Podcast|September 2, 2023

Moblisation with Movement

Thomas mitchell mwm header



00:00 Introduction

00:48 Definition of mobilizations with movement

02:42 Discussion on Mulligan’s positional fault concept

04:14 Importance of symptom modification

06:39 Principles of mobilizations with movement

08:20 The concept of “Pill” in mobilizations with movement

10:36 The “Crocks” principle in mobilizations with movement

12:17 Empowering patients through functional positions

13:41 Personal adjustments in practice based on Mulligan’s concept

15:33 Importance of Self-Treatment and Patient Expectations

17:03 Discussion on Plausible Fallacies and Patient Beliefs

18:40 Understanding Mulligan Concept and Pragmatic Approach

19:24 Explaining Treatment to Patients

20:34 Accepting Uncertainty as a Young Physiotherapist

21:35 Differentiating MWM from Other Manual Therapy Techniques

23:16 Patient Control and Bottom-Up Approach in MWM

27:51 Evidence and Systematic Reviews on MWM

33:23 Importance of self-treatment and clinical expertise

35:57 Application of MWMS in chronic pain patients

37:40 Challenges with musculoskeletal rehab in the UK

40:13 Effectiveness of MWMS for lateral epicondylalgia and De Quervain’s disease

44:34 Benefits of mobilizations with movement

47:36 Learning resources for Mulligan concept and MWMs

49:17 Thomas closing thoughts

51:08 Outro


Thomas mitchell profile

Thomas Mitchell

Thomas is a wrist and hand specialist physiotherapist, and working toward his PhD at Sheffield Hallam. He is a physiotherapist of 25 years standing in primary care, private practice and sports. He is a First-contact Practitioner clinical supervisor and member of the British Association of Hand Therapists. He is also a Member of the Mulligan Concept Teachers Association.

He is also an instructor for our online courses and has developed the complete upper limb focus together with Andrew Cuff.


In the podcast, Thomas Mitchell discusses mobilizations with movement (MWMS). MWMS involves hands-on treatment and patient self-treatment, considering patient beliefs and the therapist’s perspective. Discover what the “Pill”  and “Crocks”  principles are, why Red flag awareness, rapport, and progress monitoring are vital, and much more.


Transcript and Infographic

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