Download Clinical Mastery in the Treatment of Myofascial Pain by Lucy Whyte Ferguson DC, Robert Gerwin MD PDF

By Lucy Whyte Ferguson DC, Robert Gerwin MD

This concise and simply referenced scientific textual content brings jointly editors from a number disciplines—including chiropractic, osteopathy, actual treatment, and medicine—to deal with healing methods to universal muscle and joint ache. prepared by means of leader grievance, every one bankruptcy follows a established structure that takes readers from evaluation and evaluate, via a case background, to a deliberate application of rehabilitation, generalization to comparable stipulations, and a therapy protocol. Readers will discover key adjustments in evaluate, therapy, and rehabilitation—a nice relief in determining the simplest remedy for every sufferer. The book’s sensible, case research method addresses various elements affecting myofascial integrity, together with mental concerns, sleep styles, meals, and health. A word list defines interdisciplinary nomenclature.

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Additional resources for Clinical Mastery in the Treatment of Myofascial Pain

Example text

Segmental hypo­ mobility in this sec tion of the cervical spine occ urs i n the cou pled motions of side-ben d i ng and rotation, and in lat­ eral translation. E xam i nation for Segmental Dysfunction Occipi toatlantal joint. The patient is seated. Place the examin i ng fi ngers in t he s u lcus at either side of the base of the sku l l . Slide the fin gers [Tom the inion laterally and i nferiorly u ntil t hey rest in the posterolateral sulcus be­ [ween the occiput and the atlas. As the patient flexes the neck to 30° a t t he occipitoatlanta l j unction only ( not the whole cervical spine ) , feel t he depth of the s ulcus.

Al­ though the exact cause of M M F P is unclear, recent research has improved our understanding of the clinical features and factors that contrib ute to the development and progression of M M FP. Understand ing these will help in validating an ex­ planatory model for the origin and treatment of MMFP. Diagnosis and Clinical Features The clinical c haracteristics of myofascial pain include trig­ ger points in m uscle band s, pain in a zone of reference, oc­ cas ional associated symptoms , and the presence of con­ tributing factors Cfable 2-1).

Chiropractic nomenc l a t u re general ly u ses the spinous process rather than the vertebral body as the poi nt of reference in designating the d irec tion of rota­ tion , but the principles are the same, and the designa­ tions are readily translated. Simi larly, lateral translation is evaluated for the C2-C 7 segments o f the cervical spi ne, b u t not at the atlantoax­ ial joint. Only rotation is evaluated at the atlantoaxial joi nt, because of the limitations of the odontoid l igament and the bony limitations to movement .

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