Myofascia And Myoskeletal Manipulation Therapy

03/02/2023

01/12/2022

https://www.facebook.com/100064543697810/posts/502836705211115/

ANATOMY OF FEMORAL TRIANGLE

The femoral triangle, a subfascial formation, is a triangular landmark useful in dissection and in understanding relationships in the groin. In living people, it appears as a triangular depression inferior to the inguinal ligament when the thigh is flexed, abducted and laterally rotated. The femoral triangle is bounded.

Surface anatomy of femoral triangle

A. Surface anatomy
B. Underlying structures

✅ Superiorly by the inguinal ligament that forms the base of the femoral triangle
✅ Medially by the lateral border of the adductor longus
✅ Laterally by the sartorius

The muscular floor of the femoral triangle is formed by the iliopsoas laterally and the pectineus medially. The roof of the femoral triangle is formed by the fascia lata and cribriform fascia, subcutaneus tissue and skin.

The inguinal ligament actually serves as a flexor retinaculum, retaining structures that pass anterior to the hip joint against the joint during flexion of the thigh. Deep to the inguinal ligament, the retro-inguinal space is an important passageway connecting the trunk/abdominopelvic cavity to the lower limb.

07/11/2022

BACK, PELVIC, HIP OR LEG PAIN?
BREATHING PROBLEMS?
POSTURAL PROBLEMS?
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BACK ERECTOR MUSCLES
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[ANATOMY, FUNCTION AND MYOFASCIAL TREATMENT]
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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.
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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.
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All three muscles can be subdivided by their superior attachments, into: lumborum, thoracic, cervicis and capitis.
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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.
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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 and the Blackroll® ReleaZer (next post).

Credit: Sports Physiotherapy Stefan Duell
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07/11/2022

The interspinous ligaments, ligaments that run up and down the back of the spine between the spinous processes, are commonly restricted and thickened. When they become so, they often impair the functioning of the abdominal muscles and their ability to flex the trunk forward. They can even create pain with back-bending as well, since the abdominals won't be eccentrically controlling the extension very well, causing the vertebrae to jam into one another. ART (Active Release Techniques) is good at addressing the restrictions in these ligaments. Foam rolling and similar techniques won't work, however, as the implements are too large to fit into the small spaces between vertebrae where these ligaments reside.

07/11/2022

Our connective tissue not only has great tensile strength, but it has electrical properties that are often ignored or not well understood. The collagen in our connective tissues has properties that include piezoelectricity, the ability to generate electrical currents when deformed. This means that every time we move any part of our body, we are creating tiny electrical currents.