Uncategorized

Cross-Friction Massage Applied to the Inguinal Ligament After Hip Surgery

Posted by on Feb 27, 2020 in Uncategorized

Tension along the inguinal ligament can be a cause of groin, hip, genital, abdominal, or pelvic pain. The inguinal ligament attaches to the anterior superior iliac crest of the ilium and inserts onto the pubic tubercle of the pubic bone. The inguinal ligament is formed by the external oblique muscle aponeurosis and continues to be come the fascia lata of the thigh. Many lower quadrant structures are influenced by the inguinal ligament based on its location and surrounding structures. The femoral nerve, artery, and vein run underneath the inguinal ligament and if compressed can cause nerve...

Read More

Vulvar Varicosities and Scoliosis in a Pregnant Patient

Posted by on Feb 5, 2020 in Uncategorized

This incredible pregnant patient complained of heaviness in the vulvovaginal area and mild low back pain. Looking at her from the front we see a curve along her right flank or rib cage (scoliosis) and varicosities along her right thigh. Scoliosis appears more pronounced when looking directly at the spine. There is an un-leveling at the shoulders, scapulas, ribcage, and pelvis, also an “S” curve is noted. She also has mild vulvar swelling on the right and a vulvar varicosity on the right labia majora and interlabial sulcus. This causes her sense a of vulvar heaviness. Her spinal mobility was...

Read More

Sacroiliac Joint Dysfunction and Piriformis Syndrome in Pregnancy

Posted by on Jan 9, 2020 in Uncategorized

Many pregnant patients come to us with complaints of sacroiliac joint pain and/or piriformis muscle pain. Sometimes the pain refers into the buttock and down the back of the leg. One great intervention for pregnant patients with strained piriformis muscles is cryotherapy. Cryotherapy is cold application like an ice pack or ice massage. Here we chose to do an ice massage because the patient’s piriformis muscle was too painful for soft tissue mobilization/massage. Performing an ice massage to the region or muscle in a cross-friction like stroking approach quickly soothes pain and addresses...

Read More

Treating Abdomino-Phrenic Dyssynergia (APD) Successfully

Posted by on Nov 29, 2019 in Uncategorized

Treating abdominal phrenic dyssynergia successfully: this patient has slowed digestive motility and mobility, and a distended abdominopelvic region. Both of her diaphragms (respiratory and pelvic) were restricted in mobility and discoordinated. We utilize manual therapies, pelvic floor rehab, visceral manipulation, sEMG biofeedback, intestinal massage, dietary discussions, Thiele’s massage, MFR, and a home exercise program (HEP). The HEP consists of many visceral and pelvic floor exercises. Important aspects of rehab for APD are: improving the mechanics of breathing, balancing the...

Read More

C-Section Scar Mobilization

Posted by on Aug 11, 2019 in Uncategorized

All women who have undergone a C-section would benefit from physical therapy to help prevent scar mobility restrictions and optimize appearance of the post-operative scar. Physical therapy can occur postpartum when the area is healed and you are cleared by your physician. Scar mobility techniques can be applied directly to the scar when it is still a little swollen and red. However, if the physician did not recommend it you can benefit at any time from scar tissue mobilization, even years afterwards. Ask your provider for a prescription for physical therapy for abdominal wall scar...

Read More

Evaluating the Sacrococcygeal Joint Alignment to Treat Coccydynia

Posted by on Jun 6, 2019 in Uncategorized

Sometimes coccyx pain results from a direct fall but pregnancy and childbirth can also be a cause. Coccyx pain can also result from pelvic floor muscle dysfunction, constipation, lumbar spine or sacroiliac joint issues, or hypermobility syndrome. One of the first tests we do is to determine the alignment of the coccyx in relation to the sacrum (the fused bone directly above it). By palpating along the joint line we can determine if there is misalignment. One side may feel more prominent or rotated posterior and the other side may feel deeper or more anterior. Identifying a misalignment is...

Read More