Syndesmosis Ankle Sprains

Ankle sprains are the most common soft-tissue injury of the lower extremity. Approximately 85% of all ankle injuries involve ligament sprains. Among the various ligaments surrounding the ankle, the majority of injuries affect the ligaments on the lateral side, particularly the anterior talofibular ligament. Severe lateral ankle injuries may also involve the calcaneofibular ligament. While … Read more

Understanding Intervertebral Disc Degeneration: Challenging the “Blown-Out Disc” Myth

The phrase “blown-out disc” is commonly used to describe intervertebral disc herniations or protrusions. However, this term can be misleading and perpetuate inaccurate perceptions about the underlying pathophysiology of disc degeneration and herniation. As massage therapists, it is valuable to understand the biomechanics of intervertebral discs and the processes that lead to disc pathology to … Read more

Current Views on Lateral Epicondylitis

Introduction One of the most common upper extremity overuse problems is lateral epicondylitis (LE), commonly called tennis elbow. LE affects roughly 1 – 3% of the general population in the U.S. each year. Despite its common name of tennis elbow, only about 5% of the people with LE developed the condition from playing tennis.(1) Due … Read more

Recognizing Cauda Equina Syndrome

More people than ever before are using massage for a wide variety of ailments, especially back pain. Low back pain is one of the most challenging medical conditions as it is still very difficult to make a direct cause between many low back pain complaints and specific tissue pathology. Massage can be of great benefit … Read more

Reconsidering Hip and Lateral Thigh Pain

A recent interesting case reveals how lateral hip and thigh pain can easily be misinterpreted and ascribed to other causes. A client, who I will call Steve, was experiencing lateral hip pain around the greater trochanter of the femur. Some pain was extending into the lateral thigh region as a deep aching sensation. One practitioner … Read more

Is That A Supraspinatus Or Subscapularis Issue?

Introduction Rotator cuff pathology is one of the most common causes of shoulder pain. However, it is common for someone to get a diagnosis of a rotator cuff tear or dysfunction without specifying which rotator cuff muscle(s) is/are involved. The rotator cuff comprises four muscles: supraspinatus, infraspinatus, teres minor, and subscapularis. These muscles are regularly … Read more

An Inside Look at Bicipital Tendinopathy

Introduction Bicipital tendinopathy is a frequent source of anterior shoulder pain. The condition usually arises from overuse or adverse forces affecting the tendon. It is common with overhead shoulder movements like swimming, tennis, or throwing. It can also stem from work-related motions. Distinguishing its pain from similar shoulder issues requires thorough assessment for accurate recognition. … Read more

What in the World Are Back Mice?

Updated 01/31/2024 Introduction Back pain contributes significantly to disability and frequently leads people to seek out massage therapy. Often, back pain is diagnosed as “non-specific” due to the absence of identifiable tissue pathology. However, noted back pain researcher Stuart McGill, PhD, has often advocated that one of the main reasons there are so many diagnoses … Read more

What is Trigger Finger?

Have you ever heard the term, Trigger Finger, and wondered what is really occurring? The condition gets its name for the locking and snapping motion of the finger that is caused by finger tendons binding against an adjacent retinaculum. Tendons in the hand and fingers must bend around sharp angles in the numerous joints they … Read more

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