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Pathology for Massage Therapists
T
Tendonitis
Definition: inflammation
of a tendon or musculotendinous junction
Causes: overuse,
repetitive stress, improper healing, or tearing from sustained overloading
of muscle
Signs/Symptoms: pain,
persistent pain worse at night, pain referral, pain worse after use, muscle
weakness, inflammation, limited ROM; usually occurs where the tendon
attaches to the bone or where the muscle attaches to the tendon or in the
tendon.
Common areas: rotator cuff
tendonitis, infraspinatus tendonitis, carpal tunnel syndrome, tennis elbow,
shin splints
Indications: Massage
as per your level of training. Trigger point treatments, relieve
inflammation, re-educate movement. Slow to heal because of lack of vascularity.
Contraindications:
Cortisone shots may be administered; Use caution
Temporal Mandibular Joint Syndrome
Definition:
dysfunction of the temporal mandibular joint (jaw): displacement of cartilage
disk
Causes: jaw misalignment,
cranial misalignment, vertebral misalignment, scoliosis, tooth grinding,
stress, bad posture, hypoglycemia (tooth grinding and clenching more prevalent),
whiplash, poor dental work, trauma,
Signs/Symptoms: jaw
pain, muscle spasms around joint, clicking, tooth grinding, popping, pain,
headaches, neck and shoulder pain, tinnitus
Indications: Massage
to realign problem areas, especially, temporalis, masseter, pterygoids,
cranial realignment, cervical realignment. Intra oral work is usually
needed but may be out of the scope of practice in your state.
Contraindications:
none: Refer to appropriate health care practitioner; Surgery can be avoided
Article
on TMJ by Judith Walker Delaney
Tenosynovitis
Definition: inflammation
of the tendon sheath - the gliding surface of the tendon and surrounding
sheath.
Causes: overuse,
repetitive motion, repetitive strain, improper posture, misalignment
Signs/Symptoms: pain,
inflammation, stiffness
Indications: Massage
as per your level of training; Reduce inflammation, relieve trigger
points, realign problem area
Contraindications: None;
Check for medications - steroids may be used in treatment.
Trigeminal Neuralgia
Definition: compression
of fifth cranial nerve; may cause degeneration of nerve
Causes: vertebral
misalignment, cranial misalignment, TMJ
Signs/Symptoms: pain
in face area
Indications: Massage
for pain reduction, realign problem areas
Contraindications:
None. Refer to appropriate health care provider.
Thoracic Outlet Syndrome
Definition: compression
of brachial nerve plexus; C8-T1; may also be referred to as Brachial Plexus
syndrome which may involve C5-C8.
Causes: tightness
in pectoral muscles, intercostals, muscles around clavicle, upper back,
neck; misalignment in one or all or these areas; disc protrusion or herniation,
fibromyalgia, degenerative changes in the spine causing nerve impingement,
inter-scalene triangle impingement, fibrositis of the cervical and shoulder
area,
Signs/Symptoms: pain
in arm, shoulder, hand, forearm; cold hands and fingers due to compression
of axillary artery
Indications: Massage;
realignment and release compression
Contraindications:
none; Refer to appropriate health care practitioner; Have clear diagnosis
to rule out neuritis.
Thrombophlebitis
Definition: inflammation
of a vein
Causes: thrombus(blood
clot) from trauma, environmental allergies, lack of exercise and movement,
standing for long periods of time, aging, poor circulation, abnormal clotting
Signs/Symptoms: swelling,
pain, discoloration of the skin (bluish)
Indications: massage
above area
Contraindications:
Do not work directly on the area involved
Torticollis
Definition: wry neck,
asymmetry in the strength or function of the Sternocleidomastoid muscle
causing rotation of the head to one side with a tilt in another direction
(lateral, forward or backwards)
Causes: bad sleeping
position, stress, TMJ, vertebral misalignment, spasm in SCM, emotional
trauma,
Signs/Symptoms: pain,
lack of rotation of the neck
Indications: massage
to relieve muscle contraction, realign problem areas, lengthen SCM
Contraindications:
none; Refer to appropriate health care practitioner.
Tuberculosis
Definition: infectious
disease of the lungs
Causes: bacterial
Signs/Symptoms: flulike
symptoms, cough, chest pain, fever, night sweats, shortness of breath
Indications:N/A
Contraindications:
Refer to Physician; Highly contagious
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