Performance Therapy

Maximising your productivity by weeding out problem clients

Posted by Stuart Hinds on

Maximising your productivity by weeding out problem clients

How much time do you spend on problem clients? No, this isn't about clients with a wry neck that just won't respond to treatment or your cyclist client who maybe over-shares just a bit too much.  We all have problem clients. They're the ones who you have to constantly chase for unpaid invoices, the ones who constantly question every professional decision, the ones who show up late and don't respect your time. And we suppress a sigh, grit our teeth, and get on with the job the best we can.  But here's the thing about troublesome clients: they're a time sink....

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Trigger Point Therapy: Digastricus

Posted by Stuart Hinds on

Trigger Point Therapy: Digastricus

About the digastricus From the Latin digastricus: having two (muscle) bellies Origin Anterior belly (a): digastric fossa on the inner side of the lower border of the mandible, near symphysis. Posterior belly (b): mastoid notch of the temporal bone. Insertion Body of hyoid bone via a fascial sling over an intermediate tendon. Action Raises hyoid bone. Depresses and retracts mandible as in opening the mouth. Nerve Anterior belly: mylohyoid nerve, from trigeminal V nerve (mandibular division).Posterior belly: facial (V11) nerve.   Trigger Point Referred Pain  Anterior: lower four incisor teeth, tongue, and lip, occasionally to chin.Posterior: strong 2 cm zone around...

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Muscle Energy Techniques - Gastrocnemius

Posted by Stuart Hinds on

Muscle Energy Techniques - Gastrocnemius

What is the gastrocnemius? The gastrocnemius is part of the composite muscle known as the triceps surae, which forms the prominent contour of the calf. The triceps surae comprises the gastrocnemius, soleus, and plantaris. The popliteal fossa at the back of the knee is formed inferiorly by the bellies of the gastrocnemius and plantaris, laterally by the tendon of the biceps femoris, and medially by the tendons of the semimembranosus and semitendinosus. Trigger points in the gastrocnemius are typically associated with calf pain/stiffness, nocturnal cramps, foot pain (instep), and pain in the back of the knee on mechanical activity.  ...

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Five Stretches for Elbow & Wrist Pain

Posted by Stuart Hinds on

Five Stretches for Elbow & Wrist Pain

Myofascial Trigger Points (MTPs) are ubiquitous, and myofascial pain affects as much as 85% of the population at some time in their life. The impact of myofascial pain on health can be severe as patients not only suffer from pain and loss of function, but also from impaired mood and decreased quality of life. Elbow and wrist pain are common, and may often be associated with trigger points in the muscles of the upper arm, lower arm, and shoulder. Stretching alone is unlikely to dissipate trigger points, but it may help accelerate the process as part of a broader treatment...

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Three stretches for latissimus dorsi

Posted by Stuart Hinds on

Three stretches for latissimus dorsi

Common daily activities such as gardening can lead to active trigger points in latissimus dorsi which in turn can lead to painful and debilitating symptoms. Trigger points in this large muscle can be associated with a number of common conditions including: “Thoracic” back pain that is constant in nature and unrelated to activity Frozen shoulder Thoracic outlet syndrome Back pain turning in bed Dull ache under shoulder blade Sharp pain in the back of shoulder when resting on elbows Pain reported when lifting the arms (eg. reaching up to a shelf or changing a light bulb). These trigger points are...

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