Graston instrument-assisted soft tissue mobilization (GITSM) is a tool used by therapist and chiropractors to help break up the scar tissue and replace it with fibroblast allowing for faster recoveries (Black 2010). A series of heat, GISTM, then strength and flexibility training are required (Black 2010). Numerous studies have been conducted, by certified therapist qualified in GISTM, to examine the styles and recovery periods after an injury. After going through the treatment, patients are measured by their range of motion (ROM) to see if the treatments were effective or not (Black 2010). ROM can vary depending on the region of the body that is being treated, but the overall goal of GISTM is to allow a person to get back to their regular routines they had before their injury. A study conducted by Logan College of Chiropractic shows that plantar fasciitis (foot) can be treated by GISTM on the first day of treatment (Daniels and Morrell 2012). Another study by Duke University shows that GISTM can be effective for patients after surgery that had an injury in the Patellar tendon (knee) (Black 2010). After several treatments, GISTM can, also, be used to treat a compression fracture in the lumbar (back) (Papa 2012). Each study shows the method of GISTM, the patient’s recovery period along with the methods of recovery.
Plantar fasciitis is caused from muscles and ligaments that alter the calcaneous (the big bone on hill of foot) (Daniels and Morrell 2012). The alteration of these muscles and ligaments will inflict pain and discomfort on the patient, and if not treated will cause failure of ligaments, bones, and muscles. The patient was tested with a simple squat technique that showed his heels were coming off the ground (Daniels and M...
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...). This patient, after treatment, had complete ROM and was able to get back to daily activities (Papa 2012). GISTM has shown to work on all types of injuries whether the patient had surgery or not. GISTM is becoming a well-known tool in the clinical world and is a reason for faster recovery periods (Black 2010).
Works Cited
Black D. 2010. Treatment of knee arthrofibrosis and quadriceps insufficiency after patellar tendon repair: a case report including use of the graston technique. International journal of therapeutic massage and bodywork. Volume 3, Issue 2:14-21
Daniels C, Morrell A. 2012. Chiropractic management of pediatric plantar fasciitis: a case report. Journal of chiropractic medicine. Volume 11, Issue 1:58-63,
Papa J. 2012. Conservative management of a lumbar compression fracture in an osteoporotic patient: a case report. J. Can. Chiropr. Assoc:29-39
Over pronation of the foot happens when too much weight is transferred to the medial part (the arch) of the foot. This can often be confused with plantar fasciitis. Over pronation of the foot is normally an over use injury that is developed over time. A person that goes a long period of time with this issue is putting a great deal of stress on the ligaments in the medial aspect of the ankle and this can result in a great deal of damage to them. An excess amount of damage can be con the muscles, tendons and ligaments of the ankle. Because being over pronated pulls the foot down, damage to the knees hips and back can also be caused from not being properly aligned.
Snap, crackle, pop. That is the horrific sound a baseball pitcher hears after throwing a pitch. The UCL tear used to haunt pitchers forever until 1974, when a man named Tommy John had a surgery to repair his UCL tendon and it was successful causing this surgery to transform baseball. Before his arrival, Tommy John Surgery was known as a “dead arm” injury (Tommy John Surgery). When doctors diagnose players with this injury, it’s no longer a total shock as today you are easily able to come back from this surgery as when 30 years ago, you couldn’t. In my paper I will talk about the basics of the injury, history of the UCL, ways to diagnose a UCL tear, and how to recover from Tommy John surgery along with some unbelievable facts about this distressing injury. This injury and surgery has revolutionized baseball and prolonged the careers of many great players in the MLB.
Although joint movement is a very important source of physical stress on connective tissues, isometric muscle contractions can assist with applying therapeutic levels of stress to immobilized structures. Muscle tissue benefits from the force generated by an isometric contraction and may reduce the loss of proteins and muscle fiber diameter, and help maintain tension and power of fibers during immobilization. Isometric contractions across the wrist will help minimize the effects of immobilization. As noted in earlier sections, this can be achieved with making a fist, and with other gripping activities with objects of various size and density. Active muscle contractions are encouraged throughout the 6 week period of immobilization. Active range of motion and resistive exercises of the non-immobilized joints of the upper extremity will also be of great benefit. Use of resistance bands are a convenient way to progress resistance of upper extremity exercises while the arm is still in a cast. Pain from the bone fracture will be the likely guide in the progression of these exercises during the 6 weeks of
Zhang Y, Wang X. (1994). 56 cases of disturbance in small articulations of the lumbar vertebrae treated by puncturing the effective points- a new system of acupunctue.Journal of Traditional Chinese Medicine, 14(2), 115-20.
