Soft Tissue Midterm- regions of the body

4-7

lumbo-pelvic region

• from inferior margins of the ribs to the ischial tuberosities

• areas with significant amounts of tension, tenderness, and trigger points

• causes:

  • postural asymmetry

  • spinal curvature

  • pelvic obliquity

  • HNP (herniated disc)

  • sprain/strain

indications for lumbo-pelvic region

• trauma

• unaccustomed exertion/ weekend warriors

• awkward positioning

• secondary to another disorder

• somatic impairment

• compression syndromes

• prolonged postures

contraindications for lumbo-pelvic region

• pt ill or nauseous

• pt in severe pain

• fever

• recent serious injury

• skin condition on treating area

• malignant melanoma

• swollen glands

• bleeding treatment area

• acute inflammation

  • acute RA or acute injury

  • chronic RA decreased sensation (precaution)

• hyperesthesia (precaution)

cervical thoracic region

• from inferior angle of scapula to the occipital bone and laterally to deltoids

• areas with significant amounts of tension, tenderness, and trigger points

  • forward head posture

  • stress

  • whiplash/trauma

  • torticollis

  • awkward positioning

  • headaches MAY BE A CAUSE OR A RESULT of this tension producing area

cervical indications

• trauma

• unaccustomed exertion-cervical mm strain

• awkward positioning

• secondary to another disorder- arthritis in c/s

• emotional stresses

• compression syndromes

• prolonged postures

• TMJ dysfunction

• disc herniation

cervical contraindications

• pt ill or nauseous

• pt in severe pain-systemic

• fever

• neck has been seriously injured recently

• skin condition on treating area

• malignant melanoma

• swollen glands

• bleeding treatment area

• acute inflammation

  • acute RA or acute injury

  • chronic RA or down syndrome (may be weakened transverse ligament at C1, C2)

• decreased sensation (precaution)

• hyperesthesia (precaution)

UE indications

• S/P wrist, hand, elbow surgery (healed)

• healed fracture

• tennis elbow

• golfer elbow

• carpal tunnel

• arthritis

• neuropathy

• thoracic outlet/inlet syndrome

• tendonitis

• sprain/strain

• post cast

• dupuytren’s contracture

• trigger finger

• edema

• bursitis

• shoulder, elbow, forearm, wrist, hand injury

• dequervains syndrome

UE contraindications

• acute injury

• unhealed fx

• unhealed tendon repair

• open wound in area

• infection

• skin rash in area

• CHF (watch for pitting edema)

• precautions—> RA (watch integrity of joints)

radial pulse

before massaging UE, check….

LE indications

• arthritis

• bursitis

• healed fx

• status post cast

• status post surgical intervention (per MD precautions)

• post op scar

• amputation

• peripheral nerve injury

• tarsal tunnel

• sprain/strain

• tendonitis

• plantar fascitis

• post tendon repair

LE contraindications

• acute injury

• open wound in area

• rash

• congestive heart failure (watch for pitting edema)

• hyperesthesia/ undiagnosed systemic pain

• phlebitis

• DVT

• active gout

• over vericose veins

• muscle rupture

• bleeding disorders

dorsalis pedis

start LE massage with…