A comprehensive guide to understanding the complexities of the shoulder and treating shoulder injury and pain The area of the body we commonly refer to as "the shoulder" is in fact a complex of interconnected systems--bones, tendons, muscle, and joints that together work to move our arms, hands, and fingers. Because the shoulder must trade stability for mobility, it is also one of the weakest joints of the body, which explains why it is one of the most common areas of physical pain; injury located in the shoulder can affect areas throughout the entire body. The Vital Shoulder Complex is designed for anyone interested in understanding, treating, and healing shoulder-related pain. Author and renowned bodyworker John Gibbons explains and illustrates the dynamics of the shoulder complex in ways that are accessible and enlightening. The theory and principles described in this book can assist physical therapists in formulating effective treatment protocols towards quick rehabilitation for their patients. These include: * Differential diagnosis of shoulder pathology * The relationship of the pelvis, the SI joint, and the gluteals to the shoulder complex * Pathologies of the shoulder and cervical spine * Special tests associated with the shoulder complex * Rehabilitation and exercise protocols for the shoulder complex
Physical therapists and athletes will appreciate this thorough, illustrated study of the oft-overlooked gluteal muscles and their connection to the greater body In The Vital Glutes, author and respected bodywork specialist John Gibbons looks at one of the most neglected areas of the body: the gluteal muscles. He takes readers on a fascinating journey of enlightenment, teaching us to recognize pain and dysfunctional patterns that arise from the gluteal muscles. Gibbons addresses such questions as: Why do the gluteals potentially cause pain and dysfunction in distant sites of the body? How does the gait pattern contribute to pain and dysfunction? And, how can the application of gluteal-specific Muscle Energy Techniques aid full-body well-being? In addition, he provides step-by-step techniques to identify and correct a number of impaired patterns as well as functional gluteal exercises that promote recovery. With full color photographs and illustrations, the book demonstrates how to perform functional assessment testing for the muscles of posture that can become chronically tight—a principal causative factor in dysfunctional glutes. Therapeutic techniques, including gluteal exercises, show how to correct dysfunction and reduce pain. This book will be of great value to physical therapists, athletes, and anyone interested in bodywork. Table of Contents 1. Putting the Maximus Back into Gluteus Maximus 2. Muscle Imbalance and the Myofascial Slings 3. The Glutes and the Gait Cycle 4. Leg length discrepancy (LLD), Over-Pronation and its effect on the Glutes 5. Functional Anatomy of the Gluteus Maximus (Gmax) 6. Functional Anatomy of the Gluteus Medius (Gmed) 7. Muscle Energy Techniques 8. The Antagonistic Cause - the Vital Psoas, Rectus Femoris and Adductors 9. Gmax and Gmed Causing Knee and Ankle Pain
A must-have book for understanding one of the most fundamental areas of physical therapy: the nervous system and its relationship to musculoskeletal pain Osteopath, lecturer, and author John Gibbons offers an accessible introduction to the peripheral nervous system (PNS). Alongside real case studies and guidelines for hands-on work with clients and patients, The Vital Nerves demystifies and makes accessible everything from how to diagnose nerve conditions to understanding how our cells communicate. Gibbons provides critical insights into the structure and functions of the PNS; the body's response to stimuli and how it knows what to do; the sympathetic and parasympathetic nervous systems; understanding the stress response; and how reflex testing can aid in diagnosing conditions like Multiple Sclerosis, Parkinson's Disease, and paresthesias. The Vital Nerves addresses practical, common considerations like how to: Assess the nervous system using a patella (reflex) hammer, myotome (muscle) testing, and dermatome (sensory) testing Determine whether pain in the posterior part of the thigh is caused by the sciatic nerve, piriformis, or simply a hamstring strain Decide at what level a disc may have herniated Differentiate between upper and lower motor neurone disorders Know what to do with the findings of your neurological assessment and the circumstances under which to refer patients for more specialist care. The Vital Nerves is a comprehensive roadmap to the functional anatomy of the nervous system. Enriched with anatomical drawings and detailed explanations, it explains neurological testing, common neuropathies, and differential diagnoses, and is an indispensable resource for physical therapists and bodyworkers.
Revised and updated: a fresh new look to an established best-seller--an essential tool for physical therapists that offers unique insights into the versatile and highly effective technique of muscle energy techniques. Muscle Energy Techniques is a must-have for any student or practitioner of physical therapy, osteopathy, physiotherapy, chiropractic, or massage therapy. This practical guide--packed with full-color photographs and illustrations--fully explains the theory and practice of a range of muscle energy techniques. The book is broken in 5 parts. In part I, John Gibbons examines the theory and principles behind muscle energy techniques, with chapters that explain the technique, muscle imbalances, myofascial slings, and core muscle relationships. Parts II to IV break down the technique by body area--upper body, lower body, trunk, and pelvis--with clear descriptive explanations of the techniques. Accompanied by color photographs with directional arrows, each shows the practitioner how to maximize treatment benefits. Clear drawings allow the reader to understand the basic anatomy of each muscle. A concluding part V shows two applications of muscle energy techniques: self-lengthening techniques for the shoulder complex and muscle weakness testing of the gluteals.
