The term “manual therapy” refers to hands-on treatment of muscles, tendons, ligaments, and joints. Manual therapy encompasses a broad group of sophisticated techniques performed by hand and by uniquely trained physical therapists. These may include mobilizations or manipulations of soft tissue and skeletal joints. Manual therapy techniques aim to decrease pain and increase function. Most manual therapy training programs in the United States are four-year, post-graduate programs that emphasize clinical experiences, classroom education, and extensive exams.