Jony Sena

So your best needling/IASTM/soft tissue/manip improved cervical/scapular/shoulder ROM. What next? After manual therapy or a repeated loading strategy, pain and ROM is often rapidly improved.  Repeated passive end range loading often keeps this improvement between visits.  However, many times restoration of motion and improvement in pain thresholds does not always improve higher function or tissue resiliency to load. When motion is realistically symmetrical and threat free in all planes, someone can move their shoulder and head/neck with varying rates of speed, I stabilize the area with eccentric isometric shoulder shrugs. In this case, cervical/shoulder ROM was restored with light IASTM to the right cervical spine and right upper trap for a minute or so, followed by repeated cervical retraction and end range SB to the right. Upon 2nd or 3rd follow up, with the above motions cleared and functional pre-post test still being threat free, I would progress to this "stabi...

It's been another awesome year for MMT blog! Thanks for all your support, listening to our podcasts, watching and sharing vids on social media and attending live seminars. Here are our top 5 Blog Posts of 2018! Happy New Year! 5) Physical Therapists Talk Too Much! 4) Gluteal Tendinopathy 3) A Novel Mobilization for Acute Ankle Sprains 2) Improving Terminal Knee Extension in Post Total Knee Arthroplasty 1) Top 5 Things in Physical Therapy We Cannot Ignore Anymore! Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below! 2019 Calendar is live and registering early can save you $200! Learn more online! Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. Live cases, webinars, lectures, Q&A, hundreds of techniques and more! Check out Modern Manual Therapy! Keeping it Eclectic... This article wa...

Author: Ben Fung, Chief Operating Officer We are in this interesting time in healthcare where things are truly getting shaken up. For every practice out there that is struggling is another that is flourishing. For every area that has a terrible marketplace price point for reimbursement comes another that seems "more like it" and far more favorable to the business owner or practice manager. AND, in this time when value based healthcare is on its way with some serious dollar based repercussions and incentives... disruption is EVERYWHERE and change is all over the place. Fortunately, there are constants despite disruptions that will NOT go away because healthcare is a people business. 3 Things In Healthcare That Are NOT GOING AWAY! 1. Disruption via Technology Disruption occurs when attributes are more conveniently combined or a capability is made more accessible. We've seen this from transistor technology disrupting vacuum tubes... all the way full circle to tubes com...

Just in time for the holidays! A Better Way to Mobilize the Thoracic Spine. Stop following all the "rules" that have since been disproven. You cannot and do not have to be specific. Don't worry about what level you're on (unless patient preferred), and the exact direction also doesn't matter. It's just novel stimulus and whatever is missing, motor control, a particular plane of motion, is often restored rapidly. Here are better and novel ways to mobilize the thoracic spine. A Better Way to Mobilize the Thoracic Spine I hope you're all having a wonderful holiday season! Regular posts will continue after Christmas! Merry Christmas and enjoy your time off! Modern Manual Therapy: The Eclectic Approach to UQ and LQ Assessment and Treatment is on sale for the holidays! Use coupon code mmt50 to get $50 off this week only! Click below to Level Up and Learn More! Keeping it Eclectic... This article was originally posted on themanualtherapist.c...

When considering dizziness of cervical origin, it is well accepted in clinical practice to follow the rule of “diagnosis of exclusion”.  This means that you can suspect, but not confirm, dizziness or vertigo from the neck unless you rule out other competing diagnoses. It is thrown around from ones who try to invalidate the condition that  up to 90% of cases  can have a convincing alternative diagnosis.  Additionally, Cervicogenic Dizziness can affect populations across the lifespan with traumatic and even non-traumatic origin. Therefore, the prevalence of Cervicogenic Dizziness can be challenging to truly calculate. However, we can reach out to the literature to provide some input on how frequent patients have Cervicogenic Dizziness.  We provide a synopsis for you below to help with prevalence rates for these subcategories. Elderly / Geriatrics A classic study cited in most often comes from  Colledge et al in 1996 in BMJ .  This is a community bas...

The AMTA 2019 Schools Summit is only two months away! The Summit is taking place this year in Charlotte, North Carolina, February 21-22.   Register now » This is your opportunity to network and learn from like-minded professionals in the field of massage therapy education. In addition to the many networking events, Schools Summit is your chance to learn the latest research and practices to help your schools thrive. This year’s education sessions include: Highlights from the Science of Learning with Whitney Lowe, BA, LMT Interdisciplinary Competencies for Massage Therapists in Health Care with Robin Anderson, MEd, LMT, BCTMB, CEAS and Brent Jackson, BA, LMT AMTA’s 2019 Massage Profession Research Report with Cynthia Ribeiro, LMT and Winona Bontrager, LPN, LMT Grassroots Marketing: How to Fill a Classroom with Word-of-Mouth Referrals with Jodi Scholes, LMT  Teaching Ethics in the 21st Century with Julie Goodwin, LMT Teaching Pain Management...