Ankle Sprains

Manuela Miutesca

Importance of Core Strength

Muscular Balance

    One of the first things we do after reviewing the history form with a patient is to do a postural analysis.  Postural evaluation is really a test of muscular balance and overall muscular function.  If a person is well balanced in their hips and pelvis, that illustrates proper balance and tone of the attaching muscles.  These muscle groups would be primarily the iliopsoas, gluteal, lumbar erector spinae, and quadricep muscle groups.  The muscles that help balance the hip/pelvis alignment are the abdominal and hamstring muscle groups.  As well, if the torso and shoulders are in good alignment that lets us know as practitioners that the person has good muscular balance between the pectoral, serratus anterior, and rhomboid/middle trapezius muscle groups. 

     When we look at a person from the front we are looking to see if the ankles, knees, hips, shoulders, and eyes are level with the ground.  If one side of the body is elevated compared to the other there is a lack of stability on that side of the body and a reduction in muscle function of the muscle groups compared to the other side.  Therefore, correction of the alignment will need to include exercises that improve the stability of the involved joints to improve load bearing, as well to, restore the function of the muscles on that side of the body.

     Viewing the patient from the back looks at the same major joints, as well as the alignment of the spinal column to see if there are any curvatures, shifts or segmental rotations.  We are also able to see if the muscles are balanced throughout the spinal column. 

     The side view is a measurement of the frontal plane of the body.  We are looking to see if the knee, hip, shoulder, and head are balanced over the ankle.  The ankle is used as the reference point as it is the closest to the ground.  It is very common to see hips that are in front of the ankle which informs us there is a weakness of the muscles that hold our hips in proper alignment on the frontal plane.  This will lead to stress being applied to the knees, hips, low back and neck as the head will move forward as well in an attempt to stay balanced over the hips.

     As therapists, our goal is to help people improve their alignment and balance.  This will result in a decrease in physical stress throughout the body, and generally a reduction in symptoms. We use manual therapy techniques to restore mobility to connective tissues that have been under tension [fascial stretching], to restore mobility to muscles which have become adhered and shortened, and to joints which have lost ideal mobility.  Combining manual therapy with specific exercise programs designed to restore muscular balance throughout the body is very effective in helping people attain a higher level of function. 

Our New address and our Approach

Burnaby Neuromuscular Massage Therapy | Burnaby Rehab

Burnaby Neuromuscular Massage Therapy moved from the clinic we had occupied from 1991 until May of 2018. We moved across the street in to the brick Medical/Dental building that sits in front of the Bay at Metrotown on the East side. Our new address is 301-6411 Nelson Avenue. We have been fortunate to have WPJ McCarthy as our landlord from the clinic’s inception, and continue our relationship with their ownership group. Our clinic space is new as it was designed and built for our needs. This has allowed us to maximize useable space for our common areas and treatment rooms, which are bright with 3 of the rooms having natural light.

We are happy to announce that the same practitioners will continue in our new location. RMT’s Colleen Schmitt, Brita Hobkirk, and John Russell, as well, Doctor of Chinese Medicine Bei-Yu Hu TCM. We have a combined 116 years of experience.

Colleen, Brita and myself have extensive experience in a variety of manual therapy techniques. These include St. John Neuromuscular Therapy, Muscle Energy, Fascial Release, End-Range loading, Osteopathic Manual Therapy, Joint Mobilization, Visceral Manipulation, and Cranial Manipulation. These modalities all have the common goal of restoring postural balance, soft tissue mobility and joint mobility and alignment. Our overall goal is to help people restore their balance, improve mobility, and help them restore function throughout the body. We take a, whole body, approach to treatment. An example would be a person who presents with headaches which is occurring from trigger points in the muscles of the upper neck. The upper neck tension may be occurring from a hip imbalance which has created tension through the erector spinae muscles. Correction of the hip imbalance is therefore necessary to reduce the upper neck tension and therefore the headache symptoms.

We have also trained with Geoff Gluckman founder of the Muscle Balance and Function [MBF] exercise system. Through a postural/muscular balance evaluation we design an exercise program that is instructed in the clinic but is done on a regular basis at home.

In November 2018 we also were fortunate enough to add Manuela Miutescu to our staff. Manuela approach includes cold laser therapy with the medical grade Theralase laser. We will further outline her approach in future blogs.

John Russell RMT