Full Attention Movement and Bodywork

Postural Drainage Techniques

Massage Therapy Techniques

Full Attention is hiring California Certified Massage Therapists, experienced in sports and clinical massage in Sorrento Valley, San Diego. We are dedicated to... hiring powerful athletes with a meditative approach to the science of deep tissue massage therapy. Our approach to client care is very results oriented, and we believe that results improve drastically when clients have access to the talents of a dedicated team. We help clients with extreme health challenges by utilizing all to the resources we have as a community. If you’ve been looking to a place where you can utilize 100% of your skills to help people with unique health challenges instead of the same old spa routines. You’ve found it! We’re looking for extraordinary massage therapists with the following skills: 3 Years or more of California State Certified Deep Tissue Massage Therapy experience Ability to communicate well with clients, including detailed medical notes for every client. Ability to receive steady feedback and training Shifts are available Tuesday, Thursday and Saturday between 12pm thru 8pm $35/hour for hands on massage therapy We take COVID-19 100% seriously What Full Attention offers to therapists: This clinic is designed for the benefit of massage therapists. Full Attention offers great pay, a growing schedule and amazing clientele. All of our team are hired as employees, not contractors, and we always look for staff that are ready to develop a long term, mutual beneficial working relationship. The space in conveniently located in Sorrento Valley off of the Mira Mesa Exit on 805. Full Attention provides everything you need to offer quality care for your clients. All you need to do is show up! Are you ready to start helping the clients you were trained to work with, in a professional environment and an amazing team? Well, we are hiring! Apply in email with your massage resume in PDF format [email protected]

This page is dedicated to sharing massage related and inspirational posts, with the occasional smattering of promotional element. It's my intention for this page to elevate all peoples general well being.

Different joints in the human body

https://youtu.be/0q25s9ENVwI

HIP STABILITY AND TENSEGRITY SYSTEM [FUNCTIONAL ANATOMY] The hip joint also known as the femoroacetabular joint is the largest spheroidal joint in the human... body and is capable of creating tremendous forces. The function of the hip joint is dependent on its local stability, which is governed by the passive ligamentous capsule and labrum as well as the active muscle pulleys. In the first picture, the arrows represent the muscles that effect the hip joint/proximal femur directly. They all balance each other’s pull through a tensegrity system. They are: 1. Psoas Major 2. Iliacus 3. Pectineus 4. Adductor Longus/Brevis 5. Gluteus Minimus 6. Gluteus Medius 7. Piriformis 8. Obturator Externus These muscles (with Obturator internus and gemelli) work as a team to stabilize the femur and the pelvis so the larger muscles can produce torque (glute max, hamstrings, quads). If one arrow pulls more or less than the others, a potential disruption in joint centration ensues, directing forces in unnatural directions and stressing the joint surfaces. Balanced tissue tension joint centration optimal hip function. Know your functional anatomy, not just what the books say. It will make you a better doctor, therapist or coach. Credit: @anatomylinks Check and subscribe my YouTube channel for more information about treatment and exercises: www.youtube.com/stefanduell

SPINE TENSEGRITY [FUNCTIONAL ANATOMY & BIOMECHANICS] The spine is often described as a stack of blocks but in reality it is a complex tensegrity structure!... Tensegrity is the architectural principle that describes the balance between compression structures (bones, vertebrae in this case) and tension elements (soft tissues- fascia, muscles, tendons) to allow for a structure to remain stable in gravity. The quintessential shape of tensegrity in nature is the tetrahedron which is a 3D pyramid comprised of multiple triangle shapes (Picture 2/3). As we see in the first drawing of the transversospinales muscle groups, the triangle shape is prominent. Each level of the spine is linked to the next via the triangular lines of pull from each transversospinales muscle (orange lines represent mulifidus, rotatores). Once you see this shape, the mind can begin to imagine how a distortion of a triangle from a muscle spasm on one side causes an uneven pull on multiple vertebrae. This could manifest as what the old osteopaths called lesions or chiropractors called subluxations. A positional shift of a vertebral motion segment is simply a loss of the tensegrity balance of the transversospinales triangle in this conceptual model. Treating the tension elements of the spine including muscles, tendons and fascia via therapy and exercise is an important compliment to facet manipulation in order to allow for the global structure of the spine to remain stable. In biotensegrity, micro affects macro, local affects global! See the writings of Dr. S. Levin. Pictures 4/5 show spine tensegrity models (Columna Vertebrae Pro) and picture 6 an icosahedron tensegrity model (Simplex Model) produced by @ArteFactPro. These models are hand-made and very durable. Perfect for every tensegrity fan, as well as for teachers as a visualization in their classes! Picture credit: @AnatomyLinks #anatomy #tensegrity #biotensegrity #fascia #fascial #therapy #chiropractic #osteopathy #acupuncture #spinalmanipulation #physicaltherapy #massage #physiotherapy #muscle #vertebrae #biomechanics #yoga #pilates #spine #training #fitness #rehab #medicine #student #medstudent #doctor #dr See more

