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Remedial massage by Manny at Chiropractic Works Cairns

Phone: +61 7 4031 3388



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25.01.2022 LEVATOR SCAPULAE MUSCLE RELATED NECK PAIN The Levator Scapulae muscles are located on either side of the neck. They originate on the four upper vertebrae of t...he cervical spine (neck) and insert, or attach, to the scapula, also known as the shoulder blade at the superior, medial border. These two muscles are involved in elevation, downward rotation and abduction of the scapulae. They are also involved in flexion and extension of the cervical spine(neck), turning of the neck slightly left and right, along with side bending of the neck left and right. When you wake up in the morning with a crick in your neck, feel a burning pain on the top inner corner of your shoulder blade, or have trouble turning your head to look behind you while driving etc., the culprit may be a Levator Scapula muscle in spasm. The pain can be described as a throbbing, ache, or tightness, and usually presents from the top inner corner of the shoulder blade up along the neck. What Causes Levator Scapula Spasm / Trigger Points? A trigger point is a tight area within muscle tissue that causes pain in that area and/or other parts of the body. The trigger points are shown above as two dark red circles, with the pain referral area also shaded in. Muscle spasm is a tightening of a muscle usually, due to overuse or overstress. It can in itself cause pain and loss of mobility. The following events and activities are likely to activate, or reactivate, tension / pain and trigger points in the levator scapulae. - whiplash from an automobile accident - sleeping on the stomach with the head turned/or sleeping in an odd position - chilling of the muscle during sleep from an air conditioner or draft from an open window - working at a computer with the head turned for long periods - holding a phone between the shoulder and ear - carrying a heavy bag with a shoulder strap - use of crutches that are too tall and elevate the shoulder - emotional and mental stress - Working with your arms raised above your head for prolonged periods of time can also irritate the Levator Scapula. To help reduce neck pain, stabilize your shoulder blade when you raise your arm. - poor posture with a forward head position puts this muscle under continuous strain causing overuse. Usually the condition settles after a few days if it is only a once off. Proper hands-on deep tissue massage and dry needling, when used together, can be great to settle the condition either in the short term, or if the condition has become more chronic. Also for the long term, correcting posture, stretching and strengthening of the upper back(particularly middle / lower traps, serratus posterior, rhomboids etc.) and the neck muscles(specifically the posterior neck muscles) can help prevent the condition from returning. Posture is key to a healthy neck and spine. Try and sit up straight on a comfortable supportive chair, when at work or at home, allowing the shoulders to relax by using the arm rests of the chair. When at a computer, pull the screen close and try to get it up to eye level (say using books underneath it), so your head doesn’t have to be coming forward. The same applies when driving a car. Pull the seat in close to the steering wheel(within reason),and try to position yourself so the shoulders are relaxed and the head isn’t jutting forward. Activities like reading in bed, playing computer games for hours etc. can really tighten up the levator muscles and are a disaster for thoracic and cervical posture in the long term.



24.01.2022 Remedial massage can stimulate the blood supply, make joints more mobile, and help to repair damaged tissues. The therapist will aim to balance the length, tone and tension of muscles and tendons, which restores the correct position of the bones, increases blood flow and helps heal injuries. please visit our website Chiropractic Works Cairns for online booking, or call us today 0740313388

21.01.2022 Effective ways to relieve neck pain...

20.01.2022 Plantar Fasciitis.....



19.01.2022 Remedial massage is a complementary therapy which aims to treat muscles that are damaged, knotted, tense or immobile. It is useful for a number of problems that affect the muscles, tendons and bones. please visit our Chiropractic Works Cairns website for online booking, or call us 0740313388

17.01.2022 https://www.facebook.com/1597640113786359/posts/2176515812565450/

17.01.2022 Myofascial release therapy (also known as myofascial trigger point therapy) is a type of safe, low load stretch that releases tightness and the pain caused by restrictions in the fascial system.



