Abstract

Various techniques to address an upslipped innominate have been previously described in the literature, though none have illustrated a single Still technique to correct this dysfunction. This article describes the diagnosis of an upslipped innominate and correcting it by applying a Still technique.

The importance of addressing upslipped innominates is included, as well as a discussion on additional somatic dysfunctions that might make upslipped innominates difficult to resolve.

Abstract

Myofascial pain syndrome (MPS) has been well documented to cause or contribute to chronic pain conditions and may go undiagnosed or ineffectively managed for years.¹ Additionally, MPS and trigger points (TrPs) are found commonly in cases of nerve injury such as radiculopathy.

In the present case report, a 48-year-old man with chronic neck pain radiating into left shoulder and arm, upper back, chest pain, and headaches with possible nerve injury was found to have myofascial trigger points related to his condition. An osteopathic manipulative treatment (OMT) approach was utilized to provide relief from the chronic and complex pain condition.

Abstract

Sinding-Larsen–Johansson syndrome (SLJ) is an overuse injury most commonly seen in young male athletes. It is an osteochondrosis of the distal patella, secondary to excessive traction caused by the extensor mechanism. This case details treatment of a 10-year old boy diagnosed with SLJ who showed marked improvement after utilizing a new osteopathic manipulative treatment technique. This technique incorporates the use of myofascial release along acupuncture meridians to improve function and decrease healing time. The authors consider this case worthy of reporting due to the immediate improvement of the patient secondary to manipulation, and the ability for the athlete to continue activity despite the diagnosis. This case suggests potential for increased utilization of the technique as a concomitant treatment to those modalities already being practiced.