PELVIS TENSEGRITY [FUNCTIONAL ANATOMY] The pelvis is the center of gravity and the largest bony complex in the human body. The pelvis and sacrum are linked ...via strong ligaments and muscles, creating a tension system that works with the compression-bearing bones to create a local tensegrity system. These ligaments are visualized in picture 2/3, they include the posterior SI ligaments (Iliotransversosacral, Axile, Zaglas, Bichat), anterior SI ligaments, the iliolumbar ligaments and the sacrotuberous and sacrospinous ligaments. Locally, these ligaments need to have balanced tension to maintain SI joint integrity and normal bone positions in space. If one of these ligaments is injured and loses its optimal tension/quality, disruption of the tensegrity balance ensues. This leads to increased compression stress in the pelvis/SI and hip joints, but also leads to distortion of the global tensegrity of the body. For example, in picture one, we see a normal, balanced pelvis icosahedron on the left with the horizontal balance beams through L4 and the greater trochanter did the femurs. On the right, we see the consequence of any injury to the right SI joint/ligament complex. This leads to pelvic and sacral shifting, unleveling of L3 (blue dot) and functional scoliosis, anterior-inferior shift of the left ilium, valgus stress in the left knee, and pronation stress in the left foot-ankle. The white arrow represents the downward compressive force of gravity. If the tensegrity is balanced, the body can adequately resist gravity without breakdown. Disruption of this tensegrity system is the source of joint degeneration and pain, all results of decreased space/compression in the joints. This is but one example of how loss of connective tissue tension/quality leads to compression stresses as well as local and global distortions of the tensegrity system. In biotensegrity, micro affects macro, local affects global! See the writings of Dr. S. Levin. Picture 5 shows a pelvis tensegrity model in action produced by ArteFact Pro. These models are hand-made and very durable. Perfect for every tensegrity fan, as well as for teachers as a visualization in their classes! Credit: Anatomy Links Check and subscribe my YouTube channel for more information about treatment and exercises: www.youtube.com/stefanduell

Amazing plastination of the lateral neck muscles and superficial cervical plexus Credit: @french.physio

BACK, PELVIC, HIP OR LEG PAIN? BREATHING PROBLEMS? POSTURAL PROBLEMS? LOW BACK ERECTOR MUSCLES... [ANATOMY, FUNCTION AND MYOFASCIAL TREATMENT] The muscles of the back can be divided into three groups superficial, intermediate and intrinsic: Superficial associated with movements of the shoulder. Intermediate associated with movements of the thoracic cage. Deep associated with movements of the vertebral column. The deep muscles develop embryologically in the back, and are thus described as INTRINSIC muscles. The deep muscles of the back are well-developed, and collectively extend from the sacrum to the base of the skull. They are associated with the movements of the vertebral column, and the control of posture. Anatomically, the deep back muscles can be divided into three layers: superficial, intermediate and deep. The superficial muscles are also known as the spinotransversales. There are two muscles in this group: splenius capitis and splenius cervicis. There are three intermediate intrinsic back muscles: the iliocostalis, longissimus and spinalis. Together these muscles form a column, known as the erector spinae. The erector spinae is situated posterolaterally to spinal column, between the vertebral spinous processes and the costal angle of the ribs. All three muscles can be subdivided by their superior attachments, into: lumborum, thoracic, cervicis and capitis. The deep intrinsic muscles are located underneath the erector spinae. They are a group of short muscles, associated with the transverse and spinous processes of the vertebral column. There are three major muscles in this group: the semispinalis, multifidus and rotatores. The low back erectors tend to do too much which leads to stiffness and trigger points. That's why it is very important to apply a proper myofascial treatment on these structures. I usually use my hands, elbows and 2 devices: the Small Bevelled-Tip T-BAR which you can see in pics 6/7 and the Blackroll ReleaZer (next post). Check and subscribe my YouTube channel for more information about treatment and exercises: www.youtube.com/stefanduell

TRABECULAR PATTERN OF PROXIMAL FEMUR This is an amazing follow up to my previous post about the trabecular system! The trabecular pattern of proximal femur ...refers to the five groups of trabeculae that are demonstrable within the femoral head and neck. Trabecula is a supportive & connective tissue element which form in cancellous bone. Trabeculae develop in a normal bone and also in a healing bone. The trabecular pattern of growth follows the course of stress lines along the bone and maximum trabeculae develop along the lines of maximum stress. To understand the progress of trabecular pattern, it is imperative that we understand the concept put forth by Julius Wolff (Wolff’s Law). Wolff's law suggests that there are dynamic internal forces as well as static & dynamic external forces acting on the bone. These static forces are imposed by gravity and the dynamic forces by weight bearing. Wolff's Law implies a reaction of a living bone to the mechanical forces on a bone segment. If the loading on a particular bone increases, then the bone will remodel itself over time to become stronger and resist the loading in that particular bone segment and for that particular force of loading. The proximal femur is an apt example to show the trabecular pattern based on Wolf’s law. Both tensile and compressive forces are present and correspond to the lines of forces. Types of trabeculae 1. principal tensile trabeculae 2. principal compressive/medial compressive trabeculae 3. secondary compressive/lateral compressive trabeculae 4. secondary tensile trabeculae 5. greater trochanteric trabeculae Principal tensile trabeculae it is in the form of an arc extends from the lateral margin of the greater trochanter to the inferior aspect below the fovea the arc traverses through the superior cortex of the neck and the femoral head Principal compressive/medial compressive trabeculae it is vertically oriented and has a triangular configuration extends from the medial cortex of the head into the femoral neck Secondary compressive/lateral compressive trabeculae it has a fan-like configuration extends from the calcar and lesser trochanter to the greater trochanter A central area bounded by the three trabecular patterns is referred to as the Ward triangle. Check and subscribe my YouTube channel for more information about treatment and exercises: www.youtube.com/stefanduell

VAGUS NERVE The importance of the vagus nerve. The vagus nerve is the 10th and longest cranial nerve. ... It has the widest distribution in the body. Supplying the heart, lunges, upper digestive tract, liver kidneys and more. This wandering nerve controls heart rate and digestion. It also regulates your parasympatheitc and sympathetic responses. Stimulating the vagus nerve can reduce inflammation in the body. Inflammation is often the body's response to stress. Stimulation has also been used to treat depression and epilepsy. This means healthy vagal tone can improve both physical and mental health. #anatomy #medicine #pilates #fisioterapia #medical #anatomiahumana #fisioterapeuta #nurse #fisio #anatomia #heart #physio #body #yoga #muscle #physiotherapist #blood #bimedicina #nerve #dr #cells #bloodcells #physiotherapy #osteopathy #physiology #student #medical #science #biology #human #body #physiology #doctor See more

Amazing facial anatomy of the blood vessels and nerves.