14.01.2022 FROZEN SHOULDER - CAN MASSAGE AND EXERCISE HELP? Frozen shoulder is a condition where an individual will experience pain and stiffness in the shoulder and is ...not able to lift the arm over the head. Frozen shoulder causes stiffness and restricted range of movement in the shoulder. This condition is medically known as "adhesive capsulitis." However, the adhesive capsulitis is a specific condition where there is a slow onset of stiffness and pain in one shoulder due to inflammation and tightening of the joint capsule. Usually the terms frozen shoulder and adhesive capsulitis are used alternately. PHASES Clinical presentation is typically in three overlapping phases: Phase 1 lasting 2 months to 9 months. Painful phase, with progressive and increasing pain on movement. Pain tends to be constant and diagnosis in the early stages before movement is lost can be difficult. Phase 2 lasting 4 months to 12 months. Stiffening or freezing, where there is gradual reduction of pain but stiffness persists with considerable restriction in range of motion. Pain pattern changes from constant to end range pain of reduced intensity. Phase 3 lasting 12 months to 42 months. Resolution or thawing phase, where there is improvement in range of motion with resolution of stiffness. End range pain may persist until full resolution. TREATMENT In most of the cases adhesive capsulitis resolves on its own over a period of a year to year-and-a-half. Treatment for adhesive capsulitis basically focuses on alleviating pain and trying to preserve as much range of motion as possible in the affected shoulder. EXERCISE Stretching exercises are usually the cornerstone of treating frozen shoulder. Here are just a few. 1. Cross-body arm stretch 2. Pendulum stretch 3. Arm circles 4. Towel stretch MASSAGE Massage therapy is very beneficial in treating frozen shoulder as it increases the blood circulation to the injured region and also reduces the formation of scar tissue. Regular massage should be done to reduce the muscle stiffness. The pain and stiffness usually gets relieved after several massage treatments. There are various combinations of techniques done by a professional massage therapist, which provide relief from shoulder pain and help in the recovery stage. DEEP TISSUE MASSAGE One of the common techniques used to treat frozen shoulder is deep-tissue massage. In this technique, the massage therapist applies constant pressure to the muscles in order to release the scar tissue or adhesions, which may be causing the shoulder pain. Shiatsu is a Japanese form of deep-tissue massage, which involves deep pressure on certain regions of the body. These are called acupressure points and helps in controlling the energy flow ("Ki" in Japanese) across the body and thus results in decrease in pain. Deep-tissue massage techniques should not be done in case of acute shoulder pain, swelling or inflammation, as it may aggravate the condition. TRIGGER POINT THERAPY Trigger point therapy is another massage technique, which benefits the frozen shoulder. In this technique, a steady pressure is applied on certain targeted points within the muscles. This helps in relieving the muscle spasms. HEAT THERAPY Heat therapy is also very helpful in treating the frozen shoulder. It can be applied before or after a massage. Heat therapy can be also done for trigger point massage for frozen shoulder. It helps in relaxing the muscles and decreasing pain. Mild heat can be applied for multiple times daily using pads, which are heated an hour before application. source: Harvard Medical School, British Orthopaedic Association.

14.01.2022 https://www.pogophysio.com.au/blog/plantar-fasciitis/

13.01.2022 Too many patients presenting with back pain are receiving the wrong care. -Around 25 per cent of Australians suffer from low back pain on any day -50 per cent o...f Australians suffered from back pain in the past month -Australia spends $4.8 billion per year on management of low back pain -Back pain reduces Australia’s GDP by AU$3.2Billion per annum and is the most common condition keeping older Australians (aged 45-64) out of the workforce Read more: http://ow.ly/JOp050xDNlU

13.01.2022 Do you feel stiff anywhere in your body? sitting long hours because of computer work? Good posture and efficient movement is dependent upon ideal strength/length relationships within the muscular system. Group class ... Foam rolling and better posture Wednesday 5pm Friday 11:45am use foam roller, about 45 minutes, small class(maximum 3 people), bring your friends, family. 1. functional assessment check your posture, how you move, how flexible you are. 2. foam rolling around your pelvis, then upper body. 3. functional movement after release musles, let's move better. This class is good for anyone to help straight your posture. call us 0740313388

