The cadaver lab changed my practice. It both confirmed and disproved many treatment myths and trends, methods, and techniques. It emphasized frailty and strength, movement and stagnation and the definiteness of time. The human body is amazing and beautiful no matter what shape, size, sex, or birth place. Its simplistic complexity is an example of…
Ligament Pain Referral Patterns Over my 22yr career I’ve recognized a distinct, immediate and ongoing problem. My patients were complaining of pain referral patterns that didn’t seem to match up with the standard trigger points, dermatome or sclerotome patterns. For years I researched scientific journals and resources, while continually charting the referral patterns described to…
J Manipulative Physiol Ther. 1988 Oct;11(5):400-8. Effects of altered afferent articular input on sensation, proprioception, muscle tone and sympathetic reflex responses. Slosberg M Abstract The influence of afferent articular and periarticular input on muscle tone, joint mobility, proprioception and pain is of considerable interest to practitioners using manipulation. It has long been hypothesized that dysfunctional articulations…
Some of you are looking for the Peter Frampton Video, but unfortunately you’ll just have to read some research…LOL! I took a course titled “Reconciling Biomechanics and Pain Science” instructed by Greg Lehman a few weeks ago and have to say it was one of the most enlightening courses I’ve attended in a long time….
Do you do these 4 SI Joint assessment tests? the standing flexion test, the prone knee flexion test, the supine long sitting test, and palpation of posterior superior iliac spine (PSIS) heights in a sitting position You may want to rethink your assessment techniques. Conclusion The intertester reliability of assessments of the presence of SIJ…
I remember being taught in school (as a student) and again remember my Co-Instructors instructing that the SI Joint could be measured for upslips, rotations, diagonal axis dysfunctions etc… Now I’m honestly uncomfortable using that terminology, communication and assessment of the structure. I am biased in thinking that we still have influence on the surrounding…
This is a great read. You can read the full article here Abstract Manual therapy has long been a component of physical rehabilitation programs, especially to treat those in pain. The mechanisms of manual therapy, however, are not fully understood, and it has been suggested that its pain modulatory effects are of neurophysiological origin and…
“This case highlights the successful conservative treatment of an individual with an irreparable rotator cuff tear and numerous comorbidities by using a multimodal approach including SC Joint mobilizations.” Full Abstract Massive irreparable rotator cuff tears can be difficult to treat conservatively, especially when the patient has multiple comorbidities. Although there is evidence to support interventions…
Here’s a nice paper documenting that patients with Knee OA pain had global decrease in deep tissue pressure sensitivity and had significantly lower resting pain after treatment of the joint tissues (joint Mobilization). Treatment of just the skin alone (manual cutaneous input) did not provide this same effect. Read the original abstract here Abstract Study Design An experimental…
Full Article Here Here we propose the “interoceptive paradigm” in which (1) altered (acutely and chronically) interoceptive information lead to (2) neurological “sensitization states” (SS) that express their dysfunction through (3) an altered firing of the autonomic nervous system (ANS), which in turn (4) brings the peripheral tissue to an hypersensitivity state and, thus, creating…