It has often been found that physiotherapists keep treating a patient without obtaining significant improvement or recovery which leads to the outcome that patient keeps changing his therapist on a regular basis in quest of relief. In such an event, the therapist keeps wondering the reasons as to why the patient is not responding to the treatment, and often, the condition becomes dissatisfying to an extent that the therapist takes the refuge of happily labelling the patient as a psychological patient.
To become a successful therapist, it is important to critically analyse such a circumstance, as to what could have possibly gone wrong? Was it the treatment, the treatment doses, the therapist, the patient, or the assessment itself?
It is usually said that a good assessment is fundamental to efficient treatment. We would like to reframe this statement as, “A good global assessment is fundamental to effective treatment.” All the above factors, as stated above, like treatment, its doses etc, play vital role in the recovery of the patient, however, we must not forget that it is possible that the area we are treating might not be the culprit in the first place. The real problem might lie in an adjacent joint or in a distant joint in the body which is at a mechanically disadvantaged position or its position might be biomechanically incorrect. This might result in pain, stiffness, weakness elsewhere in the body.
The pain could be due to faulty biomechanics or faulty posture at distant body parts/joints which might behave in a peculiar way and might produce pain, for instance, In case of an anterior pelvic tilt, end range knee extension might not be possible. Here, the culprit might not be tight hamstrings or weak quadriceps, rather, the incorrect position of the pelvis.
In the same way, hyper pronated feet will result in excessive internal rotation of the tibia followed by internal rotation of the femur, resulting in the hip muscles being in a mechanically disadvantaged position, leading to lower crossed syndrome, i.e., tight iliopsoas and weak gluteus. Not only will this result in lateral shift of the patella which will give pain in the knee joint .This suggests that the real cause of pain is not limited to knee, it is the foot which is the main perpetrator of pain. Here, treating only the knee or only hip will not give long lasting results to the patient despite an effective treatment delivery. Therefore, learning how to treat just one joint won’t help in the long run; being movement scientists, it is important to learn to treat the other joints as well.
This chapter on Manual Therapy Lower Limb covers all the techniques used to treat joints like hip, knee, ankle and foot.
From this chapter on Manual Therapy Lower Limb, All participants will gain an understanding of the manual therapy techniques and best of different manual concepts, as well as modified osteopathic and chiropractic techniques. The participant will have enhanced treatment skills when examining lower limb joints. As with all manual techniques, handling skills are paramount, and at the end of the program, the true professional will be able to assess the condition and deliver the manual treatment with great expertise. The most important outcome is that patients will benefit the most from this integrated approach.
NOTE: UPGRADE TO HANDS ON WORKSHOP AVAILABLE ON PAYMENT BASIS
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