NECK PAIN OR HEADACHES? SUBOCCIPITAL MUSCLES AND OAA COMPLEX - PART 2 [ANATOMY AND FUNCTION]... Suboccipital triangle and tension headaches: The second cervical vertebra (axis), is considered the most important of all the neck’s bony structures partly due to its unique dural membrane attachment and also because of the powerful myofascial structures anchoring it from above and below. Deep suboccipital muscles that bind C2 to the occiput and atlas work in harmony with other muscles to balance the head on the neck. Several of the nerves that exit the upper cervical complex travel back over the top of the head to the forehead. The suboccipital nerve, vertebral artery and suboccipital venous plexus must pass through a confined space called the suboccipital triangle bounded by: 1Rectus capitis posterior major 2Obliqus capitis superior 3Obliquus capitis inferior When the suboccipitals become irritated from physical strain, stomach sleeping or emotional stressors, they tighten sometimes squashing the nerves that traverse the triangle. The obliquus capitis inferior (OCI) may be the most under appreciated of all suboccipitals. Arising from the spinous process of C2 and inserting on the transverse process of C1, their primary function is head-on-neck rotation. Often a hypercontracted right OCI is causing reciprocal inhibition and overstretching in the left very common presentation in our chronic stomach sleeper population. The Rectus capitis posterior minor not only attaches to the occiput, but also to the Dura mater. This is the connective tissue sheath which surrounds the spinal cord and brain. Tension in this muscle could cause headaches by disrupting the normal cerebrospinal fluid fluctuations and hence the functioning of the vertebral artery and suboccipital nerve. It is very often said that suboccipital pain feels like it is deep inside the head. The pain is referred to as ‘ghost pain‘ because the pain is hard to pin to a specific location and is hard to define. Clinical diagnosis to which the suboccipitals may contribute: Headaches, Stiff neck, TMJ Syndrome, Sinusitis, Eye strain, Concussion, Toothache. See more

ABDUCTOR HALLUCIS MUSCLE PAIN [PATHOLOGY AND SELF-TREATMENT] For the anatomy of the abductor hallucis muscle check my previous post!... If this muscle is tense or carries trigger points (TP’s), it can cause various ailments and pains. Tensions in the abductor hallucis often leads to foot pain and local sensitivity to pressure. TPs can trigger pain in the area of the ankle and foot. Additional symptoms: Heel pain Medial ankle pain Metatarsal head pain Plantar midfoot pain How to locate the abductor hallucis TP: The Adductor Hallucis is a muscle that helps the greater toe come closer to the rest of the toes. An easy way to locate this muscle is by placing your hand below the ball of the foot (touching the sole) near the greater toe. Fan your toes apart and bring them together repeatedly. You will feel a muscle tensing beneath your hand; that is the adductor hallucis. Self-massage of the abductor hallucis with a @Blackroll Ball 08: Place the Blackroll Ball under your foot in sitting or standing position. Now roll the ball in the area of the abductor hallucis muscle, use the weight of your leg for pressure. You may let your heel rest on the floor. Execute short and slow movements over the entire length of the muscles and look for painful tensions & TP’s. Once you find one, move a few times from just before to just behind the painful spot until you feel it eases in the tissue. Check and subscribe my YouTube channel for more information about treatment and exercises: www.youtube.com/stefanduell #anatomy #osteopathy #physiotherapy See more

Carpal Tunnel Syndrome? Try This A new study found that exercises are effective at increasing function & reducing pain from carpal tunnel syndrome. Take a l...ook at this video of a Median nerve glide to see how to perform an exercise we often recommend for patients with carpal tunnel syndrome. #PainRelief #CarpalTunnelSyndrome #ConservativeCare Source: Keskin Y, Kilic G, Taspinar O, Posul SO, Halac G, Eren F, Erol E, Urkmez B, Aydin T. Effectiveness of home exercise in pregnant women with carpal tunnel syndrome: Randomized Control Trial.

LOW BACK, HIP OR LEG PAIN? GLUTEUS MAXIMUS MUSCLE [PATHOLOGY AND SELF MYOFASCIAL RELEASE EXERCISE]... Why are the glutes so inactive? The first and most common reason people suffer from underactive glutes is due to lifestyle. Even when people train hard every day, if they spend the majority of the remainder of the day sitting down, then they are simply not using their glutes! Another common reason for glutes not working properly is due to injury. Often an injury happens that changes the mechanics and motor programming of a person’s body. This can lead to some muscle groups becoming overactive, while others become underactive. A 3rd common reason I see glutes that aren’t working properly is due to trigger points or fascial tightness which disturbs the intramuscular coordination (quality of muscle contraction) and therefore the ability to contract the full muscle properly. That's why you should always make sure: Before you start activating your gluteus maximus, free it of trigger points and fascial tightness with the exercises you can see in the video. You take a BLACKROLL BALL, place it below your gluteus maximus and try the release exercise which you can see in the upper video. Or you take a Blackroll and roll slowly among the muscle (lower video), trying to identify areas of tightness or discomfort. Pause on these areas for several seconds and the tightness should begin to ease. These exercises can help if you suffer from lower back pain! Additionally these exercises are essential and should be included in a good warmup routine before any workout! See more

Amazing details of anatomy of the wrist.

