Part of THE METHOD I use treats joint restrictions at Occiput-C1 in a very close to neutral position, using less than 10 degrees of side bending and rotation. There is very limited motion available at this joint and retesting cautiously with coupling of other upper segments will be an added measure of success. I treat everything below first, meaning below C4 to the toes, because biomechanically and reflexively C1-C2 will compensate with contralateral rotation and slight side glide. Then I treat top down, Occiput-C1, then C1-C2 if restricted, and C3 if indicated. I am referencing unilateral patterns a bilateral is another beast. Great questions you pose! Afterwards I do soft tissue work but proceeding with soft tissue work sometimes can be very helpful, less so if reflexogenic response at play. Always helpful after, and oftentimes much softer in response to the joint work.
Jonathan and group
Part of THE METHOD I use treats joint restrictions at Occiput-C1 in a very close to neutral position, using less than 10 degrees of side bending and rotation. There is very limited motion available at this joint and retesting cautiously with coupling of other upper segments will be an added measure of success. I treat everything below first, meaning below C4 to the toes, because biomechanically and reflexively C1-C2 will compensate with contralateral rotation and slight side glide. Then I treat top down, Occiput-C1, then C1-C2 if restricted, and C3 if indicated. I am referencing unilateral patterns a bilateral is another beast. Great questions you pose! Afterwards I do soft tissue work but proceeding with soft tissue work sometimes can be very helpful, less so if reflexogenic response at play. Always helpful after, and oftentimes much softer in response to the joint work.
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Dr. Jerry Hesch, DPT, MHS, PTMarried 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. Powered by Calendar Labs Archives
August 2016
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