Manual therapy works through a combination of mechanical and neurological mechanisms that contribute to healing and pain relief. Mechanically, it involves the stretching of joint capsules, muscles, and fascia, which helps restore normal motion, correct alignment, and break down adhesions. The applied pressure also enhances circulation, improving the delivery of nutrients to tissues. Neurologically, the touch and movement stimulate mechanoreceptors while inhibiting nociceptors, leading to pain modulation as explained by the Gate Control Theory. In addition, manual therapy boosts blood and lymphatic flow, accelerating tissue repair and reducing inflammation. Beyond the physical effects, the psychological impact of human touch can be profoundly calming, helping to reduce anxiety and fear often associated with chronic pain.