ANATOMICAL SNUFFBOX [ANATOMY LESSON] THE ANATOMICAL SNUFFBOX (also known as the radial fossa or tabatière anatomique), is a triangular depression found on t...he radial side of the wrist (lateral aspect of the dorsum of the hand). It is formed between tendons that go to the thumb (located at the level of the carpal bones) and best seen when the thumb is abducted and/or extended. In the past, this depression was used to hold snuff (ground tobacco) before inhaling via the nose hence it was given the name ‘snuffbox’. Borders: As the snuffbox is triangularly shaped, it has three borders, a floor and a roof: Ulnar (medial) border: Tendon of the extensor pollicis longus Radial (lateral) border: Tendons of the abductor pollicis longus and extensor pollicis brevis Proximal border: Styloid process of the radius Floor: Carpal bones, scaphoid and trapezium Roof: Skin (Note: The terms medial and lateral are used in the context of the anatomical position, where the forearm is supinated. Take care when describing these borders, as when observing a patient’s anatomical snuffbox, the forearm is usually pronated). It is important to note that the tendons of the muscles form the borders, not the muscles themselves. Contents: The main contents of the anatomical snuffbox are the radial artery, a branch of the radial nerve, and the cephalic vein: Radial artery: crosses the floor of the anatomical snuffbox, then turns medially and travels between the heads of the adductor pollicis muscle. The radial pulse can be palpated in some individuals by placing two fingers on the proximal portion of the anatomical snuffbox. Superficial branch of the radial nerve: found in the skin and subcutaneous tissue of the anatomical snuffbox. It innervates the dorsal surface of the lateral three and half digits, and the associated area on the back of the hand. Cephalic vein: arises from the dorsal venous network of the hand and crosses the anatomical snuffbox to travel up the anterolateral aspect of the forearm. Picture credit: @chicagosportsdoc #anatomy #physiotherapy #osteopathy See more

Hello from Full Attention, In solidarity with the Governor and the State of California, Full Attention Movement and Bodywork will briefly be closing its doors.... Please call with any questions you have. I’m very happy to talk any time I greatly appreciate your support though out all this and hope to reopen soon. Thanks and See you soon! ~Sean Please be safe an informed. Here is a link to the CDC www.cdc.gov

LOW BACK, BUTTOCK, HIP, THIGH OR KNEE PAIN? SACROILIAC JOINT [ANATOMY, FUNCTION, PATHOLOGY AND TREATMENT]... Low back pain is very common, the sacroiliac joint (SI-Joint) is a major source of lower back pain. Pain originating from the SI-Joint is usually underdiagnosed and usually intributed to other sources such as the hip and spine! Patients experiencing lower back pain can spent months or even years in treatment without the correct diagnosis. Diagnostic injection at the SI-Joint is the only means to confirm diagnosis. Pain from the hips, spine and SI-Joint can overlap in the associated regions. The SI-Joints are weight bearing joints, these joints distribute weight from the spine to the lower extremities through the hip joints. From the front the SI-Joint is supported by the sacroiliac ligaments. There are also strong muscles (Psoas, Iliacus) and important nerves (Lumbosacral plexus) for the thigh and leg in front of the SI-Joint. From the back the SI-Joint has strong posterior ligaments, the sciatic nerve crosses underneath the piriformis muscle, all this is covered by strong back muscles (Iliocostalis muscle, Longissimus thoracic muscle) Symptoms: lower back, buttock, back of thigh and knee pain occasional groin pain difficulty and discomfort while sitting patient frequently changes position to become comfortable Causes: Leg length discrepancy Mechanical dysfunction (Misalignment) Arthropathy Stomach or Gastro-intestinal adhesions (Osteopathic view) Treatment: Anti-inflammatory medication Physical therapy, Osteopathy, Chiropractic, Medical training therapy SI-Joint injections: PRP (platelet rich plasma) SI-Joint misalignment can force lower back problems through an so-called ascending kinematic chain or even knee or foot problems through a descending kinematic chain as you can see in the picture! I usually treat the SI-Joint by using visceral, myofascial and chiropractic techniques after doing a proper osteopathic diagnosis as I will explain in further posts! Credit: Sports-Physiotherapy Stefan Duell #Physiotherapy #Osteopathy #Chiropractic #Pilates #Fisioterapia #Osteopatia #Yoga #CrossFit #Muscle #Backpain #Pain

Wide-Legged Forward Bend Stretching the Superficial Back Line Muscle&Motion YOGA app Learn Yoga anatomy on your own time from anywhere!... Subscribe Now! https://www.muscleandmotion.com/pricing-yoga/ Or Try the free version: https://www.muscleandmotion.com//yoga-functional-anatomy-/

Here is an interesting read:https://www.doctorschierling.com/blog/fascia-as-a-proprioceptive-organ-and-its-relationship-to-chronic-pain?fbclid=IwAR3_v6piZYD0VV5YGipCRtqu7gatmKjD3R2L_OVJ6hkgtp8oJS9ZzFpC3Ns

