Eve Atwell, PT, CSCS, CIMT

Eve Atwell, PT, CSCS, CIMT (Certified Integrated Manual Therapist) says that the most important word in that phrase is ‘integrated.’

“Integrated manual therapy describes taking a holistic approach,“ says Eve. “You take a look at the whole body. You don’t just assume that pain in the knee originates in the knee. It involves connecting the dots to figure out the true source of the problem.”

Eve majored in biology while studying at Seattle Pacific University and Eastern Washington University, and then received her degree in physical therapy from Stockton.

While at Stockton, studying with Dr. Mary Lou Galantino, Eve became interested in manual therapy. She pursued her goal through Great Lakes Seminars, earning the certification CIMT and focusing her practice on a hands-on, holistic approach.

What is Different About an Integrated Manual Approach to Therapy?


“You still go through a full evaluation. You take the patient’s history and look at the patient’s areas of dysfunction. This manual therapy approach really focuses on finding the “driver” or cause of the dysfunction, which may not always present where the pain resides.”

“When you are treating joint dysfunction, you are trying to decrease the gamma positive neuro-feedback loop from the joint to the soft tissue in order to eliminate the spasm and decrease muscle tone. Once that is achieved, you are able to retrain the joint and soft tissue to perform more functional and pain free movement patterns. We call it re-education, and this is a vital step before the strengthening and stabilization phase.”

What is the effect of manual therapy on soft tissue?


Manual therapy helps normalize dysfunction in soft tissue by helping realign fiber orientation, improve blood flow, and increase tissue extensibility. This translates to tissue that is able to respond well to re-education and strengthening.

What is the purpose of deep pressure?

Deep pressure is aimed at releasing a deeper layer of fascia, usually the intramuscular layer, so that it can function more normally with fibers that are better aligned.

Do manual therapists use instrument assisted soft tissue mobilization?


Yes, IASTM is considered part of manual therapy. There are many tools in our toolbox, and this is one of them.

Who should seek manual therapy?


Anyone and everyone! Most of us live in dysfunction and live with it for a long time, until the body finally reaches a point and sends signals that we all know as pain.

Do you have a favorite condition to treat?

As a manual therapist, you have so many tools in your toolbox that you can treat any orthopedic condition, find the dysfunction, and have success.

What is the most rewarding part about being a physical therapist?


Helping people get back to the activities they love.


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