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Figure 3 Z-Plasty incision pattern

Dupuytren’s Contracture

Introduction As the population of the country ages, massage practitioners should be aware of various diseases and conditions that are increasingly common in an older age group. One such condition is a connective tissue disorder that affects the palmar fascia of the hand, called Dupuytren’s contracture. The primary structure affected in Dupuytren’s contracture is the […]

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Actions of the piriformis change after significant hip flexion

Unraveling the Complexities of Piriformis Syndrome

Introduction Cultural colloquialisms develop from real world experiences. When something is very difficult or annoying we characteristically refer to it as a real “pain in the butt”. And, well that is the perfect description for this syndrome. Sciatica is a poorly defined condition that generally refers to any pain sensation felt in the gluteal region […]

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The Potential and Challenge of Online Learning

Introduction In the last decade, the popularity, availability, and complexity of internet-based learning increased dramatically.  The most noteworthy and significant changes are in the educational and technological strategies created by developers working in advanced online education platforms. While the massage profession may be slow to adopt advanced forms of online learning, the influence of online […]

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Figure 3: Connective tissues surrounding nerve fibers

The Double Crush

Orthopedic injuries to the nervous system are one of the more complex areas to understand. The nervous system is so pervasive throughout our body that there is hardly any tissue that is not affected by it in some way or another. While certain peripheral nerve conditions like carpal tunnel syndrome get a great deal of […]

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Figure 2: Greater tuberosity of humerus where pain is often felt

Calcific Tendinitis

BACKGROUND Calcific tendinitis in the shoulder is a soft-tissue pain complaint that may be acute but is usually chronic, and affects the rotator cuff tendons. Its symptoms somewhat mimic other conditions such as adhesive capsulitis, rotator cuff disorders, shoulder impingement syndrome, or traditional tendinitis characterized by tendon fiber inflammation. Because of these similar symptoms, knowing […]

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Why Should I Learn Assessment?

Musculoskeletal disorders (MSDs) are one of the most pervasive health care issues in the United States. These conditions include a wide array of soft-tissue problems such as strains, tendinosis, sprains, myofascial trigger points, nerve entrapment, and the ever-present host of biomechanical problems resulting from chronic muscle tightness. MSDs are the second most common reason for […]

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Upper limb neurodynamic test #4 puts tensile stress on the ulnar nerve and may reproduce symptoms

Cubital Tunnel Syndrome

Nerve pain in the hand is a common complaint for clients but can also be an occupational challenge for massage practitioners. The most common cause of nerve compression symptoms in the upper extremity is carpal tunnel syndrome. However, other upper extremity nerve compression problems exist and are frequently overshadowed by it. One such problem that […]

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Flexor hallucis longus and flexor digitorum longus

Flexor Hallucis Longus Dysfunction

Soft-tissue foot pain is widespread, especially in active populations. Problems such as plantar fasciitis, Achilles tendinitis, or tarsal tunnel syndrome are commonly reported causes of chronic pain and disability. However, another muscle in the foot should be considered when investigating medial ankle or plantar surface foot pain. Disorders of the flexor hallucis longus (FHL) are […]

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