SACROTUBEROUS AND SACROSPINOUS LIGAMENTS VS. PUDENDAL NERVE [PUDENDAL NERVE ENTRAPMENT] For the anatomical landmarks of the sacrotuberous and sacrospinous l...igaments check my previous post. The pudendal nerve is formed from the sacral plexus, a network of nerve fibres located on the posterior pelvic wall. It arises from the ventral rami (anterior divisions) of the spinal nerves S2, S3 and S4. After its formation, the pudendal nerve descends and passes between the piriformis and ischiococcygeus muscles. It leaves the pelvis through the lower part of the greater sciatic foramen. It then crosses the sacrospinous ligament (close to its insertion to the ischial spine), and then re-enters the pelvis through the lesser sciatic foramen. After re-entering the pelvis, it accompanies the internal pudendal artery and vein, coursing anterosuperiorly through the pudendal canal (also known as Alcock’s canal, a structure formed by the fascia of the obturator internus muscle). Inside the pudendal canal, the nerve divides into branches, first giving off the inferior rectal nerve, then the perineal nerve, before continuing as the dorsal nerve of the penis or clitoris. Of clinical significance is that the pudendal nerve travels between the sacrotuberous and sacrospinous ligaments and can become entrapped. Pudendal nerve entrapment between the sacrotuberous and sacrospinous ligaments can result in pudendal nerve neuralgia. Pudendal nerve entrapment can result in recurrent pain or numbness of the genitals, rectal pain, reduced awareness of an impending bowl movement, disturbance of normal urination (including overactive bladder), altered sensation during ejaculation and urinary or bowel incontinence. Pudendal nerve entrapment can be profoundly life altering, but due to the intimate nature of the symptomatology, many people suffer in silence. Medical treatment for pudendal neuralgia includes pain injections, surgical decompression and drugs. Manual/Physical teatment options include myofascial treatment of the sacrotuberous and sacrospinous ligaments as well as the pelvic floor, dry-needling and adjustments. Next post treatment of the sacrotuberous ligament. See more

THE SPIRAL LINE (SPL) The Spiral Line (SPL) loops around the body in a double helix, joining each side of the skull across the upper back to the opposite should...er, and then around the ribs to cross in the front at the level of the navel to the same hip. From the hip, the Spiral Line passes like a 'jump rope' along the anterolateral thigh and shin to the medial longitudinal arch, passing under the foot and running up the back and outside of the leg to the ischium and across the midline to the long dorsal sacroiliac ligament, and from there to the erectors, so that we end up on the opposite side of the skull from where we started. This line stabilizes the body in all planes through its double enclosing loop. It connects the foot with the pelvis and is important in the regulation of the knee position when we walk. Thanks to @anatomytrainsofficial Want to see more? Login to the Strength app on all devices, go to Theory section and search for Anatomy Trains Thanks for watching, if you have any question or you want to get more info, please visit our website www.muscleandmotion.com or simply click the link in our bio @muscleandmotion #muscleandmotion #spl #muscleandfitness #fitness #fitnessapp #gym #gymnastic #training #fitnessmotivation #fitnesscoach #fitnessphysique #FitnessTrainer #fitnesstips #personaltrainer #crossfit #crossfittraining #sportschiro #strengthtraining #chiro #muscles #trx #cardio #anatomy #anatomytrains #3danatomy #anatomytrainsinmotion #anatomyandphysiology

VARICOSE VEINS? SWELLING IN YOUR LEGS? LYMPHATIC CONGESTION IN YOUR LEGS? THE ADDUCTOR CANAL... [FUNCTIONAL ANATOMY] The adductor canal (Hunter’s canal, subsartorial canal) is a narrow conical tunnel located in the thigh. It is approximately 15cm long, extending from the apex of the femoral triangle to the adductor hiatus of the adductor magnus. It runs from the apex of the femoral triangle to the adductor hiatus a gap between the adductor and hamstring attachments of the adductor magnus muscle. The adductor canal serves as a passageway for structures moving between the anterior thigh and posterior leg. It transmits the femoral artery, femoral vein (posterior to the artery), nerve to the vastus medialis and the saphenous nerve the largest cutaneous branch of the femoral nerve. As the femoral artery and vein exit the canal, they are called the popliteal artery and vein respectively. As a follow up to my previous posts about the adductor magnus & sartorius muscle I wanted to show the importance of the adductor canal which is bordered by the adductor magnus & adductor longus (posterior), the sartorius & vastoadductoria membrane (anteromedial) and the vastus medialis (lateral). If the structures embedding the adductor canal become too tight then the canal can become smaller and can squeeze the femoral vein and lymph channels, a backflow issue results and will manifest as grossly expanded veins in the lower leg. This is often called varicose veins or lymphatic congestion. Chronic sitting can be responsible for tight connective tissue in this region. Treating the tension of the structures mentioned above can directly improve circulation of the entire leg. See more

