Structural techniques include the rhythmic movement (articulation/mobilisation) of a joint such as the shoulder to gradually encourage it to move more freely; to integrate its movement with the surrounding muscles and ligaments; and to encourage a good blood and nerve supply to the area.
Massage techniques are also used to release tension in muscles that could be holding tension within the body and preventing other areas, such as the spine, from moving freely.
Research has shown that manipulation, which involves the small, specific, rapid movement of a joint, typically in the spine, can result in better range of movement, reduction in pain and relaxation of the surrounding muscles. Sometimes a 'clicking' sensation can be felt and heard by the patient during a manipulation, which is normal, however the 'click' is not necessary for the technique to be effective. The osteopath will move you into a specific position to carry out this kind of technique, which should not be painful at all.