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The Role of Joint Mobilisation Before Exercise: Evidence-Based Insights

At Lakeside Chiropractic, we are committed to staying at the forefront of evidence-based care to help our patients achieve their health and wellness goals. One topic that has gained attention in recent years is the role of joint mobilisation exercises performed before other therapeutic or strengthening exercises. This blog explores the current evidence and how this approach can benefit patients seeking pain relief and improved mobility.


What is Joint Mobilisation?

Lakesidechiro chiroprator treating a patients foot joint applying therapeutic techniques such as massage stretching or manipulation to relieve pain

Joint mobilisation is a manual therapy technique designed to improve the movement of a joint, reduce stiffness, and alleviate pain. By applying gentle, graded precise pressure, chiropractors aim to restore proper joint function, enhance range of motion, and prepare the body for additional therapeutic activities.


Why Perform Joint Mobilisation Before Exercise?

When incorporated before other exercises, joint mobilisation can:

  • Reduce Pain: Research shows that joint mobilisation can decrease pain in the short term, making it easier for patients to participate fully in therapeutic or strengthening exercises.
  • Improve Range of Motion: By reducing stiffness and promoting mobility, joint mobilisation prepares the body for more dynamic movements. Read more about it here.
  • Enhance Exercise Effectiveness: Addressing joint restrictions before engaging in exercises may improve overall performance and outcomes by allowing better biomechanics and muscle activation.

movement diagram


What Does the Research Say?

Recent studies provide valuable insights into the benefits of combining joint mobilisation with exercise:

  1. Subacromial Pain Syndrome (SAPS): A clinical trial demonstrated that patients with SAPS experienced greater pain relief when joint mobilisation was added to a guided exercise programme. This suggests that mobilisation can be an effective preparatory step in rehabilitation protocols. Read more about it here.
  2. Adhesive Capsulitis (Frozen Shoulder): A systematic review and meta-analysis revealed that combining joint mobilisation with exercise significantly improved range of motion and reduced symptoms. This approach proved more effective than exercises alone in enhancing mobility. Read more about it here.
  3. General Applications: Joint mobilisation is particularly beneficial for conditions involving stiffness and pain, such as arthritis or post-injury recovery. While the effects may be temporary, combining mobilisation with strengthening and stretching exercises can lead to long-term improvements. Read more about it here.

How We Apply This at Lakeside Chiropractic

At Lakeside Chiropractic, we integrate joint mobilisation into personalised treatment plans tailored to each patient’s needs. For example, a patient with frozen shoulder might begin their session with joint mobilisation to reduce stiffness and pain. This is followed by targeted strengthening and stretching exercises to solidify the gains made during mobilisation. By addressing joint restrictions first, we aim to:

  • Enhance the effectiveness of therapeutic exercises
  • Reduce the risk of compensatory movements

Lakesidechiro chiroprator treating a patients shoulder joint performing a therapeutic technique to relieve pain and improve mobility

  • Promote faster recovery and improved function

treatment on a patients elbow joint to reduce pain improve flexibility and enhance mobility. The treatment may include joint manipulation and stretching


Is Joint Mobilisation Right for You?

While joint mobilisation can be beneficial for many patients, its effectiveness depends on individual circumstances, such as the specific condition being treated, the severity of symptoms, and overall health goals. At Lakeside Chiropractic, our experienced team conducts a thorough assessment to determine the most appropriate treatment plan for you.

To read the difference between a joint adjustment and a joint mobilisation read our blog post here.


Take the Next Step

If you’re dealing with pain, stiffness, or limited mobility, incorporating joint mobilisation into your care plan could make a significant difference. Contact Lakeside Chiropractic today to schedule an assessment and learn how we can help you achieve lasting relief and improved function.

Lakeside Chiropractic is central to the northern suburbs of Perth located in the City of Joondalup. If you are in the surrounding suburbs such as: Yanchep - 6035, Tapping - 6065, Carramar - 6031, Currambine - 6028, Wanneroo 6065, Heathridge - 6027, Edgewater - 6027, Gnangara - 6077, Mullaloo - 6027, Padbury - 6025, Kingsley - 6026, Woodvale - 6026, Banksia Grove - 6031, or Duncraig - 6023 please come and see our friendly chiropractors. They can further discuss the benefits of chiropractic for your knee pain.

You can contact us on 9300 0095, or visit our website to make an inquiry or booking.


Disclaimer: This blog is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.

February 25, 2025
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