HIP STABILITY AND TENSEGRITY SYSTEM [FUNCTIONAL ANATOMY] The hip joint also known as the femoroacetabular joint is the largest spheroidal joint in the huma...n body and is capable of creating tremendous forces. The function of the hip joint is dependent on its local stability, which is governed by the passive ligamentous capsule and labrum as well as the active muscle pulleys. In this picture, the arrows represent the muscles that effect the hip joint/proximal femur directly. They all balance each other’s pull through a tensegrity system. They are: 1. Psoas Major 2. Iliacus 3. Pectineus 4. Adductor Longus/Brevis 5. Gluteus Minimus 6. Gluteus Medius 7. Piriformis 8. Obturator Externus These muscles (with Obturator internus and gemelli) work as a team to stabilize the femur and the pelvis so the larger muscles can produce torque (glute max, hamstrings, quads). If one arrow pulls more or less than the others, a potential disruption in joint centration ensues, directing forces in unnatural directions and stressing the joint surfaces. Balanced tissue tension joint centration optimal hip function. Know your functional anatomy, not just what the books say. It will make you a better doctor, therapist or coach. Credit: @anatomylinks #anatomy #biomechanics #functionalanatomy #doc #tensegrity #anatomia #chiropractic #osteopathy #physicaltherapy #physiotherapy #acupuncture #dryneedling #hip #muscles #fascia #yoga #joints #yogaanatomy See more

KNEE JOINT The knee is arguably the most complex joint in the human body. With its daily exposure to high amounts of compressive and torsional forces, it requ...ires an inborn shock-absorbing system. These photos display the complex interconnected network of synovial bursae. The bursae are synovial fluid filled sacs that exist at areas of high friction between tendons and bony prominences. Their function is that of a cushion. Due to the insertion of many large tendons on the tibia, fibula and femur, many bursae are found at the knee. The purple sacs represent the individual bursa, with special attention given to the posterior semimembranosus and medial gastrocnemius bursa and suprapatellar bursa. Both of these structures share direct connection to the joint capsule and internal synovial environment of the knee joint. They are a LINKed hydraulic system. Common disorders of the internal knee (meniscus tears, osteoarthritis) can lead to swelling of these bursae. The most common being the enlargement of the posterior semimembranosus and medial gastroc bursa, known as a Baker's Cyst. Minimizing friction on these tendons via normalizing fascial tensions is critical to bursa health, which minimizes compressive loads on the joints. Healthy fascia-health bursae-health joints-healthy movement! Photo credit to K. Alyhaya. Credit: @anatomylinks #anatomy #fascia #knee #bursitis #fascia #biotensegrity #biomechanics #functionalanatomy #function #yoga #yogaanatomy #dryneedling #acupuncture #physicaltherapy #chiropractic #orthopedics #meniscus #acl #running #joints #massage #jointhealth #squats #pistolsquat #crossfit #knowyouranatomy See more

HAMSTRING PAIN The hamstrings can trigger pain in your thighs, knees and calves. These pains often are caused by tensions, shortened muscles or trigger point...s (TP’s). Pain patterns of the semitendinosus/semimembranosus Tensions and/or shortenings in these two muscles often result in local pain in the posterior thighs. TP’s in these muscles can cause additional pain in the buttocks, the hollow of the knee, along the posterior portion of the thigh and on the medial side of the calf. The pain in the hollow of the knee is often perceived as sharp. Pain patterns of the biceps femoris The biceps femoris can also trigger pain in the posterior portion of the thigh if it is shortened and/or tight. The pain triggered by TP’S in the biceps femoris mainly radiates to the hollow of the knee and is often described as deep-seated or as deep pain. From the hollow of the knee, the pain can also extend to the outer/lateral side of the calf. In addition to the pain described above, symptoms often occur during certain activities and in the anterior portion of the thigh. In each of the examples, the muscles are either tight, stretched or put under pressure: Pain while walking or jogging With each step, your hamstrings control the forward swing of the leg and support the extension of the hip when pushing off the ground. In the first example the muscle is lengthened, in the second it is contracted and shortened. TP’s can hinder this lengthening and shortening of the muscle and lead to pain your brain believes that there is danger because the muscle can no longer be used as usual. Pain arises. Pain whilst sitting During sitting, your hamstrings are put under pressure. If there are TP’s in the muscles, this can cause pain. In this case in the ischium and the posterior part of the thigh. Pain in the anterior portion of the thigh Most muscles in the anterior thigh act as antagonists to the hamstrings. This means, that they perform opposite movements. Your hamstrings flex your knees and extend your hips. If they are tight or shortened, they can no longer be extended easily. This will permanently put more stress on the muscles on the anterior side of the thighs, as they have to work against the contraction of the hamstrings. Pain when bending over When bending over, you flex the hips and stretch/extend your hamstrings. If there are TP’s or if they are shortened, your nervous system allows this stretching reluctantly. As a result, you perceive pain when you bend over, especially if you do this with your knees stretched. See more

Another amazing demonstration of the Posterolateral Corner (PLC) of the Knee. The three major static stabilizers of the PLC are the fibular (lateral) collater...al ligament (FCL), the popliteus tendon (PLT) and the popliteofibular ligament (PFL). Once it was known as the dark side of the knee. This complex restrains rotation and varus. credit: @chicagosportsdoc #anatomy #knee #joint #ligament #muscle #medical #medicine #dr #medschool #doctor #hospital #fisio #nurse #surgeon #rehab #fisioterapia #physio #doc #physiotherapy #physiology #fisioterapeuta #pain #osteopathy #therapy #manualtherapy #surgeon #traumatologia #biomechanics #sportsmedicine #surgery #trauma See more

