Muscle Energy Technique: A Gentle Osteopathic Approach to Restore Balance and Movement
- Dr. Nicholas Usui-Crook
- Jun 9
- 4 min read

Muscle Energy Technique (MET) is a hands-on osteopathic method that gently restores movement, reduces joint stiffness, and relieves muscular tension. At Posture Blueprint, located inside The Glen Shopping Centre in Glen Waverley, we use MET as part of a whole-body approach to treat spinal and postural conditions.
MET is a gentle yet powerful technique suitable for all ages. Unlike spinal manipulation, MET does not involve any thrust or cracking sound. Instead, it uses the patient’s own muscle contractions—guided and resisted by the practitioner—to rebalance joint and muscle function.

The History and Development of MET
Muscle Energy Technique was developed in the United States by osteopath Dr. Fred L. Mitchell Sr., and later refined by his son, Dr. Fred Mitchell Jr., and grandson Kai Mitchell. I had the opportunity to learn from Kai Mitchell directly, who helped me understand how MET was designed not only for local joint correction but for restoring motion throughout the body.
The approach was further expanded by Professor Philip E. Greenman, one of the most influential osteopathic physicians in manual medicine. I had the honour of studying under Professor Greenman in the U.S., learning how MET can be integrated with exercise therapy and postural correction.
Their work laid the foundation for modern osteopathic care and continues to guide how I evaluate and treat patients today.

How MET Is Used in Osteopathic Treatment
At Posture Blueprint, MET is used after a full postural and musculoskeletal assessment. Common indications include:
Back pain
Neck stiffness
Joint restrictions
Pelvic asymmetry
Spinal dysfunction
Scoliosis and Scheuermann’s disease
Postural muscle imbalance
During treatment, the patient is asked to contract specific muscles in a controlled direction, while I apply gentle counterforce. This neurologically resets the muscle tone and allows restricted joints to regain motion.

What Makes MET Different from Stretching or Spinal Manipulation
MET differs from passive stretching because it activates the nervous system. Instead of just lengthening muscles, MET engages the brain-body connection through proprioceptors—specialised nerve endings that regulate muscle tone and joint motion.
Compared to spinal manipulation (which may involve rapid movements or audible releases), MET is a much gentler option. It's particularly useful for:
Seniors
Children and adolescents
Patients recovering from injury
Those with spinal conditions where thrusting is not appropriate
Anyone preferring low-force treatment

What We Look For Before Using MET
Each MET treatment is based on specific findings during examination. I look for:
Restricted joint motion
Abnormal muscle tone or spasm
Postural asymmetry
Spinal somatic dysfunction
Limited range of movement during active tests
These findings are then addressed using a customised MET protocol, often followed by targeted exercises sent via Physitrack to support long-term progress.

Scientific Support for MET
Research supports the use of MET for improving mobility and reducing pain, particularly in the spine and pelvis. Key findings show:
Increased range of motion in lumbar and cervical regions
Reduced low back and neck pain
Improvements in posture and functional mobility
Positive effects on pelvic and spinal alignment
These outcomes make MET a reliable part of modern osteopathic practice, especially when combined with clinical reasoning and movement retraining.

Book Your Free 15-Minute Posture Analysis
If you’re experiencing spinal stiffness, back pain, or poor posture, MET may be part of your solution. Book your free 15-minute posture analysis at Posture Blueprint today. We’ll assess your posture, spinal movement, and explain whether osteopathic treatment—such as MET—may help.
👉 Visit www.postureblueprint.com📞 (03) 8290 0228📍 Ground Floor, The Glen Shopping Centre, Glen Waverley VIC 3150

Disclaimer:
This blog is for general educational purposes only and does not replace personal medical advice, diagnosis, or treatment. While the research referenced supports the potential benefits of Muscle Energy Technique (MET) for conditions like low back pain and neck pain, individual outcomes may vary. Results reported in clinical studies may not reflect every person’s experience. Always consult a qualified healthcare provider before starting any new treatment. This content does not make claims of guaranteed results.
References
Al Matif, S., Alfageer, G., ALNasser, N., Alabbas, G., Al Sawidan, H., & ALhareth, H. (2023). Effectiveness of muscle energy technique on pain intensity and disability in chronic low back patients: A systematic review. Bulletin of Faculty of Physical Therapy, 28, Article 24. https://doi.org/10.1186/s43161-023-00135-w:contentReference[oaicite:3]{index=3}
Joshi, R., & Patil, D. (2022). The effect of muscle energy technique and posture correction exercises on pain and function in patients with non-specific chronic neck pain having forward head posture: A randomized controlled trial. International Journal of Therapeutic Massage and Bodywork, 15(2), 14–23. https://doi.org/10.3822/ijtmb.v15i2.7108:contentReference[oaicite:7]{index=7}
Mazidavi, A., et al. (2023). Muscle energy technique effect on chronic low back pain. Physical Therapy Journal, 13(4), 245–252. https://ptj.uswr.ac.ir/article-1-583-en.pdf:contentReference[oaicite:11]{index=11}
Fryer, G., Ostelo, R. W. J. G., & Kamper, S. J. (2015). Muscle energy technique for non-specific low-back pain. Cochrane Database of Systematic Reviews, 2015(2), CD009852. https://doi.org/10.1002/14651858.CD009852.pub2:contentReference[oaicite:15]{index=15}
Perng, G. C. (n.d.). Muscle energy technique for lower back pain. Longdom Publishing. https://www.longdom.org/open-access-pdfs/muscle-energy-technique-for-lower-back-pain.pdf:contentReference[oaicite:19]{index=19}
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