ASK Dr. Joe – “Ask Me Anything”

I am creating a new blog post feature to my content called Ask Dr. Joe, or perhaps better put, Ask Me Anything*. With Ask Me Anything, you can write to me by email ([email protected]) and ask me any question about: …

Upper and Lower Crossed Syndromes. Permission Joseph E. Muscolino. Artwork: Giovanni Rimasti.

Thoracic Hyperkyphosis – The Critical Component of Upper Crossed Syndrome

For most of our clients who present with the postural distortion pattern known as upper crossed syndrome, it is important, perhaps absolutely necessary, to include thoracic spinal joint mobilization technique into extension as part of the treatment plan to address the thoracic hyperkyphosis.

FREE DCOMT video – One Handed Towel Traction for the Neck with Shoulder Girdle Stabilization

Traction for the cervical spine is indicated for the client with a pinched nerve in the neck because it opens up the intervertebral foramina to decompress the spinal nerves. Dr. Joe Muscolino demonstrates how to easily perform neck traction using a towel.

Permission Joseph E.Muscolino. Manual Therapy for the Low Back and Pelvis - A Clinical Orthopedic Approach (2015)

Low Back Pain: Time to Consider Massage and Exercise as Effective Treatments

So if we say that the cause of most low back pain is not understood, it should mean that we do not know what mechanism is causing the low back pain most of the time. But that is not true. We can often palpate tight myofascial tissue or a dysfunctional joint that is causing back pain.

How do we Treat Upper Crossed Syndrome with Manual Therapy?

Especially effective for the pectoralis musculature is to use pin and stretch technique. With the client/patient supine and positioned toward the side of the table, pin the musculature with your finger pads as you bring the client/patient’s abducted arm off the side of the table and down into horizontal extension.

tight neck extensor musculature can cause tension headaches

Tension Headaches

A tension headache is caused by excessive pulling force of tight muscles in the back of the neck that exert tension on their attachments on the head.

cervical spinal joints - posterolateral view of the atlanto-occipital joint

Cervical Spinal Joints

The disc joint is a cartilaginous joint that is composed of outer fibers called the annulus fibrosus that encircle the inner nucleus pulposus.

extension mobilization stretch for the thoracic spine on an exercise ball

The Thoracic Spine… The Silent Saboteur

There is an old saying that no posture is bad unless you get stuck in it. The problem is that the thoracic spine often does get stuck in bad posture.

Manual Therapy Certification teaches assessment and treatment skills such as piriformis palpation seen here

Manual Therapy Certification for Massage Therapists

There are two major reasons why a massage therapist should consider working toward and earning a Continuing Education Certificate in Manual Therapy.

manual therapy certification teaches assessment and treatment skill sets such as palpation

Manual Therapy Certification for Chiropractors

What is most important in any Manual Therapy Certification program is marrying together the underlying science with the hands-on manual therapy skills.

joint mobilization of the lumbar spine into rotation

What is Joint Mobilization?

Grades IV and V joint mobilization are essentially pin and stretch technique.
Bone “A” is pinned and then Bone “B” is moved relative to Bone “A.”

Manual Therapy Certification for Pilates instructors teaches hands-on skills

Manual Therapy Certification for Pilates Instructors

Pilates is kinesthetic. Verbal talking to direct your client is not. Hands-on Manual direction is. Plain and simple, Pilates is a kinesthetic endeavor.

One of the skill sets of manual therapy is stretching: here we see a stretch to the abductors of the hip joint

What is Manual Therapy?

The following techniques are considered to be Manual Therapy techniques: Massage (Soft Tissue Manipulation), Stretching, Joint Mobilization, Hydrotherapy.