|
|
manual therapy for trigger points
|
Logged in as: Guest
|
|
Users viewing this topic:
none
|
|
Login  | |
|
manual therapy for trigger points - November 25, 2001 5:25:00 AM
|
|
|
adhi_pt
Posts: 14
Joined: November 8, 2001
From: chennai,tamil nadu,india
Status: offline
|
hello
can any one provide me a applicable
idea of manual therapy for one of my patient
with trigger points in his deltoid muscle
for past 4 days due to a forcefull abduction
of rt shoulder
|
|
|
|
|
Re: manual therapy for trigger points - November 25, 2001 6:53:00 AM
|
|
|
Diane
Posts: 1491
Joined: March 9, 2001
From: Vancouver, B.C., Canada
Status: offline
|
Hello adhi_pt,
Can your patient lie prone with the arm off the edge of the table at a 90 degree angle? If your patient has at least that much range you might try this technique:
With one hand, gently grasp the skin/deltoid/shoulder soft tissue, and bring it into internal rotation for several seconds. Go slow and feel the tissue responding. Don't do anything else yet.
When the tissue feels quiet, take your patient's arm with the other hand and move it into "abduction" (out from the hanging position) just a little way, and ask them to do a very light contraction toward their original position (inward) while you prevent them from moving.( Meanwhile you are still monitering their deltoid (or whatever) tissue with the other hand.)
Ask them to hold for several seconds, then relax. Take their arm out to a second position. If you feel their deltoid move a bit that's too far, go back a notch... repeat. Repeat again. (Three times)
Take their deltoid tissue into external rotation and repeat the sequence. You can repeat the whole thing again, into shoulder flexion this time, or extension if you want... or whatever you can dream up... the point of this is to get bloodflow happening all around/ underneath/ in between all the various tissues that happen to live in the shoulder area, circumflex nerve being one of them.
This is a global approach to trigger point reduction. If you want to be specific you could find the trigger,(patient seated) lift the arm up sideways/forward to 100 degrees or so, finetune rotation and feel for the trigger to melt, hold for a couple minutes and lower the arm slowly (to avoid restimulating that which you just elegantly treated and eliminated...) let the patient rest a few seconds, shrug a couple times (to slide the layers over each other) then try the movement actively.
Good luck in either case.
Diane
|
|
|
|
|
Re: manual therapy for trigger points - November 27, 2001 6:34:00 AM
|
|
|
Joy Colangelo
Posts: 23
Joined: September 26, 2001
From: Pacific Grove, CA. USA
Status: offline
|
Hello,
I find that the deltoid rarely releases without going after the infraspinatus first. With an elegant, gentle release of the infra, the satellite deltiod may be gone. If still missing the last 15 degrees of abd, the levator is the fellow who needs attention.
That usually does it for me.
------------------
Joy
|
|
|
|
|
Re: manual therapy for trigger points - November 22, 2002 1:41:00 PM
|
|
|
cozziew
Posts: 38
Joined: October 19, 2002
From: greenville sc us
Status: offline
|
How do you get the infraspinatus to relax?
|
|
|
|
|
Re: manual therapy for trigger points - December 19, 2002 4:16:00 AM
|
|
|
henryryry
Posts: 100
Joined: September 6, 2000
From: Brisbane, Australia.
Status: offline
|
Hi all,
I might be a bit late for this post. I always think to myself when I find trigger points or an overactive muscle... why is it overactive, why does it feel the need to work that hard? Is it because another muscle or muscles are dysfunctional and not working enough?
My point is perhaps the deltoid is overactive because the supraspinatus is not working enough to elevate the shoulder. So my point would be not just to release the deltoids, but to also retrain the correct movement pattern.
hope this post is not too late.
Henry***
|
|
|
|
 New Messages |
 No New Messages |
 Hot Topic w/ New Messages |
 Hot Topic w/o New Messages |
 Locked w/ New Messages |
 Locked w/o New Messages |
|
 Post New Thread
Reply to Message
Post New Poll
Submit Vote
Delete My Own Post
Delete My Own Thread
Rate Posts |
|
0.078
|
Printable Version
