MFR Scalp and Cervical region
Hand placement: Vault Hold
ST Supine Cervical Traction
ST Seated Cervical Traction
How to diagnose trigger points?
1. Listen to pt's described pain pattern
2. Palpate suspected muscle for knot in muscular layer
May feel twitch response or reproduction of pain pattern (not typical of tender point)
Where are the Head/Neck trigger points?
Levator scapulae M.
Upper Trapezius M.
How to perform ischemic compression of trigger points
What neurological testing might you perform when diagnosing cervical facets?
DTR: biceps, brachioradialis, triceps
Muscle strength: C5, C6, C7
What special tests might you perform for diagnosing cervical facets?
FPR for all cervical facets and hypertonic cervical musculature
OA Cervical HVLA
AA Cervical HVLA
C2-C7 HVLA - Sidebending emphasis
C2-C7 HVLA - Rotation emphasis
ST Hypertonic Temporalis Muscle
ST Mandible restricted to Lateral Translation
ST Medial Pterygoid
MET Restriction to Mandibular Depression