This illustrated guide provides useful information, techniques, and exercises to help you better understand—and alleviate—pelvic pain This step-by-step guide for assessing the pelvis and sacroiliac joint explores all aspects of this crucial area of the body and how it links within the kinetic chain system. A registered sports osteopath who specializes in the treatment and rehabilitation of sport-related injuries, John Gibbons provides detailed information about how to recognize pain and dysfunctional patterns that arise from the pelvic girdle, in addition to offering techniques that correct these impaired patterns and functional exercises that promote recovery. He also addresses such key issues as: • The walking/gait cycle and its relationship to the pelvis • Leg length discrepancy and its relationship to the kinetic chain and the pelvis • The laws of spinal mechanics • Sacroiliac joint screening • The role of the glutes, psoas, rectus femoris, and other muscles, and what happens to the position of the pelvis if these soft tissues become shortened Complete with illustrations, photographs, and an appendix for quick reference, Functional Anatomy of the Pelvis and the Sacroiliac is an essential text for practitioners, students, and anyone who wants to understand pelvic pain and what they can do about it.
A comprehensive guide to understanding the complexities of the shoulder and treating shoulder injury and pain The area of the body we commonly refer to as "the shoulder" is in fact a complex of interconnected systems--bones, tendons, muscle, and joints that together work to move our arms, hands, and fingers. Because the shoulder must trade stability for mobility, it is also one of the weakest joints of the body, which explains why it is one of the most common areas of physical pain; injury located in the shoulder can affect areas throughout the entire body. The Vital Shoulder Complex is designed for anyone interested in understanding, treating, and healing shoulder-related pain. Author and renowned bodyworker John Gibbons explains and illustrates the dynamics of the shoulder complex in ways that are accessible and enlightening. The theory and principles described in this book can assist physical therapists in formulating effective treatment protocols towards quick rehabilitation for their patients. These include: Differential diagnosis of shoulder pathology The relationship of the pelvis, the SI joint, and the gluteals to the shoulder complex Pathologies of the shoulder and cervical spine Special tests associated with the shoulder complex Rehabilitation and exercise protocols for the shoulder complex
The premier text for therapeutic exercise Here is all the guidance you need to customize interventions for individuals with movement dysfunction. You’ll find the perfect balance of theory and clinical technique—in-depth discussions of the principles of therapeutic exercise and manual therapy and the most up-to-date exercise and management guidelines.
Located deep within the anterior hip joint and lower spine, the psoas major (usually just referred to as the psoas) is critical for optimal postural alignment, movement, and overall well being. The psoas is the only muscle in the human organism that connects the upper body to the lower body, and its importance extends to the nerve complex and energy systems. As modern-day populations grow more sedentary, psoas-related lower back and hip pain, and the ailment of "sitting too much," are on the rise. Even the most active of athletes can suffer from psoas imbalance and pain. The Vital Psoas Muscle demonstrates how to keep the muscle in balance through specific exercises designed to strengthen and utilize this amazing muscle, and discusses its vital role in the emotional and spiritual state of the human being. The interconnection between the psoas and the root chakra is explored, along with yoga poses and postures that stimulate the psoas. Eighty full-color illustrations depict anatomical details, and show the key stretching and strengthening exercises in this practical and comprehensive treatment of the most important skeletal muscle in the human body.
This book is about empowerment for chronic pain patients and care providers alike. Every chronic pain condition has a treatable myofascial trigger point component, including fibromyalgia. Many of the localized symptoms now considered as fibromyalgia are actually due to trigger points. The central sensitization of fibromyalgia amplifies symptoms that trigger points cause, and this book teaches care providers and patients how to identify and treat those causes. Chronic myofascial pain due to trigger points can be body-wide, and can cause or maintain fibromyalgia central sensitization. Trigger points can cause and/or maintain or contribute to many types of pain and dysfunction, including numbness and tingling, fibromyalgia, irritable bowel syndrome, plantar fasciitis, osteoarthritis, cognitive dysfunctions and disorientation, impotence, incontinence, loss of voice, pelvic pain, muscle weakness, menstrual pain, TMJ dysfunction, shortness of breath, and many symptoms attributed to old age or "atypical" or psychological sources. Trigger point therapy has been around for decades, but only recently have trigger points been imaged at the Mayo Clinic and National Institutes of Health. Their ubiquity and importance is only now being recognized. Devin Starlanyl is a medically trained chronic myofascial pain and fibromyalgia researcher and educator, as well as a patient with both of these conditions. She has provided chronic pain education and support to thousands of patients and care providers around the world for decades. John Sharkey is a physiologist with more than twenty-seven years of anatomy experience, and the director of a myofascial pain facility. Together they have written a comprehensive reference to trigger point treatment to help patients with fibromyalgia, myofascial pain, and many other conditions. This guide will be useful for all types of doctors, nurses, therapists, bodyworkers, and lay people, facilitating communication between care providers and patients and empowering patients who now struggle with all kinds of misunderstood and unexplained symptoms. Part 1 explains what trigger points are and how they generate symptoms, refer pain and other symptoms to other parts of the body, and create a downward spiral of dysfunction. The authors look at the interconnection between fibromyalgia and myofascial trigger points and their possible causes and symptoms; identify stressors that perpetuate trigger points such as poor posture, poor breathing habits, nutritional inadequacies, lack of sleep, and environmental and psychological factors; and provide a list of over one hundred pain symptoms and their most common corresponding trigger point sources. Part 2 describes the sites of trigger points and their referral patterns within each region of the body, and provides pain relief solutions for fibromyalgia and trigger point patients and others with debilitating symptoms. Pain treatment plans include both self-help remedies for the patient—stretching or postural exercises, self-massage techniques and prevention strategies—as well as diagnostic and treatment hints for care providers. Part 3 offers guidance for both patients and care providers in history taking, examination, and palpation skills, as well as treatment options. It offers a vision for the future that includes early assessment, adequate medical training, prevention of fibromyalgia and osteoarthritis, changes to chronic pain management and possible solutions to the health care crisis, and a healthier version of our middle age and golden years, asserting that patients have a vital role to play in the management of their own health.
