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22 Cards in this Set
- Front
- Back
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Sinusitis |
Facial effleurage (maxillary and frontal - 30s of pressure with lateral pull) Post? Change in tenderness, inform patient improvement will occur over time (drainage) |
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URI, otitis media other ENT concerns |
Periauricular Drainage (torsional rotation with pt head toward you, clockwise 20s then counter 20s) Post? Change in tenderness, inform patient improvement will occur over time (drainage via MFR tissue release) |
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Headache |
CV4/4th Ventricle (cradle occiput on thenar eminences, assist CRI, resist FLEX, wait for still point and hold 15 secs or just rest there 1 min) Post? Change in HA, reassess CRI and declare improved CAN DO ON MIGRAINE PTS WITHOUT EXISTING HEADACHE |
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TMJ (clicking, popping or locking or pain at joint) |
Do compression/decompression (hands under body of mandible B/L, traction superiorly gently, wait for give; same process at lateral mandible, traction inferiorly & ANTERIOR) Post? Reassess joint mobility, ask pt for change in sensation/click/pop/pain |
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Neck pain, C-spine |
Do counterstrain +/- FPR (find tenderpoint at occiput, SB & Rot away from TP and hold 90 secs, return to neutral) Post? ask if pt better, reassess yourself |
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Issues with Ribs (also for suspected Post-op ileus? Ehhh) |
Tx ribs with Spring technique (combine MFR with rib raising, be sure 2" lateral from spine, lift 15 sec with lateral tissue pull, feel for MF release and do slow return - repeat at ALL ribs Post? Reassess ribs in inspir/expiration, encourage patient they will poop somehow |
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Back Pain |
Do MFR or counterstrain (for MFR be sure opposite side of problem, use lateral traction with thenar eminences) Post? Reassess TART, ask about pts pain |
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Lumbar pain / LBP |
Muscle energy ( remember to repeat *3, have pt push 5s Post? Reassess TART/SD, ask about pts pain |
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Sacral pain, ANT torsion |
ME (ANT is RonR/LonL) (Pt chest down, legs off table but support with your thigh as you sit on tbl, pt pushes feet up 5s, repeat x3 Post? Reassess TART, ask about pts pain |
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Sacral pain, backwards torsion |
ME (POST is RonL/LonR) (Pt chest UP, top leg flexed so foot behind lower knee of straight leg, pt pushes flexed knee up 5s, repeat x3 Post? Reassess TART, ask about pts pain |
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Frozen shoulder / adhesive capsulitis |
SPENCER (don't forget to secure shoulder and clavicle with other hand; "spring" or bounce at each barrier to prove you're testing the resistance of the barrier) |
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Epicondylitis |
For acute injury Tx above or below with Lymphatic Effleurage (Start proximal with lateral & upward traction, move distally, be gentle at site of injury) Post? Reassess tenderness and ROM |
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Hey toolbox, don't do MFR on more than 2 of your 4 cases |
Prove you know a little counterstrain and more complicated techniques |
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ME for back pain, what do you need to know to treat correctly? |
Is it Type I (neutral) versus Type II (flexed/extended); use thenar eminences for both |
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Type I |
Pt on side, rotated side up but keep neutral, add SB only; use knees as fulcrum and flex until motion @ SD; pt pushes feet down to floor (ME) |
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Type II |
Pt seated, stand on opposite side of SD, add both SB and rotation; use arms/shoulders used as fulcrum |
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Carpal tunnel |
Both seated, ext wrist with lateral distraction (5s) moving from palm over wrist bones, and repeat 5* |
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Glute or UE pain (piriformis included) |
Pt supine, stand on side of SD; knee is bent, move into restrictive barrier (flexion, put foot on your shoulder; extension drop other leg off table) allow full relaxation and move further, repeat 3* |
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Knee injury, acute |
Lymphatic effleurage, lift foot to shoulder and do just like elbow, proximal to distal (lateral traction) |
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Ankle sprain, acute |
"functional technique" Hold injured ankle in off hands, with fingers beneath medial malleolus; other hand C clamp over upper ankle/lower LE and just do MFR
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Constipation, diarrhea, GERD, Cholestasis/GB issues (including acute) |
Abdominal plexus release (Below xiphoid, above umbilicus; press fingers inward with posterior pressure until MFR) Post? Recheck for myofascial tension |
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Constipation due to IBS |
Intestinal lift (left into anterior axillary, above umbilicus, right into anterior axillary) remember to lean back to pull the colon and follow the MFR, then return to neutral (tell pt they may poop in 10-20 mins) |
