Neuromuscular Physical Therapy – Megan & # 39; and Case Study

The student Megan & # 39; s medical history and symptoms, key moments and events of his time seem to focus on the pain and confusion. Nine years ago, after the birth of her second child, it was the first time that Megan noticed that his left leg is slightly wider and longer than the right leg. The timing is important because during pregnancy a hormone called relaxin would have allowed him to loosen the ligaments system will pre-natal pool. However, relaxin also loosen ligaments elsewhere in the body, and a longer and wider left foot indicates the collapse of the main arch of the foot due to ligament laxity. This is one round of Megan & # 39; s history that did not have an adverse effect on his health since then. The calm belts may never fully recovered the entire stabilizing force, and when he developed a tired aching feeling in the left medial arch of a few years later, probably as a result. A fallen arch leads into turning inwards and this in turn put unreasonable under the tibialis anterior muscle and possibly posterior tibial stress as they attempt to stabilize and counteract the over pronation. He stressed or overwhelmed to form muscle trigger points (TPs) from, and tibialis anterior anteromedially it can refer pain when you pass the retinaculum. TPS is the posterior tibial pain refers to a single / arch. Over pronation peroneus longus leads to a shortened which further inhibits the tibialis muscles which exacerbates the problem of continuous vicious circle.

The whiplash injury experienced last year to Megan & # 39; s problems and they have experienced occasional headaches and neck stiffness. The whiplash injury almost certainly would have affected her sub occipital muscles, sternocleidomastoids (SCM), scalene and other stabilization of the neck and spine. This would lead to incorrect neck whiplash movement, which in turn would lead to the SCM and possibly TPS longus Colli one side (left) is likely the leg length discrepancy. TP would leave in these muscles rotate resulting in a shortened position the head to the right. If the longus colli part will result in the kinetic chain problems and affect the peroneals the lateral lower limb exacerbating the fallen arch. The peroneus longus muscles such an unhealthy state, it is possible that it may affect the sacrotuberous ligaments in the pelvis and the ability to keep the sacrum position. Megan says that one day last year he felt a twinge in his right sacroiliac joint to help up while lying on an obese client's situation. He experienced lock / interference and diffuse soft tissue pain QLS, multifidis and stabbing pain in his hip. The fact that he was locked in the trunk flexion to the right indicates that the QLS went into convulsions on the right wing after insult and as I find out later sacral base one inch tall, it and is back rotation of the right hip of the resulting postural imbalances which 2 / 3 Megan & # 39; and press the right side of the weight. This extra workload and postural imbalance led to stabbing pain in the trochanteric region and referred pain due to the lateral femoral TPs through a weak gluteus medius worked tensor fascia lata and iliotibial band due to issues.

All this pain is becoming unbearable levels, Megan turned to prescription medication, codeine-based painkillers, antidepressants, Zoloft, anti-inflammatory tablets each of which has exacerbated the problems of time to build up toxins in the body. He was also under the influence of painkillers is likely to damage the tissues of doing activities that he would not have done if he is a natural alarm pain stop him. The elastic support belt and the belt would support the situation worse by encouraging the atrophy of muscle tissue.

Megan & # 39; s right shoulder lower than the left may be due to a decrease in the latissimus dorsi muscle pulls the humerus and upper trapezius hypertrophy and anti pectoralis minor muscle pulls the scapula forward and down.

If we look at Megan & # 39; s problems, symptoms and medical history, we can appreciate that he is suffering from abject pain and dysfunction in up and down with functional kinetic chain. The pain in the plantar fascia, cramping peroneus longus, inhibited tibialis middle rotated tibia, medial knee pain, lateral thigh pain, trochanteric pain, lumbo – sacral pelvic pain and dysfunction, posteriorally rotate right hip, lower left front upper iliac spine, 2 / 3- unbalance the right side, lower back pain and QLS multifidis abbreviated state of the latissimus dorsi muscle, neck extensors and flexors is any problem, we must ask the question of how functional kinetic chain are dealing with. In my opinion, considering all the affected areas, it would be a spiral inclined chain.

Megan should ensure that his treatment will be extensive and protracted because some issues have been there for a while and would neural retraining of disorder and imbalances.

  • medical examination.
  • history.
  • Postural assessment.
  • testing

  • ROM / neural test.
  • Every shortened muscles should be relaxed and restricted / lengthened the TP Therapy, MET, positional release / counterstrain-grabbing.
  • should kick inhibited muscles and strengthen tapotement, MET and strengthening exercise. should
  • bind all areas STR, cross-fiber friction, etc.
  • In one aspect, the treatment could request a PCI pronating left foot beginning a plan to strengthen the area in the long term.
  • Megan & # 39; s diet was not mentioned, but also referring him to a specialist in this area to ensure that he is not the nutritional deficiencies that hindered the healing process.

Source by Charlie J Molloy

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