Skeletal System Pathologies: Part 1

While acute inflammation is present massage to the area is contraindicated until the swelling has gone down. Please consult with your doctor prior to receiving massage therapy.
**This video is for teaching purposes only. Please consult a doctor for proper diagnosis.
Massage therapists, stay within your scope of practice.

►REFERENCE BOOK USED
Massage Therapy: Principles and Practice 6th Edition: https://amzn.to/38iNlBq

►PDF of DESCRIPTIONS BELOW W/ PART 2
https://tinyurl.com/Skeletal-Pathologies

►TIME STAMPS
0:00 Introduction
0:49 Adhesive capsulitis (AKA) frozen shoulder
is an inflammation of the shoulder and the joint capsule. Adhesions develop and restrict motion causing pain. Do not massage while acute inflammation is present use M-C-E (move, compress, elevate) Ice can be applied to reduce swelling. Make sure to address the Subscapularis muscle since this is known as the frozen shoulder muscle. Massage of all related muscles will help reduce pain & increase ROM.

3:00 Baker Cyst
is an accumulation of synovial fluid behind the knee. It can be within the bursa or a separate cystic structure. It can be caused by arthritis or knee injuries caused by meniscal tear or tendon strains. Avoid massage on the affected area specially directly behind the knee where the popliteal is. There are many blood vessels in this area along with nerves going through there. Use a bolster behind the knees to make client comfortable and use light pressure around the related muscles.

4:20 Bursitis
is inflammation of a bursa can occur on any of the synovial joints. It is named according to its location such as; subscapular bursitis, subacromial, olecranon, infrapatellar, trochanteric bursitis etc. Chronic bursitis that results from long standing bursitis may lead to changes in the tissues, such as calcification & adhesive formation. Using pillows and bolsters to prevent pressure on affected areas. Adjust massage pressure according to the clients tolerance. Passive ROM may prevent adhesions and help regain mobility.

6:35 Dislocations and Subluxations
dislocation is the temporary displacement of bones within a joint with complete loss of contact between articulation. Subluxation is the partial loss or separation between the joint with some contact still on the articulation. The most common joints to dislocate are the shoulder, elbow, wrist, finger hip and knee. These injuries can damage ligaments, joint capsules, tendons, nerves and blood vessels. Shoulder dislocations can be recurrent and have a tendency to develop OA in later years. Joint movements are contraindicated for recent dislocations and subluxations. You may work on a client once it is healed completely and swelling has gone down. Because dislocations leave the joint with ligament laxity avoid traction and aggressive joint movement.

7:44 Fractures
Fractures are classified form complete or incomplete and as open or closed fractures. Complete fractures occur when the bone breaks all the way through and incomplete fractures bone is damaged but still in one piece. Open fractures is when the skin is broken through where as closed fractures the skin over the bone is intact. If the client is in a cast you do not work over the area nor remove the cast. You wait until the client is completely recovered before working the area.

19:18 Ganglion Cyst
pouchlike structure filled with synovial fluid. Cyst arise from the joint capsules or tendon sheaths. Avoid massaging the affected area. Use light pressure on surrounding areas.

10:30 Gout
is a type of arthritis resulting from uric acid crystals in the joints. Common in the big toe which can become swollen and very painful. Avoid massage to the local area and keep client comfortable by placing bolster when they are prone.

12:30 Kyphosis (AKA) hunchback
is an exaggerated curvature of the thoracic spine. Osteoporosis is a leading cause of kyphosis, arthritis, spondylosis, rickets and cancer are other common factors. Position client for comfort with bolsters or pillows. Sideline position is best. Massaging the Paraspinal muscles along with Pectoralis major, minor, Serratus Anterior and Rhomboids is beneficial to the client.

15:18 Lordosis
is an exaggeration of the normal anterior or lordotic curvature in the lumbar spine. The hips are rotated anteriorly causing the lumbar area to curve posteriorly. Left untreated it can lead to degenerative disc disease or herniated lumbar discs. Lordosis and Kyphosis may coexist due to the compensation your spine is trying to achieve. Position your client in a comfortable position propped with bolsters and pillows. Supine position may not be comfortable for the client. Make sure you address the Paraspinals, Quadratus lumborum and Latissimus Dorsi muscles. Overstretching is a contraindication for Lordosis and Kyphosis and Scoliosis.

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