Clinical CommentaryRiding a Tiger: Maximizing Effects of Manual Therapies for Pelvic PainBishop, Mark D. PT, PhD1,2; Bialosky, Joel E. PT, PhD1,2,3; Alappattu, Meryl J. DPT, PhD1,2,3Author Information 1Department of Physical Therapy, University of Florida, Gainesville. 2Center for Pain Research and Behavioral Health, University of Florida, Gainesville. 3Brooks-PHHP Research Collaboration, Jacksonville, Florida. Corresponding Author: Mark D. Bishop, PT, PhD, University of Florida, PO Box 100154, Gainesville, FL 32610 (email@example.com). The authors declare no conflicts of interest. Journal of Women's Health Physical Therapy: January/March 2020 - Volume 44 - Issue 1 - p 32-38 doi: 10.1097/JWH.0000000000000156 Buy Metrics Abstract Manual therapy interventions are frequently used during the management of pelvic pain conditions. Pain relief after any intervention results from effects unrelated to the intervention, effects specific to the intervention, and effects of context in which the intervention is provided. Understanding these multiple mechanisms allows providers of manual therapy to maximize outcomes by deliberately harnessing each of these core elements of pain relief. © 2020 Section on Women's Health, American Physical Therapy Association.