metatarsal mobilization

Putting the Squeeze on Morton’s Neuroma

One of the more common nerve entrapment problems affecting the lower extremity is Morton’s neuroma. The term, neuroma, is a bit of a misnomer because this condition generally does not involve a true neuroma, which is essentially a nerve cyst or tumor, and instead involves nerve impingement in the forefoot region. In most cases it […]

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LFCN Treatment

The Hidden Nervous System

Introduction An extensive network of nerves courses throughout virtually every tissue in our bodies. Yet, if you look up information on nerve injuries in medical resources you will find most of the attention on the pathologies associated with the large nerves, such as the sciatic, median, or ulnar nerves. However, there are many small nerves […]

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Ending position of ULNT 1

Exploring Upper Limb Neurodynamics

Nerve compression is a recognized cause of soft-tissue pain and disability for many. Nerve compression syndromes, and especially upper extremity nerve disorders, came to the forefront in the last few decades as a result of increasing injuries among those whose occupations require repetitive activities. Carpal tunnel syndrome (CTS)  is the most well-known of the upper […]

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SLAP

Research Review: Conservative Treatment of a SLAP lesion

Blanchette M-A, Pham A-T, Grenier J-M. Conservative treatment of a rock climber with a SLAP lesion: a case report. J Can Chiropr Assoc. 2015;59(3):238-244. Introduction This is a case report of conservative management of an injury to the glenoid labrum, called a SLAP lesion. Usually this condition is a surgical problem, but this single case […]

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Long Thoracic Nerve Compression

Introduction There are numerous nerve compression syndromes that cause significant pain or dysfunction in the upper extremity. Massage therapists often decry the limited focus on the neurological system in their basic education. Yet neurological sensation is a foundational and critical component of every client’s experience. This post explores long thoracic nerve compression, which can go […]

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The role of sensitization in musculoskeletal shoulder pain.

Borstad, J., & Woeste, C. (2015). The role of sensitization in musculoskeletal shoulder pain. Brazilian Journal of Physical Therapy, 19(4), 251–7. For many years the primary pain models suggested that pain was an indicator of tissue damage or injury. If pain was felt in the body, it meant that some tissue damage or dysfunction existed […]

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Online Education for CE renewals in Massage Therapy

Online education has increased dramatically in the massage therapy profession in the last 10 years. At this time, it is used primarily in continuing education, although it is making increasing inroads into entry-level education as well. Many states have set limitations on the amount of continuing education credits that can be earned through online education. […]

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hallux-valgus

Valgus, Varus, Vargus… What is It?

When describing postural alignment issues there are two terms that many people get mixed up and consequently miss their biomechanical significance. The terms of valgus and varus refer to alignment of bony segments. Some mistakenly state they are defined by angulations at the knee. However valgus and varus angulations can occur in numerous locations. Let’s […]

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anteversion

Miserable Malalignment Syndrome

The November/December issue of Massage and Bodywork magazine concludes the two-part series I wrote on miserable malalignment syndrome (MMS) (click here to view the article). To recap, MMS involves a series of interrelated biomechanical dysfunctions throughout the lower extremity kinetic chain including: a broad pelvis, a large Q angle, femoral anteversion along with a squinting […]

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