Knee pain: Tips for therapists

Knee pain, Muscle information

When knee pain is of muscular origin, the quadriceps, hamstrings, popliteus and gastroc muscles are the most common causes. If treatment of those muscles doesn’t relieve pain, therapists might think about these tips for solving the pain puzzle: Pes anserinus, short adductors, ITB/TFL, a Baker’s cyst, or chondromalacia. Remember this odd name from your therapy […]

July 1, 2009

Knee pain: Understanding the hamstring muscles

Back surgery, Knee pain, Muscle information, Piriformis syndrome, Repetitive strain, Restless leg syndrome (RLS), Sciatic pain, Scoliosis, Structural asymmetry

Knowledge is power. The better you understand the muscles of your knee the more empowered you will be to keep them out of pain. The last post discussed the quadriceps in the front of the thigh. The “hamstrings” are in the back of the thigh. Guys refer to them affectionately as “hammies” at the gym. […]

June 28, 2009

Shoulder and arm pain reaching: A Neuromuscular Therapy point of view

Arm pain, Bursitis, Muscle information, Neuromuscular therapy, Repetitive strain, Rotator cuff, Shoulder pain, Surgery, Tendonitis

As a Neuromuscular Therapist practicing in the Boston area for nineteen years, how do I think about the causes of pain in the shoulder and arm when patients lift their arms or reach for something? With everyone on computers now, it is a common problem to have a work station that is too high and […]

June 23, 2009

Restless leg syndrome: Perpetuating factors

Buttock pain, Chronic pain, Hip pain, Leg pain, Piriformis syndrome, Restless leg syndrome (RLS), Scoliosis, Structural asymmetry, Tips for therapists

According to Travell & Simons in their Trigger Point Manual, “In patients with chronic myofascial pain, attention to perpetuating factors often spells the difference between sucessful and failed therapy.” Perpetuating factors in the case of Krystal S. were an important consideration in reducing the need for continued treatment for restless leg syndrome at my Neuromuscular […]

June 20, 2009

Restless leg syndrome pain: Treatment of Krystal S.

Buttock pain, Chronic pain, Leg pain, Piriformis syndrome, Restless leg syndrome (RLS), Scoliosis, Structural asymmetry

When muscle tension and hyperactivity from Trigger Points are the cause of RLS, Neuromuscular Therapy is very successful in relieving symptoms and sometimes eliminating this disturbing condition. When an initial series of appointments works, but symptoms return, underlying or perpetuating factors need to be discovered. Treatment in the case of Krystal S. in my Neuromuscular […]

June 18, 2009

Restless leg syndrome pain: A Neuromuscular Therapy point of view

Buttock pain, Chronic pain, Leg pain, Muscle information, Neuromuscular therapy, Piriformis syndrome, Restless leg syndrome (RLS), Scoliosis

So how do I think about RLS? What jumps out at me is the “restless” part. The muscles are hyperactive. What can cause that? Well, I’m a Neuromuscular Therapist and when you’re a hammer everything looks like a nail, so I go right to Trigger Points! Trigger points are hyperactive. They are working 24/7. They […]

June 16, 2009

Muscle pain and weakness: 8 other causes

Healing, Muscle information

When patients come to my Neuromuscular Therapy center near Boston with undiagnosed muscle pain and weakness, I always think about what causes there might be other than the two most recognized by medical professions: underuse (or deconditioning) and disease process. In light of the news story on ABC June 5, 2009 about muscle weakness caused […]

June 8, 2009