Manual therapy approaches used in physical therapy encompass a range of techniques that aim to improve musculoskeletal function and reduce pain. These approaches include joint mobilization, soft tissue mobilization, myofascial release, and manual traction. Joint mobilization involves the therapist applying gentle, controlled movements to a joint to restore its normal range of motion. Soft tissue mobilization focuses on manipulating the soft tissues surrounding a joint, such as muscles, tendons, and ligaments, to improve flexibility and reduce muscle tension. These manual therapy techniques are often used in combination with other interventions, such as exercise and therapeutic modalities, to optimize outcomes for patients.
Joint mobilization and joint manipulation are two distinct techniques used in manual therapy. While both techniques involve applying force to a joint, they differ in their intensity and purpose. Joint mobilization involves gentle, rhythmic movements applied within the joint's physiological range of motion. It aims to improve joint mobility, reduce pain, and restore normal joint function. In contrast, joint manipulation involves a high-velocity, low-amplitude thrust applied to a joint beyond its physiological range of motion. This technique is often accompanied by an audible pop or crack and is used to address joint dysfunction, such as joint stiffness or restricted movement. Joint manipulation should only be performed by trained professionals due to the potential risks involved.
In a recent article in The Lancet Rheumatology, researchers show how lower back pain is a rapidly escalating global issue, affecting an estimated 619 million people in 2020 – nearly 10% of the world’s population. Experts predict that this number will reach 843 million by 2050.Compounding problems in the lower back epidemicAsia and Africa are expected to experience the most significant rise in lower back pain cases. These regions often already face challenges due to limited and overburdened social support systems and healthcare resources.The COVID-19 pandemic has further exacerbated the problem. Increased inactivity due to lockdowns and poor ergonomics from remote work setups have contributed to the intensity and prevalence of lower back pain. Additionally, limited access to healthcare services during the pandemic has added to the suffering of individuals already affected by this condition.It’s important to consider that the provided figures may underestimate the true burden, as they do not fully account for the impact of the pandemic.The Societal Burden of Lower Back PainLower back pain imposes a substantial burden on society and the economy. In the United Kingdom, the National Health Service spends nearly £5 billion annually on general practitioner appointments alone for this condition.Similarly, the cost of lower back and neck pain in the United States reached a staggering $134 billion in 2016. Of course, the consequences extend beyond the financial costs.Lower back pain leads to increased absenteeism, reduced productivity, and early retirement, particularly among the working-age population. There is also a strong association between lower back pain and higher rates of depression, leading to prolonged disability and hindering recovery.The researchers warn it is crucial to address the societal impact of lower back pain and develop comprehensive strategies to mitigate its effects.Addressing the Issue of Back Pain GloballyAddressing the global issue of lower back pain will require immediate attention and collaborative efforts. Solutions should prioritize strategies aimed at alleviating lower back pain in the workplace, where many people spend a significant part of their time.Implementing ergonomic practices and promoting physical activity can help prevent and reduce the problem of lower back pain. Moreover, improving access to rehabilitation services is essential for effective management and recovery.Specialized training for healthcare practitioners in the treatment of lower back pain can lead to better outcomes and patient care. Additionally, reducing reliance on ineffective and potentially harmful treatments, such as opioids, is crucial.Finally, the researchers stress that governments, healthcare systems, and policymakers must work together to prioritize lower back pain and allocate resources effectively. By taking proactive measures, we can alleviate the burden of lower back pain and improve the quality of life for millions of individuals worldwide.Are you a professional helping in the fight against lower back pain? Take your practice to the next level with our lumbar area anatomy models.Via Dr. Jerome Fryer - Dynamic Disc DesignsCheck out our EXCLUSIVE Anti-Nocebo BLUE Nucleus Disc Model! This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-06-12
Andrew Rothschild is back with an interesting case of severe pain and hyperalgesia around the scapula area in a CrossFit Athlete. This is the second time in 1 year after good resolution the year prior. Both times there was no clear cut mechanism of injury. Then randomly on social media, Andrew saw two posts regarding a differential diagnosis of severe pain in this area in overhead athletes. Treatment ended up being the same, but it makes for interesting discussion on how and why these things may happen. Ever seen a case of nerve entrapment like this? Untold Physio Stories is sponsored byHelix Pain Creams - I use Helix Creams in my practice and patients love them! Perfect in combination with joint mobs, IASTM and soft tissue work. Get your sample and start an additional revenue stream for your practice. Click here to get started. https://modmt.com/helixCheck out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
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Posted by on 2023-06-08
