Positives

• MET is gentle and patient-active (the patient performs gentle isometric contractions while the therapist positions and stretches); patients typically describe immediate mobility improvement without the bruising or soreness common with deeper manual therapies Physiopedia.
  
  

Negatives

• Patients describe lying face-down on the manual-therapy table itself causing neck problems and worse symptoms, an iatrogenic risk often overlooked when MET is added on top of existing ME/CFS or Long COVID musculoskeletal pain Health Rising.
• While MET produces modest range-of-motion gains in non-specific neck pain (around four degrees of cervical motion), there is no published evidence that this translates into benefit for the fatigue, dysautonomia, or PEM that drive Long COVID disability PMC.

Hurdles & Side Effects

• MET sessions cost $80-$150 each (delivered by osteopaths, physical therapists with manual training, or chiropractors); typical course is 4-12 weekly visits with home exercises between sessions Release Muscle Therapy.