Soft tissue mobilization is a manual therapy technique that involves the manipulation and mobilization of soft tissues in the body, such as muscles, tendons, and ligaments. It differs from other manual therapy techniques in that it specifically targets the soft tissues, aiming to improve their flexibility, reduce tension, and promote healing. This technique typically involves applying pressure, stretching, and kneading to the affected areas, with the goal of restoring normal function and reducing pain.
Soft tissue mobilization can provide several benefits for athletes and individuals recovering from injuries. Firstly, it helps to improve blood circulation to the affected area, which can promote faster healing and reduce inflammation. Secondly, it can help to break down scar tissue and adhesions that may have formed as a result of the injury, allowing for better movement and flexibility. Additionally, soft tissue mobilization can help to reduce pain by releasing tension and tightness in the muscles, and it can also improve range of motion by increasing the flexibility of the soft tissues.
Tension-type headache (TTH) is a prevalent and burdensome condition that affects many individuals. Recent research suggests that the cervical spine, specifically the trigemino-cervical nucleus caudalis, may play a role in the development of TTH. This nucleus facilitates the exchange of pain signals between the upper cervical spine and the trigeminal nerve, which is involved in headache generation. Links between the upper cervical spine and TTHStudies have shown that individuals with TTH often exhibit musculoskeletal impairments. Common findings include forward head posture and restricted cervical range of motion. These physical dysfunctions may contribute to the headache symptoms experienced by TTH patients. Neck pain and sensitivity in the cervical spine are frequently reported alongside TTH and may worsen the clinical presentation of the headache. These symptoms could be epiphenomena resulting from the sensitization of the trigemino-cervical nucleus caudalis.While forward head posture is a common observation in TTH, its direct relevance to the headache remains a topic of debate. Similarly, the relationship between restricted cervical range of motion and TTH is not well understood. It is uncertain whether these musculoskeletal impairments are causative factors or consequences of the headache.Clinicians often use the cervical flexion-rotation test to assess upper cervical spine mobility, which has proven useful in diagnosing cervicogenic headache. However, its application and significance in TTH are not extensively studied. Further research is needed to elucidate the role of this test in TTH diagnosis and management.Another intriguing observation is the reproduction of headache pain through manual stimulation of the upper cervical spine in both cervicogenic headache and TTH. This suggests that referred pain from the cervical spine may be involved in the pathophysiology of primary headaches. Understanding this mechanism could lead to novel therapeutic approaches for TTH.Additionally, trigger points in the neck-shoulder muscles may contribute to TTH symptoms by generating muscle referred pain. These trigger points can refer pain to other areas, including the head, and may exacerbate the headache experienced by individuals with TTH. Managing TTH in practiceA multidisciplinary approach involving physical therapy interventions targeting musculoskeletal impairments, exercise, and psychological aspects is essential for the management of TTH. The effectiveness of cervical treatment approaches varies, and personalized strategies should be tailored to individual patients. Understanding the role of the cervical spine in TTH and differentiating between cervical components and sources can aid in the recognition and treatment of diverse headache presentations. Our cervical spine models help professionals manage the connections between TTH and the role of the cervical spine. Check out my exclusive blue nucleus anti-nocebo version!via Dr. Jerome Fryer - Dynamic Disc Designs Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below! Learn more online - new online discussion group included! Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. NEW - Online Discussion Group Live cases webinars lecture Live Q&A over 600 videos - hundreds of techniques and more! Check out MMT Insiders Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-07-05
Erson goes over an interesting TMJ case of posterior disc subluxation and severe pain with opening and eating. It turns out after significant improvement the patient was still checking for tenderness a bit too much. 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 2023-06-26
