The patient complains of right knee pain and left ankle pain upon walking. He was scheduled for right knee surgery. He has been taking pain killers for the pain. Findings include a limited range of motion in the left ankle and anterior joint line edema of the anterolateral talofibular joint. There is pain in the left anterior ankle upon maximal ankle dorsiflexion. He has history of a fracture of the left talus bone in the ankle 40 years ago. The chiropractor referred the patient for radiographs. Radiographs showed a left ankle misalignment and osteophytic spurs at the anterior tibia.
The practitioner concluded that he has potential anterior ankle impingement syndrome, subtalar joint instability and anterior talus subluxation, and compensated muscle wear and tear. This may be a result of chronic repetitive impingement of the tibia bone against the talus from weight bearing activities or previous ankle sprain. A differential diagnosis may be ankle joint osteoarthritis with loss of joint space and osteophytes.
The treatment involves RMT massage of the scar tissue and subtalar joint mobilization to increase the range of motion and alignment. The chiropractor adjusted the left ankle anterior talus upon the discovery of the subluxation to introduce realignment of the joints and boost blood circulation. The physiotherapist performed modalities on the left ankle and gave the patient various stretching and strengthening exercises. The chiropodist prescribed orthotics to change the foot biomechanics and compensated walking pattern, and to fix the joint alignment while walking.
After the 6-8 weeks treatment plan, the patient cancelled the scheduled surgery and he cut down on the pain killers for the pain. The patient's pain level was reduced significantly. The maintenance care was once a month visit for massage, chiropractic and physiotherapy.
The patient complains of headache that is like a tight band around her head for two months. The patient has a habit of grinding her teeth while she is asleep at night. She experiences headaches that lasts one-three days every incident. The patient sits at a desk for pro-longed hours daily for her office job. Her stress levels have been high from the high workloads.
She went through medical intervention and found no significant findings. The patient sought help at our clinic for massage, chiropractic, and physiotherapy care. The chiropractor diagnosed the patient with tension headache after an initial assessment.
The treatment focused on RMT massage of the neck muscles and the facial muscles, especially loosening muscles that surround the temporomandibular joint (TMJ) of the face, to reduce muscle tension. The chiropractor made cervical adjustments for the cervical spine and TMJ, which realigns the spine, reduces muscle tension for muscles attached, increase mobility of neck joints, and improves the overall neuromuscular health. The physiotherapist gave the patient exercises that properly stretch the cervical muscles and facial muscles, and advice on proper ergonomics while sitting at her office desk.
The treatment reduced her headaches by 50% after the first session and her headaches were completely reduced by 100% after the second session. The good news is no drugs or surgery or anything invasive was required to help heal the patient.
The patient complains of left knee pain. The physiotherapist referred him over for RMT massage. The patient had a history of two knee replacements in the past 10 years. Upon examination from the RMT, the following findings were found: a right convex thoracic scoliosis, right anteriorly rotated/tilted pelvis, and left scapula elevated.
The RMT treatment improved muscular imbalances of the back muscles, which helped to improve the alignment of the spine. Although there are major improvements in his knee pain and muscle tension, his neck remains slightly rotated to the right and his scoliosis remains present.
The suggested maintenance care was once a month visit for massage. The patient has been maintaining this maintenance care of once per month for 10 years and he has been in good shape since then.
The patient complains of left neck and left shoulder pain that has been persistent for many years. He visited multiple clinics and saw many RMTs, but he has not been improving well.
In the first session, the patient guided the RMT of the amount of pressure desired and the way he desires the massage to be. The RMT explored where the muscle knots, muscle tightness, and the issues underlying the muscular pain were located. In the second session, the RMT corrected the patient's misunderstandings of the massage methods. The RMT did an independent assessment and noticed that he has a gait abnormality.
The treatment focused on his left scapular alignment and massage over muscles aligning his anterior glenohumeral wall and subscapularis, triceps and pectoral muscles. The patient's left neck and left shoulder pain relieved well, and the patient satisfaction was very high. He was suggested on using custom orthotics and instructed on the proper way of swinging the arm and lifting items. He was given stretching exercises for maintenance care.
The patient presents with pre-natal muscle pain in her bilateral buttocks and thighs. She is on her third trimester of her second pregnancy. She experienced bilateral buttock pain on her first pregnancy as well and muscle pain was relieved through massage therapy with great success. She sought massage therapy from our clinic during her pregnancy.
The treatment involves RMT massage of the gluteus medius and gluteus maximum muscles in the buttocks, the IT band on the lateral thigh, the hamstrings, and the adductor magnus and longus muscles. The treatment resulted in an active release of muscle tension and instant pain relief for the patient after treatment. The naturopath specialist provided the patient with a nutritious diet and dietary advice that is beneficial to both the pregnant lady and the fetus.
Post-natal massage treatment is recommended after giving birth because it is necessary to help in faster recovery, to gain back the strength in muscles, and to get back in shape.
The patient presents to the clinic with right lower leg pain with swelling. He injured his right lower leg in a soccer game resulting in a partial paralysis of the right lower leg. The findings include edema on the superior anterior knee to the distal lower leg, pain in talotibial joint upon plantar flexion, and hematoma along the interosseous membrane between the tibia and fibula.
His family physician suggested that there may be a potential ACL tear, but the swelling was too severe to do a proper assessment. As a regular client for massage therapy in the clinic, he trusts getting a third opinion from the practitioners at our clinic. After an initial assessment and understanding of his muscle health and history, the acupuncturist and RMT noticed that it could be only a muscle strain.
The treatment involves RMT lymphatic drainage massage of the lower body and acupuncture therapy. The patient was given three sessions of acupuncture over one week and he was back on the soccer field. His family doctor was amazed of the instant results without doubt.
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