Understanding Passive Range of Motion

Introduction to PROM Passive range of motion (PROM) techniques are valuable tools for massage therapists working with musculoskeletal pain clients. Still, they are also helpful for those who do everyday care massage. PROM evaluations provide essential information about joint integrity, capsular restrictions, and tissue extensibility, which may not be apparent during active range of motion … Read more

Deciphering Elusive Symptoms of Nerve Injury

One of the most challenging situations facing practitioners who work with pain and injury conditions is correctly interpreting nerve injury symptoms. It seems that in so many massage therapy training programs the nervous system gets only cursory attention, yet pain originating in the nervous system is a critical factor that drives people to our practices. … Read more

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 … Read more

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 … Read more

What’s a Pump Bump?

What’s this bump on the back of my heel and why does it hurt so much? This is sometimes called a pump bump and is caused by several key mechanical factors. Let’s take a look… The Achilles tendon is the largest and strongest tendon in the body. It has to be this strong because of … 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

Low Back Pain and Leg Length Discrepancy

Research Update: Rannisto, S., Okuloff, A., Uitti, J., Paananen, M., Rannisto, P.-H., Malmivaara, A., & Karppinen, J. (2015). LLD is associated with low back pain among those who must stand while working. BMC Musculoskeletal Disorders, 16(1), 110. Low back pain is a pervasive problem that plagues a huge percentage of the population. Researchers and clinicians … Read more

Head Posture and Myofascial Pain

Sun A, Yeo HG, Kim TU, Hyun JK, Kim JY. Radiologic assessment of forward head posture and its relation to myofascial pain syndrome. Ann Rehabil Med. 2014;38(6):821-826. This study attempts to evaluate computer terminal related forward head posture. Forward head posture exaggerates an anterior curve in the lower cervical region and posterior curve in the … Read more

The Slump Test

Identifying the location of nerve entrapment can be very challenging. Even high tech diagnostic tests such as nerve conduction studies are not always reliable in determining the primary location of nerve pathology. Yet, physical examination can be very helpful for locating potential regions of nerve pathology. One of the more effective physical examination methods for … Read more

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