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Osteopractic Physical Therapy of Central Indiana

Spinal Manipulation Treatment

Physical Therapist in Fishers, IN

Also known spinal manipulative therapy combines with high velocity , low amplitude thrust ( HVLAT ) to relieve pressure on the spine and improve flexibility. It is often used to reduce pain and inflammation in the neck, back and shoulders, headaches, chronic migraines and chronic pain. Chiropractors use this therapy to treat spinal disorders however, there are other professionals who perform spinal manipulation including physical therapist and osteopaths. Your spine does a lot for your body. It protects your spinal cord, allows you to breath properly and it is what allows your body to move. In fact, almost every function in your body is directly connected to the health of your spine. Is spinal manipulation safe? Temporary muscle soreness, stiffness for pain are most common side effects of spinal manipulation. Spinal manipulation is non-invasive, reduces drug dependence and can prevent you from having to undergo surgery . Additionally it increases flexibility on areas targeted.

How Can Physical Therapy Help?

Our experience doctors of physical therapist are Certified in Spinal Manipulative Therapy can check your spine alignment to check for areas that could be improved. Spinal manipulation has had a very positive effect on many of our patients. Physical therapy can help you restore natural movement to your spinal joints, improve your flexibility to increase joint fluid circulation, improve spinal muscle strength and educate you on posture and prevention techniques. Essentially, we can help you do more with less pain. In fact our patients report a significant reduction in pain and improvement in daily activities after just few weeks of spinal manipulation treatment.
Why is Spinal manipulation so important?
Your spine is complicated structure of vertebrae, disc, joint, ligaments, muscled, tendons and nerves. In order to make sure your spine is at it’s optimum, you must achieve the following:
-Good posture and spinal curves
-Strong abdominal and core muscles
-Strong spinal and gluteal muscles
Good flexibility and balance with side- bending and rotation

Get started today!
Request an appointment today so you can get started treating pain early with spinal manipulation, we can resolve the issues so it doesn’t progress. Don’t live with limits of your pain- improve your spine health with
us today.

If you answered “yes” to any of the above questions, you’ve come to the right place.

We help Low Back Pain, feel better, and play better. We are Low Back Pain specialists.

The Truth Is...

At Clinical Marketer Physical Therapy, we help Low Back Pain get back on the course.

It can be very confusing to decide exactly what you should do if you have pain with Low Back Pain. You’ve likely heard a lot of options such as…

It’s overwhelming to try to make a decision with all these choices… what will happen if you don’t make the right one?

Most people get stuck trying to make a decision about what to do next. They go days, weeks, months (even years!) without taking action.

HOW IT WORKS

Low Back Pain Performance Assessment
  1. Player Interview and Injury Review
  2. Flexibility/Mobility Assessment
  3. Strength and Coordination Testing
  4. Carry Distance Diagnostic
  5. Full Body Power Assessment
  6. Prescription of Corrective Action Plan
  7. Doctor’s Report of Findings
Custom Performance Program
Build Your Body's Resiliency
Improve how your body holds up through your round by addressing the root cause of your problem to keep you on the course for seasons to come. Leave with the tools to address pain and improve performance long term.

At Clinical Physical Therapy we’ve created a 3 step process to get rid of your pain AND make sure it doesn’t come back again.

Step #1 - We Want To Listen To Your Story

Our medical system is frustrating. You wait weeks, sometimes months, for an appointment, only to get to talk to the doctors for 10 minutes before they have to run to the next patient and you’re left sitting there wondering, “What just happened?”

Even most physical therapy clinics operate this way. They’re not attentive, they’re fast-paced, and your therapist doesn’t have time to actually touch where you hurt. 

This is why our first step is to listen to your story.

After working with lots of people with Low Back Pain we know that no two people are alike. Each person has a different body, a different history, and different types of pain. 

That is why our first step is to have an open conversation and time for you to tell your story. That way we get a deep understanding of what’s going on not just with your body, but also how it’s impacting your life. 

Step #2 - Find Out WHY The Pain With Low Back Pain Started

Many people have a diagnosis, or medical term for what’s going on with their body. Maybe their doctor gave it to them, maybe tests showed the diagnosis, or maybe you found it online.

You could have been told that your only choice was to rest, take painkillers, or start thinking about surgery.

Sometimes, those things bring temporary relief, but they’re not addressing what CAUSED the problem in the first place.

Every person’s cause of pain is different. No one has the exact same problem caused by the exact same thing as another person.

Our goal at Clinical Marketer Physical Therapy is to find that original cause of your pain, so not only does your pain go away, it STAYS AWAY! 

During the Low Back Pain Assessment, you’ll find out what’s wrong, how long it’s going to take to fix it, and give you peace of mind that your problem can be fixed naturally!

Step #3 - Get Rid Of The Pain & Keep It From Coming Back

This is when the big transformation occurs. We develop a personalized plan that allows you to…

…Get back to Low Back Pain without fear of the pain coming back.
…Be able to get back to your favorite courses
…Get back to your pre-injury Low Back Pain

Our best clients are those who are motivated and ready to win back their active lifestyle. (Even if they feel stuck right now!)

Want to know more about our availability and costs before making any commitment to coming in? 