By Dr. Sean Wells, DPT, PT, OCS, ATC/L, CSCS, NSCA-CPT, CNPT, Cert-DNAs physical therapists (PTs) we do our best to optimize our older clients' strength, balance, and functioning. Obviously, our mainstay interventions focus on exercises, balance training, and adaptive equipment. In our courses, we highlight the importance of Vitamin D status and protein consumption for older adults, to improve balance, strength, and prevent sarcopenia. A recent study in Nature Aging highlights yet another potential dietary component that impacts muscle function: ceramides.Ceramides, a sphingolipid, which is a type of fat, has been shown to reduce muscle mass and functional capacity in rodents. Moreover, it has been shown that offering ceramide-inhibiting medication effectively reverses sarcopenia, which is very promising for human studies. In the current study the authors examined older adults with a genetic variant to inhibit ceramides. The results showed these adults with the variant had significantly better grip strength, walking distance, and sit to stand function: all metrics that Doctors of Physical Therapy (DPT) routinely measure. The next big step for these researchers is understanding how to yield these results via medication and/or dietary changes.Fortunately, other authors have highlighted how PTs and other clinicians can advise their patients on how to naturally reduce ceramides in their diet. In the FRUVEDomic pilot study, authors demonstrated that a diet low in fruits and vegetables, and high in saturated fat, facilitated an increase in hepatic ceramide production. The researchers concluded that even transitioning patients from a standard Western diet to even the US Dietary Guidelines would yield positive responses for aging. Imagine the impact on aging and physical functioning if we took the diet to a bit more extreme, such as the true Mediterranean or predominant plant-based diet? More research is needed, but PTs need to be aware that fruit and vegetable consumption is important for many health outcomes, and screening tools are available and easy to use. We discuss this and more in our courses!If you like what you see here then know there is more in our 3 board-approved continuing education courses on Nutrition specific for Physical Therapists. Enroll today in our new bundled course offering and save 20%, a value of $60!Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below! Learn more online - new online discussion group included! Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. NEW - Online Discussion Group Live cases webinars lecture Live Q&A over 600 videos - hundreds of techniques and more! Check out MMT Insiders Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-06-19
Andrew finds out the hard way what the term Functional Overlay means in regard to a slow or non responding patient. Have you ever heard of this term or has anything similar ever happened to you? Comment on our socials or on the podcast on Spotify! 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 2023-06-16
Soft tissue mobilization helps in reducing pain and improving range of motion through several mechanisms. Firstly, it helps to release tension and tightness in the muscles, which can alleviate pain and discomfort. By applying pressure and stretching the soft tissues, it can also help to break down scar tissue and adhesions, which can restrict movement and contribute to pain. Additionally, soft tissue mobilization improves range of motion by increasing the flexibility of the muscles, tendons, and ligaments, allowing for better movement and function.
There are different techniques used in soft tissue mobilization, each targeting specific areas of the body. One common technique is myofascial release, which involves applying sustained pressure to the fascia, a connective tissue that surrounds and supports the muscles. This technique aims to release tension and tightness in the fascia, promoting better movement and reducing pain. Another technique is deep transverse friction massage, which involves applying pressure across the fibers of a muscle or tendon. This technique can help to break down scar tissue and adhesions, improving range of motion and reducing pain. Other techniques include trigger point therapy, cross-fiber friction, and instrument-assisted soft tissue mobilization.
Soft tissue mobilization can be used to treat chronic conditions such as fibromyalgia or arthritis. In fibromyalgia, soft tissue mobilization can help to reduce pain and improve muscle function by releasing tension and tightness in the muscles. It can also help to improve blood circulation and promote relaxation, which can be beneficial for individuals with fibromyalgia. In arthritis, soft tissue mobilization can help to reduce pain and stiffness by improving joint mobility and reducing inflammation. It can also help to improve muscle strength and flexibility, which can support joint function and reduce the impact of arthritis symptoms.
While soft tissue mobilization is generally considered safe, there are some risks and side effects associated with the technique. In rare cases, excessive pressure or aggressive techniques may cause bruising, soreness, or discomfort. It is important for the therapist to use proper technique and adjust the pressure according to the individual's tolerance. Additionally, individuals with certain medical conditions, such as deep vein thrombosis or open wounds, may need to avoid or modify soft tissue mobilization. It is always recommended to consult with a qualified healthcare professional before undergoing any manual therapy technique.
The time it takes to see results from soft tissue mobilization treatments can vary depending on the individual and the specific condition being treated. Some individuals may experience immediate relief from pain and improved range of motion after a single session, while others may require multiple sessions to achieve noticeable improvements. The frequency and duration of the treatments will also depend on the severity and chronicity of the condition. It is important to work closely with a qualified healthcare professional who can assess progress and adjust the treatment plan accordingly.