The solution to this problem is located in the lab. Researchers across the country are working day in and day out to come up with a solution to accelerate the healing of soft tissues. They have come up with many solutions, from vibration therapy, to personalized rehab plans, but none of these are yielding truly significant results. I believe the solution lies at the molecular level. I believe that we can observe the healing of these soft connective tissues and learn from it. Then we can design a method from the observations to accelerate the production of the fibrils and collagen that will go on to make up the soft connective tissue. I have begun to take the beginning steps in solving this problem through my mentorship with Dr. Weinhold. Our research goals go hand in hand, which has led us to beginning research on the release of an angiogenic growth factor through a gelatin that will coat sutures. In theory, this angiogenic growth factor, once released from the crosslinking with the gelatin will stimulate the development of blood vessels around the recently repaired collagenous tissue. This, in turn, will allow the tendon/ligament to have a better oxygen supply and allow for quicker
The footbed is molded for maximum comfort. When you have conditions like Plantar Fasciitis, heel spurs, or neuropathy, you have to be careful about the types of shoes you wear. RYKA customers have specifically mentioned how much the shoes have helped their foot pain and issues. You don't want to give up walking because you have foot pain, but walking can be painful and almost impossible with some conditions.
This case involved a 53 year old man who sustained a significant tear of his rotator cuff while playing baseball. He underwent surgical repair and was given a referral for physical therapy. The referral was to begin passive ROM 3 times per week for 2 weeks then initiate a supervised home program of active exercise for 2 weeks, and elastic resistance exercises for internal and external rotation every other day for a month. 2 weeks after surgery, he had his first PT visit in a sports medicine clinic that was managed by an athletic trainer (ATC).”
Tendon disorders and injuries comprise 30% to 50% of all activity-related injuries; chronic degenerative tendon disorders (tendinopathy) occur frequently and are difficult to treat (Vos 144). What PRP does is release the growth factor into the degenerative tendons while intentionally inflaming your muscles and tendons, to encourage healing. In an experiment conducted by Doctor Vos and his colleagues, they examined whether a PRP injection would actually improve the outcome in chronic mid-portion Achilles tendinopathy. The control group was given a placebo while the others were given the PRP injections. At the conclusio...
Recent trends have pointed the continuing promise and growth of massage therapy as a health care career. Applied kinesiology is the scientific study of muscular movement, physical activities and the anatomy, physiology, and mechanics of the movement of body parts. Kinesiology was first created by the American/Italian chiropractor Anthony Gil in Milano, Italy. This relatively new study has many different branches of specialized studies. Many similar goals of kinesiology are to: restore normal nerve functions, have... ...
Achilles tendinopathy (previously referred to as achilles tendinitis) is a very commonly diagnosed injury in active populations, and especially among runners. Previously referred to as achilles tendinitis, this condition has recently been shown to be more of a failed healing response in the tendon than an inflammatory response to stress 1. Among the most commonly diagnosed overuse injuries, achilles tendinopathy (AT) accounts for 5-18% of running injuries, and occurs in about 7 – 9% of runners. 2 3 The repetitive motion of running and/or jumping can easily overload the tendon, and push it beyond its ability to recover from the stresses placed on it. Symptoms are commonly experienced at either the midportion or insertion of the tendon and include
Once school was out last year, I had done something to my foot. I don’t know what happened to it, but I know a general time frame it happened in. At first, I thought it was just my foot getting used to the new summer conditioning. After about three weeks, the pain had moved towards my achilles tendon. Once that happened, I only had pain when I pointed my toes, or pushed through my toes. The pain was to a point where my coach was noticing a change in tumbling, so she had me go to a doctor to make sure everything was
There are three-foot movements in gait the heel rocker, ankle rocker, and forefoot rocker. The heel rocker starts when the foot makes initial contact or heel strike with the ground and ends at foot flat. This is where the ankle is usually at ninety degrees of plantar flexion and it is the motion that is typically blocked by the AFO’s (331). The ankle rocker is the second movement in the gait pattern. It is when the foot is in full contact with the ground and ends at heel off. Then the forefoot rocker begins which is the third foot movement in the gait pattern. The forefoot rocker begins at heel off and it continues until the foot is off of the ground. At this point during gait the toes start to extend about fifty-five degrees before the foot leaves the ground (331). Extending the toes during gait helps allow the body to move forward over the foot. So if the forefoot rocker is blocked during gait the child may not be able to move forward. The child may compensate by shortening the foot length or doing inversion or eversion of the foot (332).
through the Eyes of a Participant Observer." Chiropractic & Manual Therapies. Vol. 20, No. 1, 19 Jan. 2012, p. 1. EBSCOhost. 2017 October 25.
in soft tissue mobilization pressure.” Medicine and Science in Sports and Exercise. April 1999: 531-5.