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MULLLIGAN
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MULLLIGAN - February 27, 2005 5:33:00 PM
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erumk03
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From: usa
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hi,to all.
Mulligan mentions in cases of chronic plantar fasciitis to tape the calcaneum while rotating it into external rotation ... does this help in chronic plantar fascitis?
and is there any rational since calcaneal external rotation would be increasing subtalar joint pronation which stresses the pantar fascia ..so why is this a technique .AM I MISSING SOMETHING??
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Re: MULLLIGAN - March 3, 2005 8:33:00 AM
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JLS_PT_OCS
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From: USA
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I have heard mulligan speak, and he seems very comfortable with the fact that he cannot explain the claimed efficacy of some of his treatment techniques in terms of biomechanics. Since I can't either, I don't have a problem with that part.
Perhaps the problem is our assumption that we understand the biomechanics of this problem and therefore something counter to that theory is assumed to be ineffective?
I have not found that technique of use in my practice (perhaps I am doing it incorrectly) and I use the Lowdye method of taping with the acutely painful plantar fascia case. It provides reliable relief for most.
J
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Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**
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Re: MULLLIGAN - March 3, 2005 12:40:00 PM
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Synergy
Posts: 589
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From: Forney, TX
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Well put Jason! Throughout his book, he rarely (correct me if I'm wrong) provides detailed rationales for his treatments. Rather, he just states what he feels works. From just reading his book, he seems quite hilarious! It would be more interesting to see him in person. :)
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Chris Adams, PT, MPT
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Re: MULLLIGAN - March 4, 2005 4:49:00 AM
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jma
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From: NY
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I am cautious to attend courses that just have that PT's experiences to back it up. To me, it should have research done on it. If it were to turn into a specific technique or procedure, it could never be billed. Only then would I attend it.
JMA
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Re: MULLLIGAN - March 4, 2005 5:44:00 AM
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Alex Brenner PT MPT OCS
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From: Kentucky
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I crack up every time I read his book and look at the picture where he (Mulligan) is performing a SNAG to the sternum of a topless young attractive female model. No where else in the book does he use a female model for the techniques except this one. In fact, one of my buddy's (fellow PT) Mulligan book always mysteriously opens directly to this page when you gently flip it open. Its strange. I guess he does a lot of sternal SNAGs and needs to refer often to this picture.
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Alex Brenner, PT, MPT, OCS
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Re: MULLLIGAN - March 4, 2005 6:45:00 AM
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JLS_PT_OCS
Posts: 1684
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From: USA
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JMA- agreed. But the book has a very positive cost/benefit ratio, and all are considered manual therapy, so what the heck.... when EBM fails, I gotta start somewhere.
I think you make an excellent point which cuts to the heart of the CEU racket these days.
Army-
Maybe Mulligan's trying to tell us something about that page...kind of a hidden message, like playing Beatles records backwards??
Just kidding...
_____________________________
Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**
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Re: MULLLIGAN - March 4, 2005 8:47:00 AM
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Synergy
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From: Forney, TX
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ROFL!!! That same thing happens to me all the time Army...my book opening to that page. I guess that's how things are done in New Zealand. :)
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Chris Adams, PT, MPT
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Re: MULLLIGAN - March 4, 2005 10:00:00 AM
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NorthernPT
Posts: 21
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From: MN
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Mulligan wrote an article in the New Zealand Journal of Physiotherapy in 1973 about a possible link between altered subtalar joint mobility and onset of plantar fasciitis, he recommended subtalar joint mobilizations for this. The mobilization I find most effective is Mennell's "talar rock". The literature on pronation and it's impact on onset of plantar fasciitis is sketchy, there are a lot of studies saying it does and a lot that say it does not, same with pes planus and pes cavus foot type. the most interesting plantar fasciitis research is that in chronic plantar fasciitis, there is no inflammation (why do we still call it fasciitis??)
I've found the taping to be pretty beneficial after subtalar joint mobilizations are performed.
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Re: MULLLIGAN - March 4, 2005 3:19:00 PM
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nari
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From: Australia
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Taping is useful (I think it is the Lowdye- things can get called different names in either hemisphere) but for chronic plantar fasciitis, it is hard to beat neural mobilisation. Does not work every time, but close to it. If it is going to work - it works rapidly, within a week. Then if the pain does return much later, the owner of the foot knows what to try first..moving the tail of the tensioned sciatic in and out of whatever increases the pain; usually DF +/-Inv/Ev.
Nari
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Re: MULLLIGAN - March 5, 2005 4:31:00 AM
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jma
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From: NY
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Its true that one has to start somewhere but there is a lot of other techniques out there, besides Mulligan, that have plenty of research to back it up.
JMA
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Re: MULLLIGAN - March 7, 2005 2:31:00 AM
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JLS_PT_OCS
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From: USA
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Sounds like a new thread to me...
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Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**
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Re: MULLLIGAN - March 7, 2005 4:36:00 AM
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JLS_PT_OCS
Posts: 1684
Joined: January 30, 2005
From: USA
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JMA (all others also), I would like to cordially invite you to my new Plantar Fasciitis thread.
This is a recalcitrant (i've been waiting for a chance to use that word) problem I see quite a bit of, and am on the lookout for the latest in treatment methods...
_____________________________
Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**
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