The basic principles of Orthopaedic Medicine are: 1) Every pain has a source. 2) Treatment must reach the source. 3) Treatment must benefit the source in order to relieve the pain. Most sources of pain in the musculoskeletal system can be localized to a specific tissue. We look carefully in a systematic manner to isolate the cause of pain, and then treat it specifically. A specific diagnosis leads to successful treatment.
The examination uses carefully chosen movements. We use active and resisted movement testing to evaluate tendons and muscles. We utilize passive movement testing to assess ligaments for pain, laxity or limitation in range of motion. A distinctive feature of the Cyriax method is the capsular pattern. This capsular pattern denotes inflammation of the capsule such as in an inflammatory or traumatic arthritis, a fracture or a cancer which extends close to or into that joint. It is associated with a specific pattern of limitation with the various passive movements at the joint. Each joint has its own distinctive capsular pattern. A non-capsular pattern implies that the capsule is not involved and that intra- or extra-articular tissue is inflamed or injured and the source of pain. Either pattern will be consistent on repeated exam from one day to the next.
The Cyriax method of Orthopaedic Medicine is an exercise of Applied or Functional Anatomy in which assessment of body movements indicates where lesions lie. Treatment of these lesions incorporate various distinctive techniques of manipulation, injections or physical therapy.
Kinesiology taping (KT) is a therapeutic tool and has become increasingly popular within the sporting arena. Taping has been used for a long time for the prevention and treatment of sporting injuries. KT is not only used for sporting injuries but for a variety of other conditions. It was developed by Japanaese Chiropractor Dr. Kenzo Kase in the 1970’s with the intention to alleviate pain and improve the healing in soft tissues. There are many proposed benefits to KT, including: proprioceptive facilitation; reduced muscle fatigue; muscle facilitation; reduced delayed-onset muscle soreness; pain inhibition; enhanced healing, such as reducing oedema, and improvement of lymphatic drainage and blood flow.
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