Horan Therapeutic Massage

Horan Therapeutic Massage Restoration Deep Tissue An ancient form of therapy that uses very deep pressure, hot stones, hot towels, liniments and unique stretching techniques .

Casey Horan offers the highest quality Restoration-Therapeutic massage and specializes in the treatment of acute and chronic soft tissue pain, physical dysfunctions, and stress relief. I offer a wide variety of modalities:
•Swedish/Deep Tissue Massage
•Neuromuscular Therapy
•Restoration Therapy
•Hot Stone Massage
•Sports Massage
•Prenatal Massage
•Seated Chair Massage
•Reflexology
•Ionic Detoxification
•Energy WorkRates and Services

Calming Touch Massage My unique mix of various techniques using moderate to firm pressure, designed to relax the body, help blood flow and increse range of motion. $40/30min.,$60/hour,$90/90min. Foucsing on spacific problem areas.This is true therapy for chronic problems. It is the original "sports Massage"

$100/60 min. Aroma Hot Stone A calming and relaxing massage using special detoxifying oils and heated stones to bring you to a wonderful state of being.

$80/hour

Foot Reflexology Foot massage that stimulates the body's natural healing ability by clearing deposits that may block blood and energy flow.

$40/30min. Herbal Detox Foot Wrap A refreshing dead sea salt scrub followed by a relaxing, detoxifying oil herbal wrap.

$60/45min. Ionic Detoxification Footbath A warm foot bath that uses charged ions to remove metabolic waste, heavy metals, and other toxins from the body.

$40/40min.

05/09/2022

🔈 HEADACHE BEHIND THE EYE, CAUSES AND HOW TO GET RID OF IT

There can be many causes resulting in headache behind the eye which may range from cluster headaches to migraines to even cranial nerve palsies. Headache behind the eye is usually sharp, throbbing, or explosive pain behind the eye.

Some of the common causes of headache behind the eye are:

TENSION HEADACHE

This is perhaps one of the most common causes for headache behind the eye. An individual with tension headaches will have pain in band like fashion behind the eye and it is often associated with increased stress and extreme fatigue.

MIGRAINE DISORDER

This is also one of the most common causes for headache behind the eye. Pain caused due to a migraine is mostly unilateral and is intense and throbbing in character. The individual may have phonophobia and photophobia and would prefer to lie down in a dark quiet room and take a medication till the headache behind eye resolves.

CLUSTER HEADACHE

Cluster headache is a type of headache disorder which results in excruciating headache behind the eye. This type of headache is seen more in males and people who have a family history of cluster headaches. Such headaches may stay around for a while and may come and go in cycles causing headache behind the eye.

SINUSITIS

Inflammation of the sinuses is yet another cause for headache behind the eye. There are multiple sinus cavities around the eye region and thus inflammation in any one of these sinus cavities may result in headache behind the eye.

CRANIAL NERVE PALSY

There are multiple cranial nerves that emanate from the brain and provide vision to an individual. Whenever there is an inflammation of the cranial nerves providing vision or if there is injury to these muscles it results in cranial nerve palsy causing headache behind the eye. Additionally, the individual may have symptoms of double vision and drooping of eyelid. Diabetes is one of the most common causes of cranial nerve palsies causing headache behind the eye.

HOW TO GET RID OF HEADACHE BEHIND THE EYE?

REGULAR EXERCISE

Regular exercises boost the production of endorphins which is a natural pain reliever of the body and hence it is always recommended to exercises regularly so as to get rid of headache behind the eye.

SUPPLEMENTAL OXYGEN

This type of treatment is for those people who have cluster headaches as a cause of headache behind the eye. Supplemental oxygen is extremely effective in alleviating cluster headaches and helps in getting rid of headache behind the eye.

OTHER REMEDIES

Apart from the specific treatments mentioned above, there are other alternative treatments available like acupuncture, massage therapy, and chiropractic therapy which have been shown to be very effective in treating headache behind the eye.

04/23/2022

🔈 NECK PAIN, HEADACHES OR TEMPOROMANDIBULAR JOINT (TMJ) SYNDROME?

[NEUROMUSCULAR INTERACTION BETWEEN SUBOCCIPITAL MUSCLES AND TMJ MUSCLES]

The TMJ is a complex joint that allows us to open/close our mouth. TMJ disorders do not only create pain and limitations with the jaw. Oftentimes, there are associated issues with the neck, face, and ears.

The body is classically divided into systems such as muscular, skeletal, nervous system etc.

However, this is a mirage as these systems are all a part of one super-system that works in unison to create function.

An excellent example of this is the links between the muscles of the suboccipital region, the jaw muscles and the central nervous system.