09.01.2022 https://www.facebook.com/316452655759/posts/10158046521350760/



07.01.2022 POOR POSTURE MIGHT BE THE CAUSE OF EXHAUSTION, PAIN AND INDIGESTION This is all important because chronic poor posture can lead to low energy. Muscle fibres ...become shorter and contracted. The body automatically uses energy to maintain the contraction in the shortened fibres. At times this can lead to chronic fatigue, headaches, unexplained aches and pains throughout the body and occasionally digestive problems. Long term rounded shoulders create compression through the lungs and could lead to habitual shallow breathing. This restricts oxygen distribution in the body, and can also leave us vulnerable to infections as we’re not doing deep breathing that can cleanse the lungs. The knock-on effect of compression through the body can generate a slow and sluggish digestive system and increasing fatigue. While the tight, short muscles burn up energy, the weak, long muscles don’t ‘fire’ properly. These weak muscles must re-establish both their strength and nervous system responses to regain their functionality.

07.01.2022 MYOGENIC & NEUROGENIC MUSCLE CRAMPS What Is a Muscle Cramp? A muscle cramp is a hyperexcitable neurologic phenomena of excessive, involuntary muscle contracti...ons. It is important to distinguish between myogenic and neurogenic muscle cramps, because each has unique pathophysiology and management. The conventional definition of a muscle cramp is a painful contraction of a muscle or muscle group, relieved by contraction of antagonist muscles. Care must be taken to avoid confusing muscle cramps with other phenomena including central hyperexcitability (eg, dystonia, spasticity, seizures, and stiff person/stiff limb syndromes) and peripheral processes, including tetany, myokymia, myotonia, neuromyotonia (focal muscle stiffness), or myalgia. NEUROGENIC MUSCLE CRAMPS The origin and propagation of neurogenic muscle cramps localizes to peripheral and central targets, including the neuromuscular junction, where mechanical disruption and electrolyte disturbances can influence hyperexcitability and cramp generation. Injury to peripheral nerve components including the motor neuron cell bodies or the motor axons can result in ephaptic transmission and development of muscle cramps. Dysfunctional intramuscular small fiber sensory afferents (eg, mechanoreceptors and spindles) are also proposed to be involved in cramp generation. Centrally, persistent inward currents mediated by GABAergic transmitters at the spinal level can amplify incoming sensory input and lead to the propagation and amplification of cramp potentials. Disruption of chloride, sodium, and potassium channels and inadequate amino acids concentrations (eg, taurine) disrupt membrane currents to generate muscle cramps. MYOGENIC MUSCLE CRAMPS The pathophysiology of myogenic muscle cramps, in contrast, is usually the result of disrupted energy production in muscle cells and occurs most commonly in metabolic myopathies associated with disorders of glycogen, lipid, or mitochondrial metabolism. Metabolic myopathies cause deficient ATP levels. Because muscle relaxation is an adenosine triphosphate (ATP)-dependent active process, actin and myosin chains do not disengage, causing an electrically silent cramp (ie, contracture). The metabolic defect may also cause accumulation of potentially toxic metabolites that further aggravate ATP deficientcy. Myopathic cramps are also a potential symptom of myopathies linked to muscle membrane or intramuscular structural dysfunction in acquired and hereditary myopathies (eg, muscular dystrophy, congenital myopathies, and inflammatory myopathy). CAUSES Physiologic stressors are a common precipitant to muscle cramps. The most common is dehydration, in which electrolyte loss disrupts neuromuscular junction function and membrane stability. Other physiologic stressors include unusually prolonged or strenuous exercise, particularly in a deconditioned state in which muscle tendon shortening is common. TREATMENT Infrequent cramps that do not interfere in someone’s life rarely need investigation or treatment. There is no evidence that recurrent muscle cramps lead to significant long-lasting damage to muscles, and serious harm from muscle cramps (eg, tendon ruptures) is rare. If treatment is needed, the avoidance of the offending agent or appropriate electrolyte and vitamin replacement to treat the root cause are warranted. There is level B evidence that vitamin B-complex supplementation can reduce cramp frequency in people who experience at least 6 cramps per week. In individuals with prominent dehydration (eg, athletes, malnourished individuals, or members of vulnerable populations), care must be taken to ensure adequate electrolyte-rich solutions, particularly high-salt formulations. In pregnant women, there is ample evidence that magnesium replacement is helpful in managing muscle cramps. Reference: Practical Neurology