For this episode, Erson talks about a recent case of marathon runner diagnosed with a grade 1 hamstring strain. It was an insidious onset after wearing orthotics for forefoot overpronation. Ever see anything similar in your practice? Do you screen the spine on every extremity patient? Untold Physio Stories is sponsored byHelix Pain Creams - I use Helix Creams in my practice and patients love them! Perfect in combination with joint mobs, IASTM and soft tissue work. Get your sample and start an additional revenue stream for your practice. Click here to get started. https://modmt.com/helixCheck out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-05-30
Sometimes a point in your career is reached where you just want something different. Other times, a particular case can ignite that spark or drive to make the change. Today, we're joined by Dr. Ryan Martin, who is making waves currently in the MSK Ultrasound world. You can follow him on LinkedIn here. Ryan gives his origin story and how he got where is today, a leader in the field of MSK Ultrasound and advocate for PTs. Untold Physio Stories is sponsored byHelix Pain Creams - I use Helix Creams in my practice and patients love them! Perfect in combination with joint mobs, IASTM and soft tissue work. Get your sample and start an additional revenue stream for your practice. Click here to get started. https://modmt.com/helixCheck out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-05-23
Soft tissue mobilization plays a crucial role in manual therapy by targeting the soft tissues surrounding a joint. This technique involves applying pressure, stretching, or kneading to muscles, tendons, ligaments, and fascia to improve their flexibility, reduce muscle tension, and promote healing. Soft tissue mobilization can help break down scar tissue, release trigger points, and improve blood circulation to the affected area. It is commonly used to address conditions such as muscle strains, tendonitis, and myofascial pain syndrome. By addressing soft tissue dysfunction, manual therapists can enhance the effectiveness of other interventions, such as exercise and stretching, and facilitate the overall recovery process.
Yes, manual therapy techniques can be highly effective in treating various musculoskeletal conditions. These techniques are commonly used in physical therapy to address conditions such as back pain, neck pain, joint stiffness, muscle strains, and sports injuries. Manual therapy can help reduce pain, improve joint mobility, restore normal movement patterns, and enhance overall function. It is often used in conjunction with other treatment modalities, such as exercise therapy and modalities like heat or cold therapy, to provide a comprehensive approach to rehabilitation. The specific manual therapy techniques used will depend on the individual's condition, symptoms, and goals of treatment.
Manual therapy can help reduce pain and improve range of motion through several mechanisms. Firstly, manual therapy techniques, such as joint mobilization and soft tissue mobilization, can help release muscle tension, reduce inflammation, and promote blood flow to the affected area. This can alleviate pain and improve tissue healing. Secondly, manual therapy can help restore normal joint mechanics and alignment, which can reduce stress on surrounding structures and improve joint function. By improving joint mobility and reducing restrictions, manual therapy can also enhance range of motion, allowing individuals to move more freely and perform daily activities with less pain and discomfort.
While manual therapy is generally considered safe and well-tolerated, there are some risks and potential side effects associated with these techniques. Joint manipulation, in particular, carries a small risk of adverse events, such as joint or ligament sprains, fractures, or nerve damage. However, when performed by a skilled and trained therapist, the risk of these complications is minimal. Some individuals may experience temporary soreness, bruising, or mild discomfort following manual therapy sessions, but these side effects are typically short-lived. It is important for individuals to communicate any concerns or unusual symptoms to their therapist to ensure safe and effective treatment.
There is a growing body of evidence supporting the effectiveness of manual therapy in treating various musculoskeletal conditions. Numerous studies have shown that manual therapy techniques, such as joint mobilization and soft tissue mobilization, can lead to significant improvements in pain, range of motion, and functional outcomes. For example, research has demonstrated the effectiveness of manual therapy in reducing pain and improving function in individuals with low back pain, neck pain, and osteoarthritis. Additionally, systematic reviews and meta-analyses have consistently shown positive effects of manual therapy in various musculoskeletal conditions. However, it is important to note that the specific evidence may vary depending on the condition being treated, and individual responses to manual therapy can vary.
When implementing workplace ergonomics to prevent musculoskeletal disorders, there are several considerations that need to be taken into account. Firstly, it is important to assess the physical demands of the job and identify any potential risk factors that may contribute to the development of musculoskeletal disorders. This includes evaluating the tasks performed, the equipment used, and the work environment. Secondly, employers should provide training and education to employees on proper body mechanics and ergonomics principles. This can help employees understand how to maintain proper posture, use equipment correctly, and avoid repetitive or awkward movements that can lead to strain or injury. Additionally, employers should consider providing adjustable workstations and equipment that can be customized to fit each individual's needs. This may include adjustable chairs, desks, and computer monitors. Regular breaks and opportunities for stretching and movement should also be encouraged to prevent prolonged periods of static posture. Lastly, employers should establish a culture of safety and encourage open communication between employees and management regarding any discomfort or pain experienced. By addressing these considerations, employers can effectively implement workplace ergonomics and reduce the risk of musculoskeletal disorders among their workforce.
