I am creating a new blog post feature to my content called Ask Dr. Joe, or perhaps better put, Ask Me Anything*. With Ask Me Anything, you can write to me by email (firstname.lastname@example.org) and ask me any question about: …
The value of massage therapy continuing education is often dependent on learning how to apply fundamental skill sets of manual therapy.
For most of our clients who present with the postural distortion pattern known as upper crossed syndrome, it is important, perhaps absolutely necessary, to include thoracic spinal joint mobilization technique into extension as part of the treatment plan to address the thoracic hyperkyphosis.
Traction for the cervical spine is indicated for the client with a pinched nerve in the neck because it opens up the intervertebral foramina to decompress the spinal nerves. Dr. Joe Muscolino demonstrates how to easily perform neck traction using a towel.
So if we say that the cause of most low back pain is not understood, it should mean that we do not know what mechanism is causing the low back pain most of the time. But that is not true. We can often palpate tight myofascial tissue or a dysfunctional joint that is causing back pain.
Especially effective for the pectoralis musculature is to use pin and stretch technique. With the client/patient supine and positioned toward the side of the table, pin the musculature with your finger pads as you bring the client/patient’s abducted arm off the side of the table and down into horizontal extension.
It is necessary to determine what condition is causing the sciatic nerve compression and address that. If the cause is a pathologic disc, then addressing factors that affect disc compression is appropriate.
The first goal of manual therapy treatment for shin splints is to relieve the tension of the involved musculature by lessening baseline muscle tone and eliminating any trigger points that might be present. The second goal is to treat swelling, if present.
Moist heat and stretching is recommended for a hypomobile sacroiliac joint (SIJ) and/or tight musculature that accompanies a hypomobile or hypermobile SIJ.
The treatment for a hypomobile sacroiliac joint (SIJ) joint is Grade IV joint mobilization (also known as arthrofascial stretching).
When performing soft tissue manipulation/massage, it is always wise to begin with light to medium pressure, and then transition to deeper pressure.
The application of this study is enormous. Many manual therapy professions employ joint mobilization techniques, either Grade IV and/or Grade V.
It would seem that taking any theory or ideology too far is dangerous. Certainly, the interfaces of soft tissues of the body are quite slippery…
As a rule, moist heat followed by stretching is beneficial for spinal hypomobilities, and strengthening is beneficial for regions of spinal hypermobility.
Joint mobilization treatment (Grade IV or V) is the most effective treatment technique to remedy a spinal joint dysfunction hypomobility once it is present.
Joint dysfunction literally means “bad motion.” There are two types: too little motion termed a hypomobility; and too much motion termed a hypermobility.
A whiplash/neck sprain is problematic to treat because it involves overstretching of ligaments, which causes joint instability.
Manual therapy treatment for a pathologic rotator cuff tendon depends on which tendon is affected and the specific pathology of the tendon.
Self-care for the client/patient with rotator cuff pathology depends on the specific muscle that is affected and the specific pathology that is present.
Manual therapy for plantar fasciitis is aimed at reducing inflammation & loosening any tautness/tightness of the plantar fascia & associated musculature.
Vertebral artery competency test assessment is critically important to be performed if the neck will be stretched or mobilized during treatment.
A tension headache is caused by excessive pulling force of tight muscles in the back of the neck that exert tension on their attachments on the head.
The disc joint is a cartilaginous joint that is composed of outer fibers called the annulus fibrosus that encircle the inner nucleus pulposus.
There is an old saying that no posture is bad unless you get stuck in it. The problem is that the thoracic spine often does get stuck in bad posture.
There are two major reasons why a massage therapist should consider working toward and earning a Continuing Education Certificate in Manual Therapy.
What is most important in any Manual Therapy Certification program is marrying together the underlying science with the hands-on manual therapy skills.
Grades IV and V joint mobilization are essentially pin and stretch technique.
Bone “A” is pinned and then Bone “B” is moved relative to Bone “A.”
Pilates is kinesthetic. Verbal talking to direct your client is not. Hands-on Manual direction is. Plain and simple, Pilates is a kinesthetic endeavor.
The following techniques are considered to be Manual Therapy techniques: Massage (Soft Tissue Manipulation), Stretching, Joint Mobilization, Hydrotherapy.
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.
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