07.01.2022 Simple exercises to relieve leg pain...

06.01.2022 https://www.physio-network.com/why-do-muscles-feel-tight/

06.01.2022 Can a massage ease sciatica pain?

05.01.2022 "Back to basics: 10 facts every person should know about back pain" Is this helpful to show patients? Does this list change or challenge your knowledge of back... pain management? Comment below! Learn more about Assessing and managing back pain at Part A Courses coming up in 2020: - BRISBANE - 27/28 March (Physio only - run with APA) - GEELONG VICTORA - 17-19 April - SYDNEY, NSW - 19-21 June Register at: www.mckenzieinstituteaustralia.org.au https://bjsm.bmj.com//ear/2019/12/31/bjsports-2019-101611

04.01.2022 https://www.facebook.com/1597640113786359/posts/2176516055898759/

03.01.2022 SCIATICA WHAT IS SCIATICA? Sciatica is the result of a neurological problem in the back or an entrapped nerve in the pelvis or buttock. There are a set of n...eurological symptoms such as: Pain (intense pain in the buttock) Lumbosacral radicular leg pain Numbness Muscular weakness Gait dysfunction Sensory impairment Sensory disturbance Hot and cold or tinglings or burning sensations in the legs Reflex impairment Paresthesias or dysesthesias and oedema in the lower extremity that can be caused by the irritation of the sciatic nerves (the lumbar nerve L4 and L5 and the sacral nerves S1,S2 and S3) CAUSES OF PAIN Pain is a result of irritation of the sciatic nerve. it can be constant or intermittend. The pain may be worsened by certain movements like coughing or sneezing (these movements increase the intra abdominal pressure). Sitting, bending, prolonged standing or rising from a sitting position can aggravate or increase the pain. PAIN PATTERNS In regards to relief the pain, the supine position decreases the pressure on the herniated disc and will subsequently decrease pain. Pain is located along the distribution of the nerve and can be felt in the back, buttocks, knee and leg. It only radiates to one side of the leg and can result in reduced power, reflexes and sensation in the nerve root. Also gait dysfunction (toe walking, foot drop and knee buckling), paresthesias or dysesthesias are frequent neurological symptoms. SYMPTOMS BASED ON NERVE COMPRESSION Sciatica can be caused by the compression or irritation of nerve L4, L5, S1, S2 and S3. The sciatica symptoms depend on which nerve is compressed or irritated. L4: When the L4 nerve is compressed or irritated the patient feels pain, tingling and numbnessiIn the thigh. The patient also feels weak when straightening the leg and may have a diminished knee jerk reflex. L5: When the L5 nerve is compressed or irritated the pain, tingling and numbness may extend to the foot and big toes. S1: When the S1 nerve is compressed or irritated the patient feels pain, tingling and numbness on the outer part of the foot. The patient also experiences weakness when elevating the heel off the ground and standing on tiptoes. The ankle jerk reflex may be diminished. source: B.W Koes, M.W Van Tulder, W.C Peul. Diagnosis and treatment of sciatica. BMJ.

02.01.2022 Many therapists have great palpation skills yet do not always get great outcomes. Paula Nutting, current Director, a former President and practising RMT and trainer, looks at the possible reasons for this and how we can overcome them. Click here to learn more https://bit.ly/34J75KI

01.01.2022 https://www.massagemag.com/the-benefits-of-regular-massage/

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