FREE DCOMT video – One Handed Towel Traction for the Neck with Shoulder Girdle Stabilization

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.

Text Neck Posture. Permission Joseph E. Muscolino. www.learnmuscles.com.

Text Neck and Neck Pain… and Neck Dysfunction

With any imbalanced posture (postural distortion pattern), including text neck posture, asymmetrical pathomechanical forces are placed into the tissues of the body. These forces have to have an effect. I believe it is impossible to argue that pathomechanics do not lead to dysfunction.

Forward Head Posture. Permission Joseph E. Muscolino. Manual Therapy for the Low Back and Pelvis - A Clinical Orthopedic Approach (2013).

Deep Pressure Massage to the Low Back – Forward Head Posture

The neck and head do not contribute to the generation of pressure, so head and neck posture should be whatever is most comfortable and least stressful. Forward head posture, a common postural distortion imbalance pattern that occurs is caused by a flexion of the head and neck.

Permission Joseph E. Muscolino. Advanced Treatment Techniques for the Manual Therapist: Neck (2013).

Neck Deep Pressure Massage: Step by Step – Engage the Tissues

Being able to feel tissue tension barrier is the one most crucial aspect for a clinical orthopedic manual therapist performing deep pressure massage. From a mechanical standpoint, it is only pressure beyond the tissue tension barrier that effects therapeutic change (this is not necessarily true neurally).

Permission Joseph E. Muscolino. Advanced Treatment Techniques for the Manual Therapist: Neck (2013).

Neck Deep Pressure Massage: Step by Step – Deep Stroking Massage

When performing deep pressure massage, deep stroking massage must originate from your core by further rocking your pelvis and extending your spine forward. Short deep strokes to the neck between 1 and 2 inches (2-5 centimeters) in length allow you to preserve optimal body mechanics.

Permission Joseph E. Muscolino. Advanced Treatment Techniques for the Manual Therapist: Neck (2015).

Neck Deep Pressure Massage: Step by Step – Contacts

Even perfect body mechanics cannot eliminate all physical stress to your body when doing massage. Ideal body mechanics merely minimize the stress. For this reason, when doing massage, especially deep pressure massage, it is wise to alternate which treatment hand contact you use during a session.

A thorough assessment should be performed for all clients presenting with neck injury/pain, such as after a whiplash accident pictured here

Assessment and Treatment of Specific Musculoskeletal Conditions of the Neck

This blog post introduces and explains how the manual therapist can perform assessment and treatment for specific musculoskeletal conditions of the neck.

cervical distraction test performed to assess a space occupying condition of the cervical spine

Special Orthopedic Assessment Tests for the Neck – Space Occupying Conditions

The term “space occupying condition” is used to describe a condition in which there is compression on a spinal nerve in the intervertebral foramen.

herniated disc with compression of the spinal nerve in the intervertebral foramen

Pathologic Disc Conditions of the Neck

The danger with a disc bulge or herniation is that the disc can compress the spinal nerve within the intervertebral foramen, causing a pinched nerve.

posterior glide / translation motion of the spine

Motions of the Cervical Spine

Table 1 shows average healthy ranges of axial motion of the cervical spine (head and neck), from the atlanto-occipital joint through the C7-T1 joint.

cervical spine - superior posterolateral view of a cervical vertebra

Introduction to the Cervical Spine

It is extremely important to be able to locate and palpate the laminar groove of the cervical spine because the thickest musculature is located there.