HIP, GROIN, INNER THIGH OR KNEE PAIN? SARTORIUS MUSCLE [CADAVER DISSECTION ANATOMY, FUNCTION & PATHOLOGY]... Watch the amazing cadaver anatomy videos on that topic at my Instagram post: instagram.com/p/B8BlTnfB24d/ The sartorius is the longest muscle in the body, originates from the ASIS and runs spirally towards the pes anserine (Pic 2/3). In its entire course the muscle is covered by a fascial duplication of the fascia lata. The innervation is supplied by the femoral nerve (L2-L4). It is a two-joint muscle and moves both the hip and knee joint. Even though anatomically it ranks among the extensors of the thigh (located in the anterior compartment of the thigh), its contraction truly causes a flexion, abduction and outward rotation of the hip joint. In the knee joint, it forces flexion and inward rotation (Pic 4). The flexion movement is the result of the tendon inserting at the knee joint behind the flexion-extension axis. When all five movements are executed simultaneously the legs would cross like in a tailor seat. Therefore, the tailor’s muscle is most easily palpable in this position. BTW, the sartorius being an anterior and then posterior and then anterior muscle again is because in quadrupeds it was in a straight line, but the knee joint was naturally flexed in their anatomic position (think of a cat). But when we became bipedal and straightened out our knee joint, fascia kept the sartorius strapped down posterior to the knee, so it curves to run posterior and then anterior. Trigger Points (TP’s) in this muscle get activated mainly along with TP’s in its synergists. These are primarily hip flexors/abductors: Rectus femoris, Pectineus, Iliopsoas, TFL, Gluteus med/min, Piriformis. TP’s in these muscles can get active when they are constantly held in one position, they get overloaded or suffer a trauma. TP’s in the sartorius can trigger pain in the area of the groin, inner thigh and knee (Pic 5). The pain usually runs along the muscle and extends slightly upwards and downwards from the TP. The quality of the pain is usually very sharp, in contrast to most other pains caused by myofascial TP’s, which are usually dull and diffuse. Beside pain, TP’s in the upper part of the sartorius can trigger numbness in the anterior and lateral thigh.

Baddha Konasana - Bound Angle Pose . Step 1 - Flex the knees by engaging the hamstrings. Contracting the hamstrings not only bends the knees but also tucks the ...tailbone under, because the hamstrings originate from the ischial tuberosities on the back of the pelvis. Remember that the hips externally rotate in Baddha Konasana; tucking the tailbone under turns the hips outward and synergizes external rotation. The sartorius muscle runs from the front of the pelvis to the inner knee. It flexes, abducts, and externally rotates the hip. When contracted, the sartorius feels like a cord at the front of the pelvis. Its name derives from the Latin for tailor, because tailors used to sit cross-legged while they worked. Note that this muscle also crosses the knee and thus aids the hamstrings in flexing and stabilizing this joint in the pose. . Engage the psoas to flex and externally rotate the hips. A cue for this action is to press the hands on the knees and then attempt to draw them toward the body while resisting with the hands. . . Follow @dailybandha for more! From our book: Yoga Mat Companion 2 - Anatomy for Hip Openers and Forward Bends" Website: www.BandhaYoga.com . . #BaddhaKonasana, #yogaMatCompanion, #bandhayoga, #raylong, #raylongmd, #chrismacivor, #dailybandha, #yogabook, #stretching, #body, #asana, #yogapose, #yogainspiration, #yogalife, #yogafit, #yogabody, #yogadaily, #yogateacher, #yogajourney, #yogalover, #yogaaddict, #yogaart, #yogaeveryday, #yogacommunity, #movement, #anatomy, #yoga, #muscles, #instayoga, #yogapractice See more

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ANATOMY AND BIOMECHANICS OF THE MENISCI The shape of the menisci and the orientation of the collagen fibers are optimal for weight bearing and shock absorptio...n. The menisci are of clinical importance to knee biomechanics as they function to maintain knee joint stability and congruity, resist capsular and synovial impingement during knee motion, support the screw home mechanism, and distribute load over a large area of the articular surface. Because of these vital roles, an attempt should be made to save viable meniscus when performing knee surgery. The menisci provide shock absorption, improve joint congruency, further adding to knee stability. Credit: @chicagosportsdoc #anatomy #anatomia #med #medical #medicine #dr #medschool #doctor #medicalschool #hospital #nurse #surgeon #rehab #fisioterapia #physio #physiotherapy #physiology #fisioterapeuta #knee #fisio #meniscus #therapy #manualtherapy #pain #traumatologia #muscle #knee #joint #surgeon #sportsmedicine #orthopedicsurgeon #surgery See more

*SHOULDER GIRDLE* . . . What are we looking at here?... . This is just a fantastic #xray of the left shoulder and associated structures. Clearly visible is the #clavicle , #humerus , and associated #thoraciccage and #vertebrae with the #scapula being slightly less easily visible (I imagine it's hard to calibrate the settings so that the thin scapula and robust clavicle are similarly represented). . What's clinically significant here? . Oh baby... Dat #glenohumeraljoint ! Look at that thing! It looks good, and healthy, and very ummm... Shoulder-like. But look at how unstable that looks... The ball and socket interface of the shoulder is a very minimal contact joint. . Ever wonder why it's so easy to dislocate and reduce a shoulder? . Think about how much effort is required by your #rotatorcuff group and your #nervoussystem to maintain a stable and congruent connection through movement! My next few posts are going to go over some simple exercises you can use to try to address shoulder instability, particularly in transitional movements! . . . #shouldersurgeryrehab #shouldermobility #shoulderhealth #shoulderdislocation #labraltear #shoulderpain #shoulderpainrecovery #shoulserxray #exercisebasedrehab #ehlersdanlos #ehlersdanlossyndromerehab #ehlersdanlossyndrome #clavicular #scapularstabilization #massagetreatment #massagetherapy #massageassessment #remedialexercise Thanks @fisio_movil for the #repost

