
Manual Therapy Through a Pain Science Lens: What’s Really Happening with Damian Keter PT, DPT, PhD
What actually happens in a patient’s brain and body when you perform manual therapy? The answer may surprise you and change how you practice. In this episode, Joe Tatta, PT, DPT, sits down with Damian Keter, PT, DPT, PhD, a researcher whose clinical career led him to question the foundational explanations behind one of physical therapy’s most widely used interventions. Damian breaks down what a “treatment mechanism” actually means, a term frequently misused in the literature, and shares findings from his systematic review on the mechanisms associated with manual therapy. The evidence reveals significant gaps: low-quality research, poor translational understanding, and











