New web site...

http://staytunedaz.wordpress.com/

Massage in Flagstaff
Therapeutic Massage Flagstaff
Flagstaff Myoskeletal Alignment
Sports Massage Flagstaff......and all that!!

Inner Spiral

1. Bicep Femoris causes external rotation, and locks the fibular head posterior.

2. Sweeping the adductor fascia posterior, encouraging internal rotation.

3. Vastus lateralis has a tendency to "hang" off the outside of the body causing external rotation.

Over the past few months I have been experimenting with Myoskeletal Alignment Techniques that many clients have given the name Inner Spiral. Traditionally a yoga concept, the inner spiral is focused in the lower extremity, spiraling the fascia, muscle, and bone to a more medial position, ultimately assisting in "tightening the "core"".

Yogis advise students to point the femur inward, pull in the abs, and release the deep gluteal muscles, some suggest the student grasp the tissue in the legs and work medially, toward the inner thigh.

From the stand point of a hands on therapist I work with the client to achieve the same results. Using classic techniques such as the "log roll" in a supine position, or the "windshield wiper" in supine we encourage the fascia, muscle, joint capsule to wind back medially. Additionally I work the tissue in a side lying position, and prone position. Using active client involvement, change occurs that much faster, resetting the bodies understanding of where the tissue's "home" is. I simply ask the client to counter rotate while I hold pressure into the tissue. After the contraction, the tissue softened as the client relaxes, and I move it more medial.

If you are a therapist, try incorporating this in you next massage if you suspect excessive lateral femoral rotation. If you are a client who is suspect, ask your therapist to give it a try, it feels wonderful!

Reduction of Lateral Epicondylitis

A common misconception in the self treatment of pain is that we always need to stretch where it is that we feel the pain. A classic example is in the case of lateral epicondylitis, or "tennis elbow".

When I look at the mechanics of what is commonly the cause of this condition I see a few factors coming into play.

First off, this is not a condition that is solely seen at the racket club and on the courts. Lateral epicondylitis is often seen with wrench turners, bakers, massage therapists, sign language interpreters, and so on. Any body whose lifestyle requires them to repetitively flex the forearm is at risk for this pesky pain generator. To be fair, racket sports beat the hell out of these tissues, on the back hand, if they are weak!

Here's the deal...I have found this to be true in 90% of my clients. Weak.

The fix...balance. Oh balance, what a concept. Aside from work and sport, we were gifted with all sorts of other interest and ability. Bike riding for lesier or transport, car driving, dishes washed, weeding the garden, holding young ones, typing a blog, we use our forearm flexors to do nearly all we do. Enough of that.....

The fix...strengthen the opposing muscle group. Stretch the tight line, strengthen the weak line. The following images demonstrate a few simple daily techniques to stop this potentially lifestyle altering, and oftentimes painful epidemic.

Stretch the tight line...

So whats the problem? Is that a tight muscle, a joint problem, or a weakness?


Stretching the flexor muscles of the forearm, in some schools of thought, will reciprocally strengthen the extensors of the forearm. Be sure you are stretching all the way out from the fingertips as is shown in the above image.

Back to Work

Well, I know I have been a slacker on the blog postings as of late. I have been busy in the clinic, at home, teaching, running around the country with the Freedom From Pain Institute and working on many side projects.

I have a new article coming out in Massage & Bodywork Magazine, "Tuning the Athlete- Breathing and Lumbar Alignment". This will appear in the upcoming issue, Nov/Dec Sports Massage issue. This was a tough concept in the beginning. Writing an article like this is a a great self teaching tool, it requires much research, and made me really look deep into what I was thinking about! Much fun! I will post it when the article has hit the stands later this month.

Our massage business in Flagstaff has remained busy through this troubled time in the market. It seems when times are tough people seek out what makes them feel good. A movie, some good comfort food, and good old pain management are on the top of the list, nothing like an hour on the table, to get away, forget the newsman and stock market for a bit. I am honored to play a role, it makes me feel good, in bringing some peace into peoples lives.....thanks folks.

Today begins another 40 hour intensive in Myoskeletal Alignment Techniques(R), at NAMTI in Sedona. This is a great time of year to be able to drive through Oak Creek Canyon, view the wonders of nature every day before class begins...should be a great time once again! The apples are coming out of the orchards and every market seems to have fresh roasted green chilies! YUM!!

I will be joining Erik and the crew from Freedom From Pain at the next workshop in Atlanta, Oct. 17-19.

