Erik Dalton Myoskeletal Alignment

Comment

Comment by Erik Dalton, Ph.D. on December 24, 2009 at 3:36pm

Question:

During the cold & flu season, we see season a lot of structural rib problems. When client feels rib pain at approximately T-9 upon deep inhalation (very common), is the rib fixated in internal or external rotation, ie., inhalation or exhalation fixed rib?

Comment by Erik Dalton, Ph.D. on December 19, 2009 at 1:25pm

The rib cage can be a very sensitive and sometimes painful area to palpate. A guarded response is often noted when palpating certain areas particularly if articular stretching techniques are performed incorrectly, i.e., too quickly, too deeply.

In the presence of pelvic obliquity (SI and iliosacral dysfunction), compensatory rib cage and shoulder joint distortions often lead to inefficient breathing patterns.

Regrettably, rib cage and shoulder girdle asymmetry is compounded by secondary vertebral dysfunction. A catch 22 arises as ribs and spinal articulations lock each other down into what I refer to as a “dual fixation”.

With prolonged fixation, pain-spasm-pain cycles and protective muscle spasm create a situation where it’s difficult to know where to begin. But this is where the science of spinal biomechanics becomes exciting.

Comment by Danny Christie on December 19, 2009 at 10:30am

I would suggest that virtually every client that comes into our clinics have some sort of rib dysfunction. There are 100’s of costochondral joints therefore 100’s of areas for dysfunction to arise
It may be due to a depressed manubrium, faulty costal angles, poor respiratory patterns and even being rectus abdominals dominant. Which commonly leads to 1st rib and scalene dysfunction due to the antagonistic relationship between QL, obliques and the scalenes. The big core muscles depress the low ribs and the poor little scalene have to lift them commonly leading the elevated 1st, trigger points and faulty shoulder mechanics.

Diane Lee talks about poor force closure of the thorax, she uses a straight arm raise which is very similar to the SIJ stability test when the straight leg raise is used. I commonly see poor thorax stability and mobility which is always improved by hands on muscle facilitation techniques. This is great way to “show” the client they have dysfunction.

Comment by Erik Dalton, Ph.D. on December 19, 2009 at 9:46am

Anybody have any thoughts on rib pain? How about the relationship of pelvic obliquity to rib, shoulder and breathing dysfunction?

Comment by Erik Dalton, Ph.D. on December 19, 2009 at 9:39am

Thanks guys...and gals.. Think we should watch this group closely. I've been friends with Dr. Gregory Lawton for many years and share many common 'likes & dislikes' about conventional wisdom that's 'thought and taught' in the manual therapy industry. His ideas don't always float everybody's boat but I admire a little political incorrectness when it's spoken from the heart.
Merry Merry to all you wonderful therapists.

Comment by Bert Davich on December 18, 2009 at 10:54pm

As it should be Erik. Your work speaks for itself.

I am also really happy to see distance learning (home study) progress so rapidly since we discussed it in another discussion last summer. I believe your advocating it's importance as well as other Icons of progressive massage education opened the door for us all.

Thanks Erik

Comment by Michelle J Bishop on December 18, 2009 at 4:19pm

That is great news Erik.

Comment by Erik Dalton, Ph.D. on December 18, 2009 at 3:46pm

All Myoskeletal Alignment workshops and home-study courses were approved today through AMMA (American Medical Massage Association). Just received word from president Dr. Gregory Lawton. It is an honor and privilege to serve this group. Visit their website @ http://ahsconnect.com and click on "lounge".

Comment by D L Williams on November 27, 2009 at 11:15pm

Erik,
hope you're having a wonderful Thanksgiving weekend with your family. I couldn't wait to tell you this...I'm so excited about the work I've learned in Baltimore...I've been needing to learn how to unlock lumbars for some time and deal with the rotation of the spine on it's axis as well as the Scoliosis curve...I have several clients with scoliosis. I can release most of the curvature>but there was always the rotation that would get me...I have a lady her doctor had told her that her leg length difference was a structural problem and would never be any different...guess what!!yeah...maybe her doctor needs to think twice now. I'm so excited when we felt the rotation of her spine and the curve move>>for me it was exciting..I took a photo of her feet>medial malleoli, were even< I don't think she would have believed it..I wished I'd taken a before photo..anyway, it really encouraged me and I can hardly wait til my other clients with scoliosis comes in...this has opened up so much for me...to make a difference...not just the leg length...the hip rotation...well more...
I'm just so excited...I love my work...Thank you once again for your brilliant mind. deb

Comment by Erik Dalton, Ph.D. on November 25, 2009 at 7:02pm

Geo is doing the outline and our graphics gal will design it...should be nice.

Happy Goggle Gobble.

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