One cause of a pathologic disc (e.g., bulge, herniation) is excessive flexion postures, which drive the nucleus posteriorly against the taut annular fibers.
This article addresses the causes of the three different types of pathologic disc conditions: degenerated disc, bulging disc, and herniated disc.
Perhaps the one most important aspect of self-care for patellofemoral syndrome (PFS) is to strengthen the quadriceps femoris musculature.
For manual therapy care to be successful, client communication is extremely important. This video explores who to effectively communicate with the client.
Given the many possible causes of patellofemoral syndrome, following is a typical guideline for manual therapy treatment.
Patellofemoral syndrome can be easily assessed/diagnosed by employing the orthopedic assessment test known as patellofemoral syndrome test.
Essentially, patellofemoral syndrome is osteoarthritis of the patellofemoral joint. It involves cartilage degeneration and the development of bone spurs.
Self-care application of heat and stretching is an extremely important part of the treatment regimen for clients with spasmed neck muscles.
Have the client go into yoga’s child’s pose (or restorative pose) after having been lying prone for a period of time. Joint mobilization can be added.
Manual therapy treatment: Manual therapy treatment for spasmed muscles of the neck (tightness of neck musculature) includes all the major soft tissue technique tools. Heat hydrotherapy, soft tissue manipulation, stretching, and joint mobilization (also known as arthrofascial stretching/AFS). It is …
The most common signs and symptoms of spasmed muscles of the posterior neck are pain, a feeling of tightness, and restricted motion.
Muscle spasming of the neck occurs because of its role in neck movement and posture, as well as it role in upper extremity movement and posture.
Self-care for the client/patient with low back muscle spasm should include moist heat followed by stretching. Double knee to chest stretch is beneficial.
This video demonstrates Apley’s compression test for the knee joint, which assesses/diagnoses meniscus pathology.
Low back muscle spasming is common because lumbar extensor muscles must contract eccentrically, isometrically, and concentrically whenever we bend forward.
Manual therapy treatment for low back muscle tightness involves hot and cold hydrotherapy, soft tissue manipulation, stretching, and joint mobilization.
The assessment/diagnosis for low back muscle spasming begins with the verbal history and ROM and orthopedic assessment, and is confirmed with palpation.
Self-care for meralgia paresthetica: heat and stretching of the involved muscles, and removing the physical stress factors that contribute to the condition.
Manual therapy treatment for meralgia paresthetica involves massage and client counseling to remove physical stressors that contribute to the condition.
This 3D Animation demonstrates how the piriformis changes its joint action from being a lateral rotator of hip joint to being a medial rotator.
Meralgia paresthetica is primarily assessed by its clinical presentation of the client/patient reporting pain or other paresthesia in the lateral thigh.
Meralgia paresthetica is a condition in which the lateral femoral cutaneous nerve is compressed, causing pain or altered sensation into the lateral thigh.
Case Study: Kori is a 30-year-old store clerk. Her low back has been tight for as long as she can remember, but she never had any pain until recently.
For the client with lower crossed syndrome, it is also important to recommend moist heat followed by stretching of the low back and hip flexor musculature.
If consistent manual therapy care is given, including heat, massage, and stretching, lower crossed syndrome responds very well to treatment.
Assessment of lower crossed syndrome is made by the characteristic postural dysfunction of increased anterior pelvic tilt with hyperlordotic lumbar spine.
Vladimir Janda’s lower crossed syndrome is characterized by increased anterior tilt of the pelvis and a hyperlordotic lumbar spine.
Self care for a low back strain / sprain involves avoiding offending postures and activities such as bending and lifting, and using heat and stretching.
For a low back strain / sprain, because the muscles of the low back are so large and powerful, the first goal of manual therapy is to reduce the spasming.
A low back sprain and strain present a similar clinical picture. The client/patient will have low back spasming and pain, which will increase with motion.