected by oedemas.

Generally, the massage is gentle and done in the direction of the heart.


Pressotherapy (bandaging)

It involves the use of pressure to the subdermal tissue, from the base of the limbs upwards towards the body resulting in: increased lymphatic drainage and venous return. Special compression bandages, wraps and cuffs are used.


Lymph taping

This method is used to augment the current oedema treatments such as manual lymphatic drainage and compression. It is based on taping the area of oedema with a special cotton fibre tape that activates the nerves and lymphatic pathways present in the body to improve lymph movement and decrease swelling.


 Price of treatment: 100,- PLN (up to 60 min.)


terapia manaualna sab