Putnam, Connecticut 06260

Spine and Extremity Manipulation

Spinal Manipulation Therapy in Putnam CT — Restore Mobility & Relieve Pain

First in osteopractic wellness

Advanced Manual Therapy for Lasting Relief

At First In Osteopractic Wellness, spinal and extremity manipulation is delivered with the highest level of precision and clinical expertise. Performed by a fellowship-trained Doctor of Physical Therapy with advanced osteopractic credentials, this highly skilled manual therapy technique is designed to address joint dysfunctions, improve mobility, and provide fast, effective pain relief.

Our approach combines decades of clinical research with real-world experience treating some of the world’s most physically demanding populations. Whether you're managing chronic pain, recovering from injury, or seeking to improve functional performance, spinal and extremity manipulation can play a critical role in your rehabilitation and wellness.

What is Spinal Manipulation Therapy?

Spinal manipulation is a hands-on manual technique that involves the application of a controlled, high-velocity, low-amplitude thrust to a specific joint. The goal is to:

Restore proper joint mobility

Reduce muscle tension

Improve nerve conduction and circulation

Decrease pain

Facilitate improved movement patterns

At First In Osteopractic Wellness, spinal manipulation is always performed with advanced diagnostic evaluation to ensure safety and maximum therapeutic benefit.




Extremity Manipulation for Full-Body Performance

While spinal manipulation focuses on the spine, extremity manipulation addresses joints throughout the body, including:

Shoulders

Hips

Knees

Ankles

Elbows

Wrists

This comprehensive approach allows us to target the full kinetic chain, addressing joint restrictions that may be contributing to pain or limiting functional movement. Extremity manipulation is often used alongside spinal manipulation, dry needling, and strength programming for maximum results.





Conditions Treated with Spinal and Extremity Manipulation

Neck pain and stiffness

Headaches and migraines

Mid and lower back pain

Shoulder impingement and dysfunction

Hip and pelvic dysfunction

Sciatica and nerve-related symptoms

Joint hypomobility or restrictions

Postural syndromes

Chronic joint pain

By restoring proper joint motion and relieving nervous system irritation, manipulation therapy often leads to immediate improvements in pain, function, and performance.




Image

Why Choose First In Osteopractic Wellness?

Unlike many clinics where manipulation is treated as a quick adjustment, we integrate spinal and extremity manipulation into a comprehensive treatment system designed for long-term functional gains.

- Fellowship-trained manual therapist with extensive advanced certifications

- Diploma in Osteopractic Manual Therapy through the American Academy of Manipulative Therapy

- Extensive real-world experience treating Army Special Operations personnel with complex injuries

- Integrated care model that combines manipulation with dry needling, strength training, and wellness coaching

- Full-hour individualized sessions focused solely on you

Frequently Asked Questions About Manipulation Therapy

Is spinal manipulation safe?

Yes. When performed by a trained fellowship-level provider like Dr. Nykiel, spinal and extremity manipulation is safe, highly controlled, and evidence-based.

Will I feel immediate relief?

Many patients experience immediate improvements in mobility and reduction in pain following manipulation. Long-term benefits are maximized when combined with corrective exercises and strength programming.

How many sessions will I need?

Treatment frequency varies based on the condition, but manipulation is always combined with a full rehabilitation plan to achieve sustainable outcomes.

Is manipulation covered by insurance?

We operate on a fee-for-service model. Receipts are provided for patients to submit to their out-of-network insurance provider if eligible.

first in osteopractic wellness

Take the First Step Toward Recovery

Don’t let injury, pain, or frustration with the healthcare system keep you sidelined any longer. At First In Osteopractic Wellness, we deliver the focused expertise and advanced care you need to overcome obstacles and achieve lasting results.

Call us today at (860) 317-2010 or schedule your appointment online to experience the First In difference.

© Copyright 2026 First in Osteopractic Wellness. All rights reserved.