Spine and Extremity Manipulation

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

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.

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.

A black check mark on a white background.
Fellowship-trained manual therapist with extensive advanced certifications
Diploma in Osteopractic Manual Therapy through the American Academy of Manipulative Therapy
A black check mark on a white background.
Extensive real-world experience treating Army Special Operations personnel with complex injuries
A black check mark on a white background.
A black check mark on a white background.
Integrated care model that combines manipulation with dry needling, strength training, and wellness coaching
A black check mark on a white background.
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.

Experience the Benefits of Precision Manual Therapy

If pain, stiffness, or joint dysfunction is limiting your quality of life, expert spinal and extremity manipulation at First In Osteopractic Wellness can help you move better, feel better, and stay better.



Call (860) 317-2010 or email Jnykiel@firstinosteopracticwellness.com to schedule your evaluation and experience advanced manual therapy that delivers real results.