Massage therapy (Rattray)

Abbreviations I have been using certain abbreviations since I was a Medical Assistant before and also as a Registered Acupuncturist now and soon to be RMT!!  I will be posting some abbreviations up here I will put more and more as I go If you find something in my blog and don't know what it means, please leave comment on the each subject, I will look into it and add some over here 😉 Thanks! A ADL: Activity of Daily Living Ant.: Anterior B b/o: Because of C CI: Contraindicated or Contraindication C/S: Cervical Spine CV: Cardiovascular D DDD: Degenerative disc disease DysFCN: Dysfunction d/t: Due to DTR: Deep tendon reflex dysFCN: Dysfunction dz: disease F FCN: Function Fx: Fracture G GH: Glenohumeral H Ht: Height J Jt: Joint L LCL: Lateral Collateral Ligament Lig: Ligament L/S: Lumbar Spine M MC: Most common MD: Medical Doctor Mobs: Mobilization MSK: Musculoskeletal Mxl: Muscle Mvt: Movement ...

Torticollis Abnormal positioning of neck and head relative to body Cause of Acute acquired torticollis Activation of latent TrP Subluxation of C1 on C2 Facet jt irritation Infection Disc-related pain Symptoms They might “Just woke up with it” Pain with especially movement TrP in SCM are affected Tinnitus, Nausea, tearing of eyes on the shortened affected side may be present May present facet joint irritation DDD in C/S may present Treatment Check health Hx Postural assessment Palpation can find tenderness, firmness, increased tone, tender to touch, feels colder d/t ischemia Maxilla,zygoma and temporal bones on the affected side are more posterior, making the eye on the affected side appear more recessed Testing AROM, Mxl strength testing  (Contralateral anterior and anterolateral neck mxl and ipsilateral posterolateral neck extensors may be assessed) Vertebral artery test Spurring test Cervical compression and distracti...

Dislocations Complete dislocations of the articulating surfaces of a joint Subluxation is when the articulating surfaces of a joint remain in partial contact with each other Cause Trauma related sudden twist or wrench of the Jt beyond its normal ROM Risk factors Pathologies such as RA, paralysis, NM dz Congenital ligament laxity, Jt malformation Previous dislocation MC location of dislocation Ant. GH jt Lunate dislocation by fall on the outstretched hand, forcing the hyper extension Elbow dislocation is usually accompanied by Fx Palpation Acute : Heat, tender to touch, firm edema, protective mxl spasm Subacute : Heat diminishes, tenderness still present, Adhesion starts to form High mxl tone, TrP are present  Chronic: cool to touch d/t ischemia Tenderness to the lesion site Adhesions to jt. capsule and injured lig. High tone mxl and TrP Disuse atrophy may be present d/t casting or taping Testing Acute: AROM, other testing are contraindicat...

Cruciate & meniscal injury It is important as RMT to be able to differentiate between cruciate or meniscal injuries and collateral Lig injuries Massage has a direct effect on collateral ligaments b/o its anatomical location (palpable) Assessment Acute w/swelling AROM-limited, PROM-mxl guarding mxl strength testing: mxl crossing the knee should be Painless and indicated normal strength If there is pain, accompanying mxl might be injured Presence of swelling Early/Late subacute and Chronic AROM-limited, PROM-limited where jt locking is present, unable to fully extend the knee Mxl strength: Quadriceps may be reduced with disuse atrophy Special test:  Lachman's test , Ant ./ Post . drawer test, Valgus/Varus test Miniscal injury: McMurray's test, Bragard's sign, Apley's compression test, Helfet's test Massage of cruciate injury Acute/Subacute RICE Elevate the limb Primary focus of tx is the compensating structures (High tone, TrP) ...

Strain vs Sprain STRAINS s"T"rain = "T"endon Overstretch injury to musculotendinous unit (tendon) Concentric : Mxl contraction as the origin and insertion of the mxl comes closer together, Mxl fibres shorten Eccentric :Origin and insertion move farther apart, the mxl fibres lengthen Eccentric contraction can produce. greater force within the mxl than concentric contraction, predisposing the mxl to injury at this time Hypovascular nature of tendons contributes to decreased tissue health, allowing the tendon itself to rupture Fun fact! The younger people where the epiphyseal plate in the bone has not yet ossified, the mxl and tendons are stronger than the bone! Because tendons are moderately vascularized, they are prone to partial or complete rupture at the area of least blood supply either in the middle of the tendon or at the musculotendinous junction. What is the cause of STRAINS? Sudden overstitching of the mxl Extreme contraction o...