As you know the suboccipitals are short and have only minor contributions to gross movements of the spine. However, they are loaded with sensory muscle spindles which indicate these muscles have a strong link to the cerebellum and the CNS. Postural distortions that affect the position of the skull and upper cervical vertebrae are immediately relayed to the CNS via these spindle receptors and the ganglion of C2 which is the largest in the body with 49,000 neurons. For comparison, the T4 ganglion has 24 neurons. More neurons = higher speed delivery of information to the brain.

The muscles of the jaw include the masseter as well as the deeper pterygoid muscles. They obviously allow for chewing but also have an interesting link to the CNS. The masseter has been shown to spontaneously activate during periods of stress. The masseter will also activate in unison with the subocciptal muscles during sudden postural changes in order to keep the eyes stable on the horizon.

The suboccipital and TMJ muscles may not be physically linked but they are absolutely “connected” in the cerebellum and in most clinical cases. This relationship tells us these muscles have a large role in stress/sympathetic nervous system syndromes as well as global postural regulation. A patient may present with complaints of neck pain, but now we see how we must look globally at posture, TMJ function, vestibular function and stress management!

04/19/2022

🔈THORACIC OUTLET SYNDROME

Thoracic outlet syndrome is a disorder characterized by pain and paresthesias in a hand, the neck, a shoulder, or an arm.
Pathogenesis often involves compression of the lower trunk of the brachial plexus (and perhaps the subclavian vessels) as these structures traverse the thoracic outlet below the scalene muscles and over the 1st rib, before they enter the axilla.

Compression may be caused by:
• A cervical rib
• An abnormal 1st thoracic rib
• Abnormal insertion or position of the scalene muscles
• A malunited clavicle fracture
• Thoracic outlet syndromes are more common among women and usually develop between age 35 and 55.

Symptoms and Signs of TOS
Pain and paresthesias usually begin in the neck or shoulder and extend to the medial aspect of the arm and hand and sometimes to the adjacent anterior chest wall. Many patients have mild to moderate sensory impairment in the C8 to T1 distribution on the painful side; a few have prominent vascular-autonomic changes in the hand (e.g., cyanosis, swelling). In even fewer, the entire affected hand is weak.

Rare complications of thoracic outlet compression syndromes include Raynaud syndrome localized to the affected arm and distal gangrene.

Exercise:
• Pectoralis stretch: Stand in a doorway or corner with both arms on the wall slightly above your head. Slowly lean forward until you feel a stretch in the front of your shoulders. Hold 15 to 30 seconds. Repeat 3 times.

• Thoracic extension: While sitting in a chair, clasp both arms behind your head. Gently arch backward and look up toward the ceiling. Repeat 10 times. Do this several times per day.

• Arm slide on wall: Sit or stand with your back against a wall and your elbows and wrists against the wall. Slowly slide your arms upward as high as you can while keeping your elbows and wrists against the wall. Do 3 sets of 10.

• Rowing exercise: Tie a piece of elastic tubing around an immovable object and grasp the ends in each hand. Keep your forearms vertical and your elbows at shoulder level and bent to 90 degrees. Pull backward on the band and squeeze your shoulder blades together. Repeat 10 times. Do 3 sets.

04/19/2022

🔈 HEADACHE AT THE BACK OF THE HEAD

There are many different types of headaches. One of the more common headaches is the suboccipital headache.

At the base of the skull there is a group of muscles, the suboccipital muscles, which can cause headache pain for many people. These four pairs of muscles are responsible for subtle movements between the skull and first and second vertebrae in the neck.

When the suboccipital muscles go into spasms they can entrap the nerves that travel through the suboccipital region. By compressing the suboccipital nerves they set off a series of events that lead to either a tension or a migraine like headaches.

CAUSES

The suboccipital muscles commonly become tense and tender due to factors such as

- Eye strain, wearing new eyeglasses.
- Sitting at a computer with our head forward and our head slightly tipped these muscles are doing a significant amount of work. This poor posture eventually causes the muscles to become tired, fatigue, and injured.
- Grinding the teeth, slouching posture, and trauma (such as a whiplash injury).

SYMPTOMS

Common signs and symptoms of a headache stemming from the suboccipitals include

- Pain, stiffness, and a dull ache in the upper neck and base of the skull
- Pain on the back of the head, and pain in the forehead and behind the eyes.
- Sometimes there may be visual disturbances or nausea, but those tend to be more common in migraine type headaches.

TREATMENT

People often feel relief when icing, stretching, or rubbing the suboccipital muscles. In the early stages rubbing the suboccipital region can reduce or eliminate a headache.

When the headaches progress often palpating the suboccipital muscles intensifies the headache. Some people feel a tension band or headache that moves towards the eye. When pushing on the suboccipital muscles, it may increase the intensity of eye pain.

