Orthopedic Massage: Theory and Technique Book

Foreword vii

Preface to the First Edition ix

Preface to the Second Edition xi

Acknowledgments xiii

Section 1 General Principles 1

1 Introduction to orthopedic massage 3

Musculoskeletal disorders and massage 4

What is orthopedic massage? 5

The four primary components of orthopedic massage 5

Practitioner care 10

2 Understanding soft-tissue injuries 13

Muscle 14

Tendon 17

Ligament 18

Joint Capsule 19

Fascia 19

Nerve 20

Cartilage 24

3 Thermal modalities as treatment aids 27

Understanding pain 27

Heat transfer 29

Heat applications 30

Cold applications 35

Topical analgesics as thermal agents 39

4 Introduction to specific massage techniques 43

Massage techniques 44

Massage with active and passive movement 49

Myofascial approaches 54

Stretching methods 56

5 Physiological effects 63

Effects on fluid mechanics 64

Neuromuscular effects 65

Connective tissue effects 67

Psychological effects 68

Reflex effects 69

Section 2 A Regional Approach to Pathology and Treatment 75

6 Foot, ankle, and lower leg 77

Injury Conditions 78

Ankle sprains 78

Morton's neuroma 83

Plantar fasciitis 86

Tarsal tunnel syndrome 90

Retrocalcaneal bursitis 92

Achilles tendinosis 94

Anterior compartment syndrome 97

Shin splints 100

Postural Disorders 103

Hallux valgus 103

Morton's foot 105

Pes planus 106

Pes cavus 106

Calcaneal valgus 108

Calcaneal varus 109

Excessive supination 110

Overpronation 111

7 Knee and thigh 117

Injury Conditions 118

Anterior cruciate ligament sprain 118

Posterior cruciate ligament sprain 123

Medial collateral ligament sprain 124

Lateral collateral ligament sprain 128

Patellofemoralpain syndrome 130

Chondromalacia patellae 134

Iliotibial band friction syndrome 135

Meniscal injury 138

Patellar tendinosis 140

Hamstring strains 142

Adductor strains 144

Postural Disorders 147

Genu valgum 147

Genu Varum 148

8 Hip and pelvis 153

Injury Conditions 154

Piriformis syndrome 154

Sacroiliac joint dysfunction 158

Trochanteric bursitis 162

Postural Disorders 164

Anterior pelvic tilt 164

Posterior pelvic tilt 167

Lateral pelvic tilt 169

9 Lumbar and thoracic spine 175

Injury Conditions 176

Neuromuscular low back pain 176

Herniated nucleus pulposus 181

Zygapophysial (facet) joint irritation 183

Spondyloysis and spondylolisthesis 186

Postural Distortions 189

Exaggerated lumbar lordosis 189

Kyphosis 190

Scoliosis 193

10 Cervical spine 199

Injury Conditions 200

Neuromuscular neck pain 200

Herniated nucleus pulposus 204

Thoracic outlet syndrome 206

Spasmodic torticollis 214

Whiplash 217

Postural Disorders 221

Forward head posture 221

11 Shoulder 227

Injury Conditions 228

Frozen shoulder (adhesive capsulitis) 228

Rotator cuff strain 232

Shoulder impingement 237

Subacromial bursitis 240

Bicipital tendinosis 242

Shoulder separation 246

Glenohumeral dislocation/subluxation 249

12 Elbow, forearm, wrist and hand 255

Injury Conditions 256

Lateral epicondylitis (tennis elbow) 256

Medial epicondylitis (golfer's elbow) 260

Cubital tunnel syndrome 264

Pronator teres syndrome 267

Carpal tunnel syndrome 270

De Quervain's tenosynovitis 274

Guyon's canal syndrome 277

Index 283