Electrical muscle stimulation (EMS) differs from traditional strength training in several ways. Firstly, EMS involves the use of electrical impulses to stimulate muscle contractions, whereas traditional strength training relies on voluntary muscle contractions through the use of weights or resistance. Secondly, EMS can target specific muscle groups more precisely, allowing for a more focused and efficient workout. In contrast, traditional strength training often engages multiple muscle groups simultaneously. Additionally, EMS can be used to supplement traditional strength training or as a standalone workout, providing an alternative option for individuals with physical limitations or injuries. Overall, EMS offers a unique approach to muscle activation and development, providing a potential alternative or complementary method to traditional strength training.
Taping techniques can be beneficial in the management of shoulder impingement syndrome, particularly in cases where conservative treatment approaches are being utilized. Indications for using taping techniques may include individuals experiencing pain and limited range of motion in the shoulder joint, as well as those with a history of repetitive overhead activities or trauma to the shoulder. Taping can help provide support and stability to the shoulder, reducing excessive movement and stress on the affected structures. Additionally, taping techniques can help improve posture and alignment, which can further alleviate symptoms associated with shoulder impingement syndrome. By promoting proper shoulder mechanics and reducing strain on the affected area, taping techniques can be a valuable adjunct to the overall management of this condition.
Hydrotherapy, also known as aquatic therapy, has been shown to have positive effects on cardiovascular fitness and endurance in individuals with heart disease. This form of therapy involves exercises and movements performed in water, which provides a low-impact environment that reduces stress on the joints and muscles. The buoyancy of water also helps to support the body, making it easier for individuals with heart disease to engage in physical activity without putting excessive strain on their cardiovascular system. Additionally, hydrotherapy can improve circulation, increase lung capacity, and enhance overall cardiovascular function. The resistance provided by the water also helps to strengthen the muscles, including the heart, leading to improved endurance and fitness levels. Overall, hydrotherapy can be a beneficial and safe exercise option for individuals with heart disease to improve their cardiovascular fitness and endurance.
The McKenzie Method, a widely used approach for the assessment and treatment of musculoskeletal conditions, classifies and treats cervical radiculopathy through a systematic evaluation and targeted interventions. The method employs a comprehensive assessment process that involves identifying the specific movement and postural patterns that aggravate or alleviate the patient's symptoms. By utilizing a range of specialized tests and techniques, the McKenzie Method aims to determine the underlying mechanical dysfunction causing the cervical radiculopathy. Once the classification is established, treatment is tailored to address the specific mechanical problem identified. This may involve a combination of exercises, manual therapy, and patient education to promote self-management and prevent recurrence of symptoms. The McKenzie Method emphasizes active patient involvement and empowers individuals to take control of their own recovery process.
The McKenzie Method, a widely used approach for assessing and treating back pain, distinguishes between mechanical and non-mechanical back pain through a comprehensive evaluation process. This method focuses on identifying specific movement patterns and responses to various exercises and positions. By analyzing the patient's symptoms, range of motion, and response to repeated movements, the McKenzie Method aims to determine whether the pain is primarily caused by mechanical factors, such as joint dysfunction or muscle imbalances, or non-mechanical factors, such as inflammation or nerve irritation. This differentiation is crucial as it guides the selection of appropriate exercises and interventions tailored to address the underlying cause of the back pain.
Ultrasound therapy plays a significant role in the management of plantar fasciitis. This non-invasive treatment modality utilizes high-frequency sound waves to target and alleviate the symptoms associated with this condition. By delivering ultrasound waves to the affected area, it promotes tissue healing, reduces inflammation, and increases blood flow. The therapy also helps to break down scar tissue and adhesions, which can contribute to the development and persistence of plantar fasciitis. Additionally, ultrasound therapy can enhance the effectiveness of other treatment interventions such as stretching exercises, orthotics, and physical therapy. Overall, ultrasound therapy serves as a valuable adjunct in the comprehensive management of plantar fasciitis, providing patients with a safe and effective means of reducing pain and improving function.