Neuromuscular Physical Rehabilitation – Megan’s Situation Study

In studying Megan’s situation background and signs and symptoms, key moments and occasions stick out in her own time frame of discomfort and disorder. Nine years back, following the birth of her second child, was the very first time that Megan observed that her left feet was slightly wider and more than her right feet. The timing of the is pertinent as throughout being pregnant a hormone known as relaxing could have been launched into her system to release the ligaments of her pelvis awaiting giving birth. However, relaxing may also release ligaments elsewhere in your body along with a longer and wider left feet would indicate the collapse from the primary arches from the feet because of ligament laxity. This is among the turning points in Megan’s history which has been built with a harmful impact on her health since. The relaxed ligaments may not have fully retrieved their full backing strength so when she created a tired aching sensation in her own left medial arch a couple of years later it had been most likely because of this. A fallen arch can result in over probation and will also consequently place the tibia is anterior and perhaps tibia is posterior muscles under undue stress because they attempt to stabilize and combat over probation. Stressed or overcome muscles will form trigger points (TPs) within them as well as for tibia is anterior this could refer discomfort anteromedially because it passes the retinaculum. TPs within the tibialis posterior will refer discomfort in to the sole/arch from the feet. Over pronation can result in reduced peroneus longus that will further hinder the tibialis muscles that will further exacerbate the issue inside a continuous vicious loop.
The whiplash injuries experienced this past year would include to Megan’s problems and also, since then she’s experienced periodic headaches and neck stiffness. The whiplash injuries probably might have affected her sub occipital muscles, sternocleidomastoids (SCM), scalene along with other stabilizers from the neck and spine. This whiplash would result in improper neck movement which would result in TPs within the SCM and perhaps the longus colli somewhere (left) possibly because of the leg length discrepancy. TPs here could leave during sex inside a reduced condition leading to rotation from the mind right hands side. When the longus colli is involved it lead to kinetic chain problems and modify the peroneals around the lateral part of the lower limb further exacerbating the fallen arch. Using the peroneus longus muscles such a poor condition it’s possible that could impact the sacrotuberous ligament from the pelvis and how it can contain the sacrum in place. Megan claims that eventually this past year she felt a twinge in her own right sacroiliac joint while aiding an obese client up from the supine position. She experienced securing/jamming and diffuse soft tissue discomfort in QLs, multifidis and shooting discomfort into her hip. The truth that she was locked into torso flexion right indicates the QLs entered spasm around the right side after insult so that as we discover later her sacral is made of one inch high in right and there’s posterior rotation from the right ileum with resultant postural imbalance whereby 2/3rd of Megan’s weight is pressing lower on her behalf right side. This extra load and postural imbalance has brought to shooting discomfort within the trochanteric region and known discomfort around the lateral part of the leg because of TPs within the destabilized gluteus medius and iliotibial band issues because of the over labored tensor fasciae latae.

With all of this discomfort dealing with intolerable levels, Megan switched to prescription medications, codeine based painkillers, antidepressants, Zoloft, anti-inflammatory capsules which might have exacerbated her problems over time because they build up toxins in her own system. She seemed to be although drunk of painkillers most likely hurting tissue by doing activities that they will not have done if she’d her natural security alarm of discomfort preventing her. The elastic support belt and also the tape might have made the problem worse by encouraging atrophy of supporting muscle tissues.

Megan’s right shoulder is gloomier compared to left possibly because of reduced latissimus dorsi tugging around the humerus and inhibiting upper trapezius and hypertrophy from the pectoralis minor muscle tugging the scapula forward and lower.

Once we consider Megan’s problems, signs and symptoms, and situation history, we are able to appreciate that she’s suffering abject discomfort and disorder up and lower her functional kinetic chain. In the discomfort within the plantar fasciae, spastic peroneus longus, inhibited tibialis, medially rotated tibia, medial knee discomfort, lateral leg discomfort, trochanteric discomfort, lumbo – sacral pelvic discomfort and disorder, posteriorally rotated right ileum, lower left anterior superior iliac spine, 2/3rd weight imbalance to right hands side, back discomfort with QLs and multifidis inside a reduced condition, latissimus dorsi, neck extensors and flexors all giving problems we must wonder regarding which functional kinetic chain we coping. For me, thinking about every area involved, it might be the spiral oblique chain.