Finding the Source.
Through a systematic process of neuromusculoskeletal differential diagnosis, we identify the true cause of your symptoms—ensuring that each therapeutic step is safe, targeted, and evidence-based. This clarity forms the foundation for effective, individualized physiotherapy.
At totalmanual, physiotherapy begins where precision meets understanding. Our process of neuromusculoskeletal differential diagnosis forms the foundation of every rehabilitation plan. Through a structured combination of medical history, clinical reasoning, and specialized testing, we determine the exact source of your pain or dysfunction—ensuring that each therapeutic step is both targeted and effective. By applying evidence-based diagnostic techniques with proven sensitivity and specificity, we provide clarity, safety, and confidence before any intervention begins.
Your evaluation begins with a detailed interview exploring your condition, health background, and daily life demands. This is followed by a systematic physical examination and a provocation-and-relief assessment—the final confirmation of the true mechanism behind your symptoms. Once identified, we establish a therapeutic agreement, defining the treatment approach, expected duration, and your personal goals. From the first session, every decision is transparent, evidence-driven, and focused on your recovery.
Our expertise lies in the ability to diagnose through movement and response, not just images. Using modern manual physiotherapy principles, we apply clinical tests and reasoning frameworks with exceptional sensitivity and specificity—often surpassing imaging or invasive techniques such as MRI, CT, EMG, or ultrasound. This allows us to identify dysfunctions that imaging alone may miss, guiding interventions that are precise, individualized, and functionally relevant.
Every diagnostic decision at totalmanual follows international standards of evidence-based practice. Our therapists are trained to interpret findings within the context of modern neurophysiology and musculoskeletal science. This continuous correlation between research evidence, clinical expertise, and your personal experience ensures that your diagnosis—and the care that follows—is both scientifically grounded and individually meaningful.
