resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
April, 2002, Vol. 02, Issue 04
Anatomy of an Inversion Sprain
By Neal Cross, PhD, NCTMB
Ankle inversion sprains make up the greatest majority of ankle sprains (Snider, 1997). The anatomical damage subsequent to this biomechanical event goes beyond the ankle and its adnexa.The principle structures stressed during forced hyperinversion of the ankle are the three components of the lateral collateral ligament (LCL) of the ankle: the anterior and posterior talofibular ligaments and the calcaneofibular ligament.
The anterior talofibular (ATF) ligament attaches to the anterior margin of the lateral malleolus and runs distally to attach to the anterior aspect of the talus. It is readily palpable, especially at its proximal end, and is the first structure stretched or torn following an inversion sprain. The calcaneofibular (CF) ligament attaches to the distal tip of the lateral malleolus and runs inferiorly to attach to the lateral aspect of the calcaneous. You can easily palpate this ligament at its proximal portion. In the sequence of events following an inversion sprain, this is the second ligament to be compromised. The posterior talofibular (PTF) ligament is not readily palpable, as its runs from the posterior margin of the lateral malleolus to the posterior aspect of the talus. Damage to the PTF usually occurs only following severe sprains. In fact, the severity of inversion ankle sprains is often defined by the damage to these three ligaments making up the ankle LCL. For example, Anderson and Hall, 1995 note that 1st , 2nd and 3rd degree sprains are associated with the ATF; ATF+CF; and ATF, ATF+CF, ATF+CF+PTF, respectively.
The LCL is not the only structure on or near the lateral aspect of the ankle that is liable to injury following an inversion sprain. The peroneus (fibularis) longus and brevis muscles run from the lateral aspect of the leg and have their distal tendons running in a groove (peroneal groove) on the posterior aspect of the lateral malleolus, on their way to the distal attachments on the foot. These tendons are held in place by two (superior and inferior) retinacula. Following an extreme acute sprain or a series of milder inversion sprains, these two structures may be stretched or torn. Subsequently, when everting the foot (against resistance), the tendons of the peroneal muscles "pop out" from behind the lateral malleolus. Injuries to any of the above ligaments and retinacula may result in swelling, ecchymosis and tenderness over the lateral aspect of the ankle and foot. Pain may often be more severe over tissues experiencing the most damage. Bone injuries also can occur with severe inversion sprains and need to be ruled out by a physician.
The lateral malleolus comprises the distal end of the fibula. Since inversion sprains of the ankle negatively impact this end of the bone, it makes sense that it would have to impact the proximal end as well. In fact, a loss of fibular motion usually occurs following such a sprain. If you check yourself or a client, you can gently rock the fibular forward and backward ever so slightly. The fibula may become "stuck" following an inversion sprain -- this motion would cease. The sprain also would cause increased tension on the interosseus membrane between the fibula and tibia. The proximal part of the fibula (fibular head) is closely associated with the knee joint complex via the lateral collateral ligament of the knee. As a result, there may be significant forces running though the lateral aspect of the knee.
The entire lower limb wrapped in a thick fascial layer. In fact, in the thigh this layer is so dense it has a special name; the fascia lata. On the lateral aspect of the thigh, and continuing down to the proximal leg, this fascia lata is thickened further by the apposed tendon of the tensor fascia lata, which together form the IT band (iliotibial tract). The IT band runs from the anterolateral surface of the pelvis to a tubercle (Gerdy's tubercle) on the anterolateral aspect of the tibial condyle. Therefore, sometimes following an inversion ankle sprain the IT band is forced inferiorly, and this forces the pelvis to be pulled down forcibly on the affected side. The end result will be an "uneven" pelvic base to support the torso and rest of the body.
As massage therapists, we need to be aware of relationships among body parts that may impact the work we do on our clients following specific injuries. In many instances, soft tissues well-removed from the site of original insult are affected.
Click here for previous articles by Neal Cross, PhD, NCTMB.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.