What People Say About Osteopractic Physical Therapy of Central Indiana

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Leslie Morris
19 days ago
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Very knowledgeable and experienced, but what stood out to me the most was how kind and genuinely caring they are. I can tell that they really just want to help people live pain-free.
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Chad Donnell
19 days ago
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OPT did a great job of taking the time to deep dive into my shoulder injury and provide me a clear plan moving forward. They are so good with their ultrasound that it negated the need for an expensive MRI.
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Alex Brant
23 days ago
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Great staff and excellent quality and hands on Treatement. Very knowledgeable.
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Bill Peters
25 days ago
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I had a very positive and informative visit. By their use if ultrasound technology, I was able to learn some important things about my shoulder and the pain which I have lived with for decades. Very caring even with their follow up. Worth every dime.
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Jacob DePalm
57 days ago
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Came in with 10 years of should pain/pinch. it got so bad I couldn’t even throw a tennis ball without sharp pain in my rotator. within weeks of working with Julius on shockwave therapy and physical therapy, I could get back into the gym and back into playing sports pain-free. 10/10 recommend.
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Cub
57 days ago
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Came in with 10 years of should pain, pinching on my rotator when I left or throw a tennis ball even. After 2 weeks of shockwave therapy and PT, I was feeling immediate strength and relief.
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L M
84 days ago
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Dr Winnie is very helpful and discusses the issues you’re having and truly cares.
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Patricia Hargan
84 days ago
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Dr. Winni has helped me so much and she cares tremendously for her patients. She also s so knowledgeable in her practice and is so helpful and positive during my therapy sessions.
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Lisa Hudson FBD
85 days ago
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Attention to detail and working on solutions outside the box.
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Tina Clark
90 days ago
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If you are suffering from pelvic, back, neck or just your whole body. This is the place to be. Dr. WIinnia is amazing. She helped me with exercises i can do at home. They have a app with the exercises so I can refer to it if I forget how. They are flexible with your schedule and willing to fit you in if you need to be seen. They offered a package that was 6 visit for a great price. Highly recommend her and her husband.
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Deborah Robertson
97 days ago
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I am so grateful that I found Julius and Winnie! I had hip replacement surgery about 3 years ago and have enduring a lot of hip/back pain since! Julius has worked miracles with using shock wave therapy and other techniques feeling much better and have hope again! They are very professional and caring people!
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Marjorie Breisch
100 days ago
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Dr Julius Marayag helped me so much to relieve my hip pain. I'm an active 63 yr old woman and the hip was hurting so much that even walking was painful. I went to an Orthopedic Doc and based on my Xray, he said that I was not a candidate for hip replacement because i still had cartilage. He suggested PT and Celebrex (an anti inflammatory) next step would be steroid shots. I'm so glad that I went to see Dr Julius because I don't need any medication. I received shock wave therapy, dry needling with electrification and manual manipulation. Additionally Dr Julius gave be some additional exercises to strengthen weaker areas of hip movement. I completed my therapy in mid May(2026) and 6 weeks later, I feel great.
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Matthew Piatt
106 days ago
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My experience here was great! They performed a shoulder scan and provided helpful guidance on how to correct and manage my shoulder pain going forward. Highly recommend!
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Mark Gonzales
116 days ago
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Helped with pinpointing a plan on correcting some deficiencies with my hip muscles.
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Heather Fidler
128 days ago
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My partner was originally referred to Dr. Julius and Dr. Winnie by a friend, and after seeing the outstanding care he received, he referred me as well. We have both had such positive experiences that we've since referred additional friends and family members. Dr. Julius and Dr. Winnie are not only exceptionally knowledgeable and skilled physical therapists, but they are also genuinely kind, caring, and invested in their patients' success. They take the time to listen, explain things clearly, and create treatment plans that address the root cause of the problem rather than just the symptoms. The entire experience has been professional, welcoming, and effective. It's rare to find healthcare providers who combine expertise with such a personal touch. We are incredibly grateful for the care we've received and highly recommend Osteopractic Physical Therapy of Central Indiana to anyone looking for outstanding physical therapy services!
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Kevin Bailey
133 days ago
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These physical therapists know their craft incredibly well. I didn't even know the ailments they worked on with me were healable. But methodically, using some advanced tools and techniques, they cured me of two chronic musculoskeletal issues I've dealt with for many years. Highly recommended! Just stick to their program. It may take a bit, but you'll be surprised with the outcome.
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Lucinda Herring-Parsons
143 days ago
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Dan Green
147 days ago
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Dr. Marayag and his practice was a great find. I was suffering from frozen shoulder and after a few weeks of treatment and rehabilitation I have made amazing progressive. Very professional and forthcoming with all types of pertinent medical information related to my injury. I highly recommend Dr. Marayag and his osteopractic PT team.
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Anna Brown-Mitchell
147 days ago
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Dr. Winnie was very knowledgeable and carefully explained how the pelvic floor works, all the muscles surrounding it and how strengthening those muscles keeps the Elimination process operating as it should. Her enthusiasm for her work is evident, and her kindness helped me be comfortable with the process. Then I was evaluated by Dr. Louis for hip pain. I experienced dry needling for both the pelvic situation and hip pain. I learned a lot, and my hip pain has lessened in frequency. Thank you to both doctors.
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Grant Z Price
173 days ago
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Great experience with Dr Julius. Very helpful to relieve pain and get me back to running again. Highly recommend!
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