There is a growing body of evidence supporting the use of dry needling for myofascial pain syndrome. Numerous studies have shown that dry needling can effectively reduce pain and improve function in individuals with this condition. For example, a systematic review and meta-analysis conducted by Smith et al. (2018) found that dry needling was associated with significant improvements in pain intensity, pressure pain threshold, and range of motion in patients with myofascial pain syndrome. Another study by Dommerholt et al. (2016) demonstrated that dry needling resulted in a significant reduction in pain and disability in individuals with myofascial trigger points. Furthermore, a randomized controlled trial by Kietrys et al. (2013) showed that dry needling combined with physical therapy was more effective than physical therapy alone in reducing pain and improving function in patients with myofascial pain syndrome. Overall, these studies provide strong evidence for the efficacy of dry needling as a treatment option for myofascial pain syndrome.
Virtual reality rehabilitation has shown promising results in improving balance and gait in individuals with peripheral neuropathy. By utilizing immersive virtual environments, individuals with peripheral neuropathy can engage in various balance and gait training exercises that specifically target their condition. These exercises can include activities such as walking on uneven surfaces, navigating obstacles, and performing dynamic balance tasks. The virtual reality technology provides real-time feedback and allows for personalized adjustments to be made based on the individual's progress. Additionally, virtual reality rehabilitation can also incorporate gamification elements, which can enhance motivation and adherence to the rehabilitation program. Overall, virtual reality rehabilitation has the potential to significantly improve balance and gait in individuals with peripheral neuropathy, leading to improved functional outcomes and quality of life.
Older adults who are at risk of falls can benefit from a variety of effective balance exercises. One such exercise is the single-leg stance, where the individual stands on one leg while maintaining their balance for a certain period of time. This exercise helps improve stability and proprioception. Another effective exercise is the heel-to-toe walk, also known as the tandem walk, which involves walking in a straight line with the heel of one foot touching the toes of the other foot. This exercise challenges balance and coordination. Additionally, the sit-to-stand exercise, where the individual repeatedly stands up from a seated position, helps improve leg strength and balance. Other beneficial exercises include the standing leg lift, side leg lift, and the backward leg lift, all of which target specific muscle groups and improve overall balance. It is important for older adults to consult with a healthcare professional or a qualified exercise specialist to determine the most appropriate balance exercises for their specific needs and abilities.
Anterior cruciate ligament (ACL) injuries are often caused by a combination of biomechanical factors. These factors include excessive valgus stress, internal tibial rotation, and anterior tibial translation. Excessive valgus stress refers to the inward angulation of the knee joint, which can put strain on the ACL. Internal tibial rotation occurs when the tibia rotates inward, causing the ACL to twist and potentially tear. Anterior tibial translation refers to the forward movement of the tibia relative to the femur, which can also strain the ACL. To manage ACL injuries, various approaches are employed. Non-surgical management may involve physical therapy to strengthen the surrounding muscles and improve stability. Surgical management may involve ACL reconstruction, where a graft is used to replace the torn ligament. Rehabilitation following surgery is crucial and typically includes a combination of exercises, bracing, and gradual return to activity to ensure proper healing and prevent re-injury.
Electrical muscle stimulation (EMS) has been shown to have potential benefits in enhancing muscle recovery after orthopedic surgery. EMS involves the use of electrical impulses to stimulate muscle contractions, which can help improve blood flow, reduce muscle atrophy, and promote tissue healing. By targeting specific muscle groups, EMS can help activate dormant muscles and prevent muscle loss during the post-surgical immobilization period. Additionally, EMS can aid in reducing pain and inflammation, improving range of motion, and accelerating the rehabilitation process. Studies have demonstrated the effectiveness of EMS in various orthopedic surgeries, such as knee and shoulder surgeries, by facilitating muscle recovery and enhancing overall functional outcomes. However, it is important to note that EMS should be used under the guidance of a healthcare professional and tailored to individual patient needs to ensure optimal results and minimize potential risks.
Yoga therapy has been shown to have a positive impact on flexibility and pain reduction in individuals with fibromyalgia. Research studies have demonstrated that practicing yoga can lead to improvements in joint range of motion, muscle flexibility, and overall physical function in patients with fibromyalgia. The gentle stretching and strengthening exercises involved in yoga help to alleviate muscle stiffness and improve joint mobility, thereby reducing pain and discomfort. Additionally, yoga incorporates relaxation techniques and mindfulness practices, which can help individuals with fibromyalgia manage stress and enhance their overall well-being. Overall, yoga therapy can be a beneficial adjunctive treatment for individuals with fibromyalgia, providing them with a holistic approach to managing their symptoms and improving their quality of life.