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The Rehabilitation Protocol

Introduction and BackgroundOrthopedic massage is a highly effective system for addressing soft-tissue pain and injury complaints. What makes this approach so effective with a wide variety of movement system disorders is the fact that it is a comprehensive treatment approach and not just a massage technique. In the mid-1990s I proposed a model for an … Read more

Clarifying the Effects of Topical Analgesics

Helping client’s manage pain is an important role for soft-tissue therapists. Consequently, many look to adjunctive treatments or products for assistance in this pursuit. Some of the most common adjunctive treatments used by massage practitioners and recommended to clients are topical analgesics. Analgesics are substances or agents that relieve pain without causing a loss of … Read more

Technique Isn’t Enough: The Importance of Clinical Reasoning

Updated 11/30/2023 The Issue In the massage profession, you’ll find a wealth of courses teaching new techniques. Clearly, learning new techniques can enhance your skills and abilities, giving you more ways to address client problems. However, for orthopedic pain and injuries, the emphasis on techniques can be misleading. Even with simple conditions, the treatment technique … Read more

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 … Read more

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. IntroductionThis 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 study suggests that … Read more

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 and the … Read more

Safely Working the Suboccipital Muscles

Numerous muscles in the cervical region can play a role in chronic neck or headache pain. These muscles are under regular postural strain from daily activities like forward head posture resulting from work at a computer. These muscles may also be injured from traumatic accidents like the whiplash following a car accident. One of the … Read more

Hazards of Thumb Overuse

Updated 01/03/2024 Introduction Modern society requires a great deal of repetitive thumb use, especially from texting on mobile devices. A recent study investigated the frequency of text messaging among university students and found that close to half of these students were sending an average of 50 text messages per day. Many of them were experiencing … Read more

Understanding Acromioplasty

Shoulder impingement and rotator cuff disorders are a common cause of pain and disability for people in all kinds of occupations and activities. For many people, conservative treatment may not be successful and they will need to have surgery to address the condition. It is very helpful to understand what occurs in some of the … Read more

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