Hands-on skills is paramount for an adept physical therapist. I put every effort into maximizing these skills because it makes/breaks what kind of therapist you can be! It should be expected that your physical therapist applies hands-on interventions versus simply pointing which exercise to go to next. I offer high velocity low amplitude thrust (HVLAT) or what is commonly referred to as adjustments/manipulation, joint mobilization (to the hip, shoulder, ankle, wrist, etc) to help restore movement or proper mechanical motion to the region, myofascial/muscle releases (to help “unlock” muscles limited from pain), and then manually-assisted education in how to move properly again once the body has achieved proper mobility. To me, the best physical therapy is your PT getting your body to do what you couldn’t achieve on your own and that’s with hands-on skills.