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Surprising link between an injury at one part with another part of the body

10/28/2011

16 Comments

 
I see this so frequently. The body has its own wisdom and we need to tap into it. I screened a sports physical therapist last year, and concluded that she had a sacroiliac joint restriction, a stuck rib joint and her AC joint was stuck. Then I pondered it and said: "I must be missing something, because the body always has a compensation and all 3 of these make the body orient to the left." The body has to orient to the right somewhere.

So I slowed it down, rescreened the body, which was easy as I knew that it most likely was in the hip or below. She had a reduction in ankle motion in which the talus was stuck in anterior glide and plantarflexion by 15-20 degrees, in the left foot effectively orienting the lower leg to the right, subtle though. Still very functional, the ankle did not hurt and she was completely unaware of it. It did provoke a mild muscle inhibition involving the tibialis anterior, but she was also unaware of it.
I restored normal motion in her SIJ, her rib joint, and her AC joint. I never touched them for treatment, just to reeval.
What did I treat?
I treated the ankle complex. The rest was her body's way of compensating reflexively. The stuck motion above was reflexively controlled by muscle, nothing was "out of joint" except one thing; her ankle!
Yes to whole-body evaluation and treatment, yes to everything is connected, etc.
Jerry


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    Jerry Hesch, MHS, PT, DPT(s) – Las Vegas Physical Therapy

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    Dr. Jerry Hesch, DPT, MHS, PT

    Married with 4 grown kids.  Earned my Doctorate at A.T. Still University in Tempe, AZ, MHS at the University of Indianapolis and my BS PT at University of New Mexico.  I enjoy working with my hands and particularly making glass objet d'art.

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