Manipulation (Activator or PIM)

Manipulation is a technique used by physiotherapists to free up stiff joints.

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Sometimes a device called a PIM-gun or Activator is used to deliver a very quick and soft movement in the joint by applying it on the affected joint. This is a very safe and comfortable technique and is usually much more tolerable than a manual manipulation. It can also be used to deactivate trigger points in the muscle.

PIM (Passive Impact Mobilisations) works especially well for the following conditions:

  • Wry neck (stiff neck where you are unable to turn a certain direction)
  • Tightness in the chest and thoracic area
  • Stiffness in joints after immobilisation
  • TMJ joint stiffness
  • Trigger points

What does an activator do?

An Activator provides a highly controlled, quick thrust to the area of treatment. Due to the swiftness of the Activator’s movements, the body’s muscles are less likely to resist, allowing for a more precise and accurate mobilisation of the joint. Due to the low force of the thrust, it is better tolerated than most manual manipulations.

Is it safe to use an activator?

Yes, it is very safe due to the low amplitude and force generated by the activator.

Who is qualified to use an activator?

Activators are mostly used by physiotherapists and chiropractors.

Does it hurt when an activator is used?

Due to its low force and the speed of the thrust, it is more comfortable than most other manual techniques.

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Manipulation (Activator or PIM)


gladstone hands on physiotherapy passive impact mobilisation

FAQs


Do I need a doctor’s referral to go to a physiotherapist?

No doctor’s referral is needed as physiotherapists are qualified to assess and diagnose without a doctor’s referral.

If you recently had surgery it will be helpful to bring a note from the surgeon with the exact type of surgery that you had done.

If you have been referred on an EPC/GP management program (through Medicare), on WorkCover or DVA, you will need some documentation from your doctor.

Please call our office for more information.

What do I need to take with me?

Please bring any scans, X-rays or other medical history that you deem important. Also bring along any letters or paperwork provided by your GP or specialist. Please bring your private health fund card, DVA card or Medicare card if you have been referred on a GP management plan.

What should I wear?

Generally it is wise to wear loose fitting clothes that you will be able to move in as you may be required to do some exercises during the session.

What should I do after my appointment?

You should drink 1-2 liters of water after your appointment if possible.

Due to the fact that our physiotherapy and exercise physiology treatments promotes waste product secretion and clearance, water will help in removing the waste products from the area and reduce the risk of feeling stiff post treatment.

You should also try not to do heavy work post physiotherapy treatment as there is an element of pain relief that accompanies treatment and there is therefor a potential risk of injury.

The Doctor referred me on a GP management plan with visits through Medicare. How does that work?

Your GP would have given you a form or would have sent it through to our office. You will be eligible for a predetermined amount of visits that is determined by your GP. Medicare offers a rebate for physiotherapy sessions but a gap fee still applies for every appointment. Please call our office if you are unsure of the current gap fee. Please also bring your Medicare Card and a bank card of the bank account registered with Medicare to process your rebate. Exercise Physiology sessions currently does not attract a gap fee and is fully funded by Medicare.

Can I use my private health fund card to get an on-the-spot rebate?

Yes, but rebates are dependent on what type of cover you are on.

How much will my private health fund pay and how much will the gap fee be?

This will depend on your fund and your type of cover. Please contact your fund to find out.

Can I pay using EFTPOS?

Yes.

How do I contact Gladstone Hands On Physiotherapy?

You can call us on (07) 4978 5581, email us at [email protected], or send us a message on our contact page.

Our business hours are:

Monday08:00 – 17:00
Tuesday08:00 – 17:00
Wednesday08:00 – 17:00
Thursday08:00 – 17:00
Friday08:00 – 15:30
How do I get to Gladstone Hands On Physiotherapy?