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manual therapy for an Achilles tendon disorder includes massage to the plantarflexors

How do we treat Achilles tendon disorders with manual therapy?

Manual therapy for a chronic Achilles tendon disorder is aimed at decreasing plantarflexor tightness and breaking up excessive fascial adhesion scar tissue.

Achilles tendinitisarthrofascial stretchingbursitiscalcaneal tendinitisjoint mobilizationmanual therapymassageparatendinitisRICEsoft tissue manipulationstretchingtendinosus
Pinch Test for assessment (diagnosis) of an Achilles tendinitis

Signs, symptoms, and assessment (diagnosis) of Achilles tendon disorders

The most common symptom of Achilles’ tendinitis is pain at the Achilles tendon. Pain is usually not present at rest, but will be evident upon palpation.

Achilles tendinitisbursitiscalcaneal tendinitisinflammationPainpalpationparatendinitisrupturetendinosus
The Achilles tendon is the attachment of the major plantarflexors of the ankle joint

Associated disorders of the Achilles tendon.

Achilles tendinitis involves swelling of the tendon; Achilles tendinosus involves tendon degeneration. Achilles bursitis involves swelling of the bursa.

Achilles tendinitisbursitiscalcaneal tendinitisparatendinitispump bumprupturetendinosus
The Achilles tendon is the distal tendon of the gastrocnemius and soleus muscles

What are Achilles tendon disorders and what are their causes?

Achilles tendinitis most often occurs due to overuse of the gastrocnemius and soleus contracting to plantarflex the ankle joint.

AchillesAchilles tendonbursitiscalcaneal tendonparatendinitisrupturetendinitistendinosus
Stretching the musculature of the anterior forearm for golfer's elbow

What are the self-care and medical approaches to Golfer’s Elbow?

Self-care for golfer’s elbow should include heat followed by frequent stretching of the hand and fingers into extension. Ice is used if swelling is present.

case studygolfer’s elbowmedial epicondylitismedial epicondylosisself-carestretching
cross fiber soft tissue manipulation (massage) for golfer's elbow

How do we treat Golfer’s Elbow with manual therapy?

A good protocol for manual therapy for golfer’s elbow involves fascial spreading, longitudinal and cross fiber strokes, and pin and stretch technique.

golfer’s elbowmanual therapymassagemedial epicondylitismedial epicondylosisstretching
manual resistance orthopedic assessment to assess golfer's elbow

How do we assess (diagnose) Golfer’s Elbow?

Assessment (diagnosis) of golfer’s elbow is done with active and passive range of motion, manual resistance, and palpation.

assessmentdiagnosisdifferential diagnosisgolfer’s elbowmedial epicondylitismedial epicondylosis
golfer's elbow is also known as medial epicondylitis or medial epicondylosis

What are the signs and symptoms of Golfer’s Elbow?

The most common symptoms of golfer’s elbow (medial epicondylitis / medial epicondylosis) are pain and tightness at the common flexor belly/tendon.

elbow paingolfer’s elbowmedial epicondylitismedial epicondylosissignssymptomstendinitis
Manual therapy for tennis elbow should include soft tissue manipulation (massage). Here, cross fiber work is shown.

How do we treat Tennis Elbow with manual therapy?

A good manual therapy protocol for tennis elbow is fascial spreading, longitudinal and cross fiber strokes, and pin and stretch to the posterior forearm.

lateral epicondylitislateral epicondylosismanual therapymassagestretchingtennis elbow
Active range of motion (ROM) to assess golfer's elbow

What are the causes of Golfer’s Elbow?

Golfer’s elbow is caused by an overuse of the muscles of flexion of the hand at the wrist joint and flexion of the fingers.

elbow paingolfer’s elbowmedial epicondylitismedial epicondylosistendinitis
manual resistance orthopedic assessment for tennis elbow (lateral epicondylitis / lateral epicondylosis)

How we assess (diagnose) Tennis Elbow?

Assessment (diagnosis) of tennis elbow is done with active and passive range of motion, manual resistance, and palpation.

assessmentdiagnosisdifferential diagnosislateral epicondylitislateral epicondylosistennis elbow
therapist-assisted and self-care stretches for tennis elbow

What are the self-care and medical approaches to Tennis Elbow?

Self-care for tennis elbow should include frequent stretching of the hand and fingers into flexion. If inflammation is present, icing should be done.

case studylateral epicondylitislateral epicondylosisself-carestretchingtennis elbow
tennis elbow involves inflammation and/or degeneration of the common extensor belly/tendon at the lateral epicondyle of the humerus

What are the signs and symptoms of Tennis Elbow?

Symptoms of tennis elbow include pain and tightness at the common extensor belly/tendon, directly distal to the lateral epicondyle of the humerus.

elbow painlateral epicondylitislateral epicondylosissignssymptomstendinitistennis elbow
tennis elbow involves pain in the common extensor belly/tendon at the lateral epicondyle of the humerus

What are the causes of Tennis Elbow?

The cause of tennis elbow is overuse of the muscles that contribute to the common extensor belly/tendon of the posterior forearm.

elbow painlateral epicondylitislateral epicondylosistendinitistennis elbow
Overpronation of the foot involves a loss of the arch structure

A manual therapy case study on overpronation.

Case Study: Kerrati came in for wellness massage, but during the postural examination, the therapist noticed that her right arch drops markedly.

case studyCollapsed archelastic bandsflat footorthoticsOverpronationpronationrigid flat footself-carestrengtheningsupple flat footthera tubing
self-care for overpronation includes strengthening of the evertors of the foot

What are the self-care and medical approaches to overpronation?

Evertor muscles of the foot should be strengthened in a client who has the postural dysfunction pattern of overpronation (dropped arch). 

barefootCollapsed archelastic bandsflat footminimalist shoesorthoticsOverpronationpronationrigid flat footstrengtheningsupple flat footthera tubing
manual therapy for overpronation often includes joint mobilization of the tarsals from plantar to dorsal

How do we treat overpronation with manual therapy?

The role of manual therapy for a rigid flat foot (overpronation) is to loosen fascial adhesions that are locking the bones in a position of pronation.

arthrofascial stretchingCollapsed archflat footjoint mobilizationmassageOverpronationpronationrigid flat footsoft tissue manipulationsupple flat foot
overpronation involves excessive eversion of the foot, in other words a dropped arch

Signs, symptoms, and assessment (diagnosis) of overpronation

The first and most obvious sign of overpronation is a flat foot / dropped arch. A supple flat foot loses the arch only when weight bearing.

Collapsed archflat footOverpronationpalpationpostural assessmentpronationrigid flat footsubtalar jointsupple flat foot
There are many causes of overpronation which causes a dropped arch (flat foot)

What is overpronation and what are its causes?

A supple flat foot is caused by either lax ligaments and/or weak musculature that cannot support the arch when weight-bearing.

Collapsed archflat footOverpronationpronationrigid flat footsubtalar jointsupple flat foottransverse tarsal joint
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The location is The Victoria Executive Center (VEC)

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31mar01aprCOMT - NeckAnamosa, IA

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