Patient with Pelvic Pain and Constipation Presents with Possible Fracture
Our elderly patient, who is an avid bike rider in NYC, reported having a bike crash and got up to continue riding a few days ago. Instead of starting treatment to help her with her chronic constipation via pelvic rehab as planned, we put on our athletic training hats and proceeded to evaluate this contusion. We held off on sEMG biofeedback, visceral mobilization, intestinal massage, and pelvic floor muscle rehab to assess her limb. Ruling out a possible fracture began: Fractures present with deformity, swelling, black and blue (ecchymosis), and pain. She was fully weight bearing and not...
Read MoreSacroiliac Joint Taping
Patients with unabating or chronic low back pain sometimes have sacroiliac joint misalignment. This patient has been dealing with a pelvic organ prolapse since delivery of her daughter 5 years ago and has been seeing another PT for her chronic low back pain. She comes to us from out of state for our expertise. Her evaluation revealed a sacral torsion or rotation (misalignment) to the left, pelvic floor muscle weakness, Grade 2+ cystocele, anterior innominate rotation right sided, generalized weakness/deconditioned and true hypermobility syndrome. We have used manual therapy techniques to...
Read MoreDiastasis Rectus Abdominus in Men with Concurrent Umbilical Hernia
Rectus Abdominus Diastasis (RAD) is a separation of the linea alba, greater than 2 centimeters is considered abnormal. The linea alba is a thick connective tissue that connects the two rectus abdominus muscles together, down the center. With RAD a separation of the abdominal wall occurs because of stretch or sealing of the linea alba. Diastasis rectus abdominus is commonly seen in women during and after pregnancy, in overly fit men and women who focus on excessive abdominal strengthening, and in adults who are overweight with abdominal central obesity. In this image we are evaluating a 40...
Read MoreRound Ligament Pain in Pregnancy
Pregnant women may complain of lower abdominal, pelvic, groin, hip, or pubic pain. A common cause of this may very well be the stretch sensation of the round ligament which can provoke pain in these areas. The round ligaments are two of the suspensory ligaments of the uterus (there’s one on each side). It originates at the lateral wall of the uterus on either side, passes through the inguinal canal, and inserts into the mons and pubic symphysis. As the baby and uterus grows and lengthens so must the suspensory ligaments. The round ligament is initially about 2 inches in length and can...
Read MoreUsing Rapid Release Technology To Treat Chronic Pelvic Pain
We sometimes use this device to apply mild heat and vibration to help relax the muscles. Using small strokes at high frequency this device can induce relaxation of the painful muscle rapidly. It has several different treatment “heads” designed for either treating bony contours, myofascial trigger points, or larger muscle bellies. In this image we are utilizing the Rapid Release on the hip adductors. This is a large inner thigh muscle group comprised of 5 muscles: the pectineus, adductor magnus, brevity, longus, and gracilis. There is a shared connection with the obturator...
Read MoreDr. Morrison Lectures on Labor & Delivery
In this photograph Dr. Morrison is giving an in-house lecture to the staff, and community childbirth practitioners, on manual physical therapy for improving pelvic alignment and mobility for labor and delivery. Addressing imbalanced pelvic joints, pelvic and uterine ligaments, hip and lumbopelvic muscles can help improve pelvic balance and allow for the baby to move to an optimal position for successful vaginal delivery. We evaluate to see which combination of techniques – massage, joint mobilization, muscle energy techniques, strain/counterstrain, positional releases, neuromuscular...
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