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If you take a course or study Orthopedic massage, Medical massage, Rolfing, and others. There is a great deal of emphasis on proper assessment. Even if you work in a spa, and have only one minute, you are still making some sort of assessment. The assessment helps you help your client/patient more effectively.
A new patient came in the other day with neck pain, low back pain, hip pain, and knee pain. There was a long medical history involved, with diagnosis and explanations for his pain. And I’m sure it was all correct, or mostly correct.
But he made a comment. “I wonder if all my pain is connected?” I told him, “To me it was.”
He hurt the most in his low back, around the L3 level. His hip pain was mostly in the Piriformis and Greater trochanter area. In addition, like I said, he had knee and neck pain.
Im going to attach some charts that will help explain the connections to those seemingly unrelated body areas and his pain. Now is this evidence based analysis? No, it is not. Is it worth knowing or thinking about? You decide.
If you notice, L3 inervates a portion of the hip that covers the Greater Trochanter and Piriformis. L3 also inervates the knee. You will also notice that the neck is inervated by C3. And C3 has a special relationship to L3. Ok cool. What’s the big deal? MAYBE nothing.
You guys probably don’t care. But I’m stoked. When I first started working in this medical clinic and saw Complex Regional Pain Syndrome for the first time. I thought wow. I don’t know how I could possibly help those people. It’s a really nasty Pain Syndrome. In all my years as a massage therapist. I don’t ever remember seeing it until I started working in this clinic.
Here is a link if you want to read about it.
A new patient today. She has been in occupational therapy for a while. I don’t know how long. The Syndrome was in her right hand. She couldn’t make a fist. The medical assistant measured her grip strength at 5lbs. After I worked with her for 15 minutes. She could make a fist. The patient was shocked and surprised.
I came out of the room, told the doc that I was able to help her dramatically. That she could make a fist. He said get the Dynamometer and have someone check her grip strength. The assistant came in the room. She squeezed it again. It registered 20lbs! She repeated it twice. That’s phenomenal. 5lbs to 20lbs in 15 minutes! And the thing is .... I NEVER TOUCHED HER AFFECTED HAND OR ARM AT ALL !
Theses procedures are revolutionary. Fast. Cool stuff.