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THORACIC OUTLET SYNDROME COSTOCLAVICULAR SYNDROME [ANATOMY AND PATHOLOGY]... The costoclavicular passage is formed by the clavicle, the first rib and the scapula. The brachial nerve plexus, subclavian artery and subclavian vein run within the costoclavicular space. The neurovascular bundle is vulnerable to compression in this space. This can occur in different ways: 1The clavicle depresses toward/against the first rib. This can be observed in the common postural condition of rounding and slumping of the shoulders. This narrows the costoclavicular passage by pushing the scapula forwards. A tight subclavius can also cause this to occur! 2A similar mechanism operates in usually obese, middle aged or elderly women. Tight, narrow brassiere straps supporting heavy breasts cut into the soft tissues around the shoulders and exert direct downward pressure on the clavicles, usually around the junction of the mid and lateral thirds. A scissoring action of the clavicle against the first rib narrows the costoclavicular passage and shears the neurovascular bundle. 3The first rib elevates toward/against the clavicle. This often occurs in clients who have laboured breathing. Tight anterior and middle scalenes and subclavius can also cause this to occur. The clavicle depresses and the first rib elevates. Symptoms: Pain or ache sometimes accompanied by stiffness in the neck and shoulders, pain, paraesthesiae, and fatigueability of the upper limbs are the main presenting complaints.Symptoms are usually bi-lateral, though more pronounced on the dominant side. They are aggravated by work and exercise, particularly carrying heavy shopping bags. Symptoms are relieved by rest and sleep, are minimal or absent in the morning, and become pronounced as the day progresses. Patients occasionally complain of puffy blue hands. Active trigger points in the Subclavius muscle can mimic a TOS and initiate similar symptoms, often characterized by numbness or tingling in the thumb or index finger (Pic 4). #Physiotherapy #Osteopathy #Fisioterapia #Physio #Osteopatia #Treatment #PhysicalTherapy #Muscle #Pain #Massage #Yoga #Pilates #TOS #ThoracicOutletSyndrome See more

Using the TFL in Upavistha Konasana . I always begin by taking the general shape of the pose. In the case of Upavistha konasana this means taking the legs apart... (abduction) and extending the knees. Then I actively engage the quadriceps to straighten the knees. This initiates reciprocal inhibition of the hamstrings, preparing them for the stretch. Next, I bring in the tensor fascia lata (TFL). The cue for this is to press the heels into the mat and then attempt to drag them apart (abduction). This causes the TFL to contract, which you can feel by placing your hands on the sides of the hips as shown (img1-2). Pressing the sides of the feet with your hands augments this cue (img2). . Image 1: -1 illustrates pressing the heels down and attempting to drag the feet apart. -2 shows how you can feel the TFL contract. -3 is an intermediate version of the pose. . Attempting to drag the feet apart with the heels fixed in place on the mat uses the primary action of the TFL (hip abduction) as a cue to access its secondary actionsknee extension, and hip flexion and internal rotation. Knee extension synergizes the quadriceps and helps to align and protect the knees. Hip internal rotation counteracts the thighs rolling outward as a result of the pull from stretching the gluteus maximus. The TFL synergizes the psoas for hip flexion and contributes to femoral-pelvic and lumbar-pelvic rhythm. You can learn more about the concept of joint rhythm and its effect on the spine from our blog post Preventative Strategies for Lower Back Strains in Yoga. Image 2 illustrates these actions in Upavishta konasana. . . Excerpt from: Refining Your Forward Bends With The TFL Read more @ www.DailyBandha.com . . #tensorfascialata, #upavisthakonasana, #bandhayoga, #raylong, #raylongmd, #chrismacivor, #dailybandha, #stretching, #body, #asana, #yogapose, #yogainspiration, #yogalife, #yogafit, #yogabody, #yogadaily, #yogateacher, #yogajourney, #yogalover, #yogaaddict, #yogaart, #yogaeveryday, #yogacommunity, #movement, #anatomy, #yoga, #muscles, #instayoga, #yogapractice, #igyoga See more

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Stretching the Piriformis . These images illustrate several yoga poses that stretch the piriformis. Parvritta trikonasana and the rotating version of Supta pada...ngustasana lengthen the muscle by adducting and flexing the hip. Similarly, Parsva bakasana and Marichyasana III adduct and flex the hip joint, thus stretching the muscle (which an extensor and abductor when the hip is flexing). . 1. Piriformis stretching in Supta Padangusthasana. . 2. Piriformis stretching in Parvritta Trikonasana. . 3. Piriformis stretching in Marichyasana III. . 4. Piriformis stretching in Parsva Bakasana. . 5. Supported Setu Bandha - a recovery pose which maintains the piriformis in a relaxed position. . Check YouTube for our video which demonstrates stretching of the piriformis in Reverse Pigeon Pose (search Stretching the Piriformis Muscle with Reverse Pigeon Pose). This asana stretches the muscle by externally rotating and flexing the hip. . . Excerpt from: Healing with Yoga: Piriformis Syndrome Read more @ www.DailyBandha.com . . #Piriformis, #plantarfascia, #bandhayoga, #raylong, #raylongmd, #chrismacivor, #dailybandha, #stretching, #body, #asana, #yogapose, #yogainspiration, #yogalife, #yogafit, #yogabody, #yogadaily, #yogateacher, #yogajourney, #yogalover, #yogaaddict, #yogaart, #yogaeveryday, #yogacommunity, #movement, #anatomy, #yoga, #muscles, #instayoga, #yogapractice, #igyoga See more