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The Mulligan Concept for the Hand

  • Writer: Dr. Jacob Kurian
    Dr. Jacob Kurian
  • Aug 12, 2015
  • 2 min read

Updated: Oct 18, 2025


The Mulligan Concept for the Hand

The Mulligan Concept is a newer technique being used in Physical Therapy.  The secret behind the Mulligan Concept is applying a skillful, moving pressure to a stressed or painful target area.  Now do not be put off by ‘stress’ or ‘painful’, because the concept is not a painful one.  The Mulligan Concept results in a feeling of relief more than it introduces any pain.  Consider any time your shoulders have ached whether it is from lifting boxes or sleeping too hard or one side.  Think back and remember how you might have stretched that shoulder down and rubbed your fingers along the joint to relieve tension and pain, the Mulligan Concept follows the same idea.

So we all get it right? We understand how effectively the basis of the Mulligan Concept can provide relief.  Unfortunately not all areas of our body are as accessible as our shoulders and not all of our pain comes a deep sleep and can be relieved so quickly.  Think about your elbow, your wrist, or even your fingers; how would you position these areas appropriately and where would you apply pressure to find the same relief that you have experienced higher up in your arm?  Fortunately at Enhanced Physical Therapy, Physical Therapists and professionally trained to find and understand all of these points of human anatomy and perform techniques such as those of the Mulligan Concept safely and effectively.

Physical Therapists at Enhanced Physical Therapy can show you these sweet spots in painful areas everywhere from your fingers to your toes.  There is no place too small for this big concept.  We have all the tricks for all those tricky painful areas of your body.  If your at home therapy doesn’t work as well as rubbing your shoulder does that does not necessarily mean that the Mulligan Concept is not potentially the best form of treatment, it may simply mean that the area you are targeting is the wrong one. Above the wrist or below, flection up or flection down, there are too many ways to manipulate your wrist and bend your fingers that are potentially harmful without proper guidance. Let Enhanced Physical Therapy show you where the root of your pain really is and let our Physical Therapists properly massage and manipulate the area to result in safe, maximum relief.  

If you’re not sold on the Mulligan Concept consider this.  When Physical Therapists are performing Mulligan techniques on patients they are using both perpendicular and parallel sliding compression motions all the while detecting a PILL response from the patient.  The Pill Responses stands for Pain free, Instant result, and Long Lasting.  Instant pain relief that lasts- what can be better than that?

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