Suboccipital headaches are improved with over-the-counter NSAIDs, ice, stretching, therapy, electric, ultrasound, and cold laser treatments. Goals of treatment are to decrease muscle spasms of the suboccipital muscles and trapezius. The poor posture of slouching forward and tipping the head up causes additional injury and spasms to the trapezius and upper back muscles. Treatment always looks at improving these muscles as well.

Treatment will focus on improving posture when standing and sitting, to relieve stress and strain on the muscles. In addition massage therapy is excellent at decreasing muscle spasms, pain, tenderness, and tension in these muscles. Stretching will be utilized to enhance flexibility. Strengthening exercises will be utilized for the weak muscles of the neck and shoulder complex.

Graston Technique is a very effective tool at decreasing the scar tissue and spasms associated with poor posture, headaches, and suboccipital spasms. Often people with suboccipital headaches have had poor posture for many years, and Graston helps decrease the fascial adhesions and scar tissue from years of poor posture.

04/19/2022

🔈 ANATOMY OF THE SCIATIC NERVE

Several important nerves arise from the sacral plexus and either supply the gluteal region (e.g., superior and inferior gluteal nerves) or pass through it to supply perineum and thigh (e.g., the pudental and sciatic nerves, respectively).

Sciatic Nerve is the largest nerve in the body and is the continuation of the main part of the sacral plexus. The branches converge at the inferior border of the piriformis to form the sciatic nerve, a thick, flattened band approximately 2cm wide. The sciatic nerve is the most lateral structure emerging through the greater sciatic foramen inferior to the piriformis.

Medial to the sciatic nerve are the inferior gluteal nerve and vessels, the internal pudendal vessels, and the pudendal nerve. The sciatic nerve runs inferolaterally under cover of the gluteus maximus, midwy between the greater trochanter and ischial tuberosity. The nerve rests on the ischium and then passes posterior to the obturator internus, quadratus femoris and adductor magnus muscles. The sciatic nerve is so large that it receives a named branch of the inferior gluteal artery, the artery to the sciatic nerve.

04/15/2022

🔈 TRIGEMINAL NERVE (CN V)

The trigeminal nerve (CN V) is the largest cranial nerve (if the atypical optic nerve is excluded). It emerges from the lateral aspect of the pons of the brainstem by a large sensory root and a small motor root.

The roots of CN V are comparable to the posterior and anterior roots of spinal nerves. CN V is the principal somatic (general) sensory nerve for the head (face, teeth, mouth, nasal cavity, and dura mater of the cranial cavity). The large sensory root of CN V is composed mainly of the central processes of the pseudounipolar neurons that make up the sensory trigeminal ganglion.

The ganglion is flattened and crescent shaped (hence its unofficial name, semilunar ganglion) and is housed within a dural recess (trigeminal cave) lateral to the cavernous sinus.

03/21/2022

🔈 INJURIES OF THE ACROMIOCLAVICULAR JOINT + SHEAR TEST

A fall onto the shoulder or outstretched arm frequently causes dislocation of the acromioclavicular joint and damage to the acromioclavicular ligaments. Ligament injury allows the lateral end of the clavicle to move independently of the scapula, causing it to appear upwardly displaced.

The clavicle can be pushed down (with significant pain), but will spring back up when pressure is released (piano-key sign). Three grades of acromioclavicular separation can be distinguished clinically based on the degree of ligament damage (Toss classification).

🔑 TOSSY I

The acromioclavicular and coracoclavicular ligaments are stretched but still intact.

🔑 TOSSY II

The acromioclavicular ligament is ruptured, with subluxation of the joint.

🔑 TOSSY III

Ligaments are all disrupted, with complete dislocation of the acromioclavicular joint.

Radiographs in different planes will show widening of the space in the acromioclavicular joint. Comparative-stress radiographs with the patient holding approximately 10kg weights in each hand will reveal the extent of upward displacement of the lateral end of the clavicle on the affected side.

🚑 SHEAR TEST

✅ Purpose

To test for acromioclavicular joint pathology or injury

✅ Technique

Patient: sitting or standing with the arm dependent or in a neutral position on the lap.
Clinician: standing adjacent to the patient. The heel of one hand is placed posteriorly over the spine of the scapula with the fingers pointing upwards; the other hand is positioned in a9 similar fashion anteriorly over the mid section of the clavicle. The fingers of both hands are then interlocked over the upper trapezius area of the shoulder.

✅ Action

The hands are gradually squeezed together, imparting a shear stress through the ACJ created by the approximation of the clavicle and scapula.

✅ Positive test

Localized pain over the ACJ or increased joint excursion are considered to be positive findings and are indicative of ACJ pathology or injury.

Address

7505 Waters Avenue, Ste E4
Savannah, GA
31406

Opening Hours

Tuesday 10am - 6pm
Wednesday 10am - 6pm
Thursday 10am - 6pm
Friday 10am - 4pm

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