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Massage Therapy in the Treatment of Chronic Pain
Published in Michael S. Margoles, Richard Weiner, Chronic PAIN, 2019
Joint manipulation is the most significant aspect of traditional chiropractic treatment. Chiropractic doctors know that muscles move bone, and the reverse is seldom true. Schools of chiropractic differ in approach; some teach massage, and others do not.
The Hip
Published in Louis Solomon, David Warwick, Selvadurai Nayagam, Apley and Solomon's Concise System of Orthopaedics and Trauma, 2014
Louis Solomon, David Warwick, Selvadurai Nayagam
Analgesics and anti-inflammatory drugs are helpful, and warmth is soothing. The patient is encouraged to use a walking stick (held in the opposite hand) and to try to preserve movement and stability by performing exercises within the range of comfort. Joint manipulation sometimes relieves pain for long periods.
Cancer Rehabilitation
Published in K. Rao Poduri, Geriatric Rehabilitation, 2017
Susan Maltser, B. Allyn Behling-Rosa
Post-thorocotomy pain syndrome occurs in about 50% of patients following thorocotomy.117 It presents with persistent pain at the incision site as well as along the distribution of the intercostal nerve, for longer than 2 months in duration.94 It is believed to result from intercostal neuralgia caused by multiple mechanisms, including poorly repositioned rib fractures, costochondral dislocation, costochondritis, intercostal neuroma, nerve entrapments, or local infections.118 It is often described as sharp, lancinating pain accompanied by dysesthesias.119 Altered biomechanics from the dissection of latissimus dorsi during the thoracotomy procedure also contributes to abnormal shoulder function.95 Musculoskeletal examination should closely inspect the incision site, palpate the chest wall to exclude costochondritis, and range the shoulder so as to evaluate associated musculature with careful attention to myofascial pain and muscle atrophy.116 Patients may benefit from postoperative pulmonary rehabilitation consisting of energy conservation and breathing techniques, aerobic conditioning following the surgery, scar mobilization, and soft tissue massage. Pain should also be treated aggressively with neuropathic pain medications, topical lidocaine, compounded creams, and intercostal nerve blockade.98 Preemptive thoracic epidural analgesia initiated before surgical incision has previously been shown to significantly reduce the severity of acute postoperative pain but seems to have had no effect on the incidence of chronic pain 6 months after surgery.120 Alternative pain management strategies have also involved direct manual costovertebral joint manipulation, with good effects.121
Manual therapists’ beliefs and use of spinal thrust joint manipulation
Published in European Journal of Physiotherapy, 2022
Hendrikus Antonius (Rik) Kranenburg, Maarten A. Schmitt, Emilio J. Puentedura, Cees P. van der Schans, Nicola R. Heneghan, Nathan Hutting
Thrust Joint Manipulation (TJM) is an intervention widely used by manual therapists, chiropractors and osteopaths, ideally within a multimodal biopsychosocial approach to manage spinal complaints. TJM techniques are characterised as involving a specific high-velocity low-amplitude thrust with the aim of achieving joint cavitation [1]. Evidence, including clinical practice guidelines, supports TJM for all spinal regions for improving patient-reported and performance-based outcomes [2–7]. Although recommended, TJM techniques have been linked with side-effects and, in rare cases, serious adverse events [8–14]. Serious adverse events are mostly reported for the cervical spine (CS) and may precede spinal cord injury or stroke, especially related to TJM in the CS [14,15], and may contribute to clinicians limiting or even abandoning their use of TJM [1,16]. Clinical prediction rules are algorithms that can help predict the probability of a therapeutic outcome or clinical effectiveness of a technique. Knowledge of clinical prediction rules for spinal treatment indications may play a role in using or performing TJM techniques. Although algorithms have been developed to help guide practitioners, they are not a substitute for clinical reasoning.
Short-term effects of spinal thrust joint manipulation on postural sway in patients with chronic mechanical neck pain: a randomized controlled trial
Published in Disability and Rehabilitation, 2022
Raúl Romero del Rey, Manuel Saavedra Hernández, Cleofás Rodríguez Blanco, Luis Palomeque del Cerro, Raquel Alarcón Rodríguez
On the other hand, some previous studies have shown that spinal manipulation techniques could influence the proprioceptive system [18] and are capable of normalising the alterations of afferent information in the somatosensory system [19] by changing the levels of excitability of the alpha motor neuron, and consequently, altering muscular activity [26]. In this way, and as observed by previous investigations, the effectiveness of spinal thrust joint manipulation techniques can be explained from a neuro-physiological point of view rather than a mechanical one [32,33]. Additionally, due to the high concentration of mechanoreceptors in the suboccipital muscles, the occipito-atlanto-axial complex provides a great deal of proprioceptive information in the cervical region and consequently, a great influence on postural sway [10,38]. Thus, it is possible that, due to this neuro-physiological mechanism, UCS manipulation is more effective than spinal manipulation on the mid-cervical spine, cervicothoracic joint and thoracic spine in improving postural sway in patients with CMNP.
Assessment of the coronal plane trunk symmetry in children
Published in Physiotherapy Theory and Practice, 2020
Anna Matlęga, Jolanta Stępowska, Andrzej Wiśniewski, Jan Gajewski
In the opinion of Suzuki et al. (1999) and Kotwicki, Kinel, Chowanska, and Bodnar-Nanus (2008) the assessment of trunk symmetry using POTSI is objective and allows detection of relatively minor trunk asymmetry. Stolinski and Kotwicki (2012) add that POTSI can be used not only for monitoring the effects of conservative and surgical treatment, but also for assessing changes in trunk symmetry resulting from an increased range of motion after single joint manipulation (e.g. sacro-iliac joints). Published studies emphasize that the POTSI calculations do not require specialist equipment. What the examiner needs are a digital camera and a computer printer while the photograph print is made on ordinary office paper (Inami, Suzuki, Ono, and Asher, 1999; Kuniharu, Suzuki, and Toshiaki, 1998; Suzuki et al., 1999). Also, a software was developed to facilitate and speed up the calculations using a semi-automated computer system or a free computer program SCODIAC (Inami, Suzuki, Ono, and Asher, 1999; Stolinski, Kotwicki, Czaprowski, and Chowanska, 2012; Stolinski et al., 2017).