Integrative Evaluation,

Treatment & Rehabilitation

for

Neuromusculoskeletal Conditions

(Dr Kevin Jardine)

William M Austin DC

CCSP, ACRB-1

Integrative Evaluation,

Treatment & Rehabilitation for

Neuromusculoskeletal Conditions

Integrate: to make into a whole

by bringing all parts or

components together

Neuromusculoskeletal Conditions

might include:

Interference with neurological

communication (sensory and/or motor)

Muscle strains

Ligamentous sprains

Joint misalignment & faulty biomechanics

Impaired circulation (blood & lymph)

Faulty tissue temperature regulation

Remind you of what you already know

Teach a few adjustments with a new ‘twist’

Demonstrate a functional ancillary technique

that aids you patients between adjustments

Integrative Evaluation, Treatment &

Rehabilitation for NMS Conditions

Seminar Goals:

Joseph Stephenson

1874 - 1960

Secrets of an English Bonesetter

4 Key Principles

1) Reposition substance:

bones, nerves, muscles, ligaments

2) Break up congestion:

blood, lymph, mucus, wastes

3) Restore flow (circulation):

blood, lymph, mucus, air

4) Restore tissue temperature:

increase or decrease heat

Principle #1: Reposition Structure (Adjustment)

7

Lift Gluteal Nerves ¼ Twist Gluteal Nerves Piriformis M & Sciatic N

¼ Twist Lumbars ¼ Twist Thoracics

Rotate Cervicals

Seated ¼ Twist

Blood and Lymph Circulation

Breakup Congestion (#2) – Restore Circulation (#3)

#2 Breakup Congestion

Areas of congestion

(stagnated blood or

lymph), are dispersed

using a light circular

motion with the finger

pads that gently drags

the congested tissues

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#3 Restore Circulation

A light, gentle, gliding

or drawing, motion to

create ‘a vacuum’ over

the affected area to

stimulate the normal

circulation

Therapeutic Taping

1970’s

Dynamic Support, neuromuscular

stimulation, increased micro-circulation &

lymphatic drainage

• Acute strains and sprains

• Athletic injuries

• Swelling & inflammation

• Chronic pain syndromes

• Arthritis

• Musculoskeletal rehab

• Muscle imbalances

• Post-operative care

Therapeutic Taping

Dr. Kevin JardineCreated SpiderTechPre-cut kinesio tape

Dynamic Support, neuromuscular

stimulation, increased micro-circulation &

lymphatic drainage

Athletes

All Patients

Vibration Exercises for

Strength, Coordination, and Balance

Gentle English Bonesetting for the Cervical Spine

With light pressure, stabilize the facets with your thumb

Gently tilt the head forward and roll the head ¼ turn towards the thumb side up to the neutral position (T4 - Occiput)

SpiderTech™ provides functional

ancillary care 24-7

Neck

Spider™

Neuromuscular

facilitation

Blood capillary

stimulation

Lymphatic

drainage

Keys to Effective Application of Elastic Therapeutic Taping

Apply to clean,

dry, hairless skin

DO NOT STRETCH

the base or ends

DO NOT TOUCH

the ADHESIVE

RUB THE TAPE to activate the glue

Do not completely remove the backing of the

tape until 90% of the section is applied

Bonesetting for High Blood PressureVenous and lymphatic

congestion

High Blood Pressure Treatment

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Venous and lymphatic congestion in the internal

jugular veins, right and left subclavian veins, right lymphatic duct and the

thoracic duct

3. Create a vacuum to drain the jugulars

2. Decongest clavicular-trap triangle

1. Adjust the Spine (T4-Occ)

Overall treatment time 5-10-15 minutes

Bonesetting for the Shoulder

Adjust the Spine & Ribs as necessary

¼ Twist under SCJ

Mobilize* AC & Scapular

•Front hand stabilizes. Back hand cups scapular & pushes forward

Inferior glide of humerus

Decongest

Exercise the Shoulder Stabilizers

Supraspinatus mInfraspinatus mTeres Minor mMid-traps / Rhomboids

Dynamic Support

Adjust-Rehab-Support

Dynamic

Support, neuromusc

ular

facilitation, stimulate

micro-circulation

and lymphatic

drainage

Right A-P

Elbow Anatomy

Ulnar nerve (in groove on

posterior side)

Median nerve (anterior side)

Move Median N

back towards midline

Move Ulnar N

back into groove

Forearm Pain

Push in articular cartilageVacuum Down

Dynamic Support

Bonesetting for Extremity Joints Reset the Articular Cartilage

1. Open the joint (flexion)

2. Pressure on the articular cartilage

3. Close the joint (extension)

Bonesetting for the Wrist & Hand

Articular Cartilage

Reposition Substance

Find tender spots between the bones of

wrist or fingers

1. Open the joint

2. Hold pressure on cartilage

3. Close the joint

Reset the Articular Cartilage

Find the

painful

spot in the

joint line

Open the

joint &

push in the

articular

cartilage

Hold the

cartilage in

and close

the joint

Dynamic

Support

Joint Play Motions – John Mennell

1. Anterior Glide

2. Posterior Glide

3. Internal Rotation

4. External Rotation

5. Right Tilt

6. Left Tilt

7. Extension

Reposition Articular Cartilage in

Metacarpal Phalangeal Joint

1. Find the tender spot in the joint line

2. ‘Open’ the joint

3. Push the displaced cartilage in

4. Hold it in and ‘Close’ the joint

Kaddy Wampus Pelvis

Serial Distortion Muscle Imbalance

Sacrum and Gluteal Nerves

Gluteal or sacral nerves

Treating the Sacrum & Gluteal Nerves

Patient is seated - Doctor seated behind

Lift up the gluteal

nerves with thumbs

Push in piriformis m.

& sciatic n

¼ Thumb twist under gluteal nerves

Treating the Sacrum & Gluteal Nerves

Lift Gluteal Nerves

¼ Twist Gluteal Nerves

Piriformis M & Sciatic N

Lower Back Spider™1. Apply the ‘base’ to clean dry hair-free skin

2. Patient bends forward “Stretch muscle not tape”

(neurosensory stimulation to decrease pain)

3. Apply the ‘paraspinal’ strips then apply the ‘wings’

4. Rub Tape to activate the glue

Bonesetting for the Hip

Adjust the Hip

Up 45º - Out 45º

Web contact under

Trochanter Push In

Dynamic

Support

Bonesetting for the KneeAdjust the Spine

Reset the

Menisci (synovial

resorption)

Create a

vacuum to

drain back of

the knee

Release

Tibial

Rotation

Fixations

Create a

vacuum to

drain back of

the knee

Release

Tibial

Rotation

Fixations

Reset the

Menisci (synovial

resorption)

Dynamic

Support

Break up

congestion

‘circular

drag’

Drain the Back of the Knee

Create a

vacuum to

drain the back

of the knee

Foot & Ankle Sprains

Reposition Substance (Articular Cartilage)

Reposition Articular Cartilage Under Lateral Malleolus

1. Find the tender spot in the joint line

2. ‘Open’ the joint (invert foot)

3. Push the displaced cartilage in

4. Hold it in & ‘Close’ the joint (evert ft)

Dynamic

Support

Joint Play Motions for the Toes

1. Anterior Glide

2. Posterior Glide

3. Internal Rotation

4. External Rotation

5. Right Tilt

6. Left Tilt

7. Extension