Myoskeletal Alignment for Neck, Sciatic and Shoulder Pain

Three day seminar provides innovative approaches for the massage therapist to utilize advanced neck, shoulder, and pelvic stabilization routines. Therapists learn immediately applicable deep tissue techniques for clients suffering neck, shoulder, and low back pain.

70% Hands on Seminar: Human dissection videos and "lively" massage demos teach innovative ways to "Find and Fix" tendon, ligament, joint capsule, and nerve impingements. Erik will demo on class participants for the following

symptoms:

Neck "Cricks" Facet- Rib Pain Thoracic Outlet Syndrome Scoliosis

SI Joint Pain Piriformis Syndrome Rotator Cuff Injuries Low Back Dysfunction

Dalton's popular workshop series compliments all forms of manual therapy and offers practical strategies for correcting reflex muscle spasm caused by joint blockage.

Well, off to see the wizard!

Lessons Learned

At a closing summer BBQ last weekend I had the chance to reconnect with an old friend for a bit. He is a martial arts instructor here in Flagstaff.

Our conversation eventually turned toward principals of teaching and the life lessons we learn from our teachers. Not just in the discipline of a specific study, but life. If you listen closely, everyone you interact with can become a teacher of sort. One lesson or another, profound or not, learning is a life long process. And we must not forget our teachers.

Early in life we are introduced our most important teachers, our Mother and Father, brothers and sisters, and this continues on until we no longer know these people; through death or separation. The lessons we are to learn are fundamental; about relationships, love, kindness, gratitude...

In my high school days I met a great man by the name of Dennis Deike. He was a bit like the gas station attendant from the Way of the Peaceful Warrior. He was a hard ass peace maker, retired Viet Nam vet, gone Buddhist, Christian, scientist, linguist. The lessons I was taught by Deike about humanity will never be replaced. He used a lot of reverse psychology in his teachings, and would piss me off, then close his house to visitors and take a nap, while the lessons brewed, what a jerk!

In my junior year of high school, I told him I was thinking about getting into massage therapy. He said I would never make it, and it was a very stupid idea. Now, every time I make a stride in my career, I thank him for his blessing, and throw him the bird, just as he'd like it!

As we grow into adults the lessons of old remain, so long as we remember and pay tribute to our teachers.

More recently I have been gifted the opportunity to sit with a few folks who again have had great influence in my life. Erik Dalton and Kim Miller. Thanks for every life lesson as well as the bodywork lessons...

Til next time...

In the Presence of Greatness

At a recent Myoskeletal Alignment workshop in Tucson, AZ, I had the opportunity to work with and get to know Mr. Jim Asher. Jim and Erik Dalton have been friends since the early days at the Rolf Institute. What a pleasure it was to be in the company of these two great minds.

Jim started with Ida Rolf in 1971, and was with her until her death. He was one of the original instructors at the Rolf Institute and assisted Ida in advanced trainings as Rolfing (R) was born.

While in Tucson, Jim helped in assisting the Myoskeletal Alignment Techniques (R) course on Neck, Low Back, and Shoulder Pain. We were able to have breakfast, lunch, and dinner with Jim....what an interesting fellow.

My understanding is that Jim offers one of the most dynamic cranio-sacral classes in the world, love to study with him some day as well...until then, thanks Jim!

Flagstaff Massage

So in the video posted here, notice the general improvement that occurs after applying Myoskeletal Muscle Spindle techniques.

First test, this runner has limited range of motion, second test better, and third all the way!

I feel that the limited ROM is initiated by a tight line, psoas and rectus femoris, potentially hip capsule adhesions as well. So we stretch it to defeat Davis's Law. Then a quick few minutes of manual muscle spindle stim work.....Enjoy!

updated viddy

Back Pain in the Shower

When experiencing acute low back pain be cautious in the shower! Try this simple technique while rinsing your hair.

Stand facing the shower head rather than hyper extending your low back to let the water run down the back side. This may lead to a bit more work if you have long hair, but it will save you back!

Stats

Well gee whiz......been a lot of watching to keep up, and missing half of it.

Here is what I have come up with......

Eamon Sullivan... AUSTRALIA.... 2 silver, 1 bronze

Simon Whitfield... CANADA... 1 silver triathlon (kick ass by the way)

Kosuke Kitajima...JAPAN...2 gold, 1 bronze

Reiko Nakamura...JAPAN...1 bronze

Micah Kipkemboi...KENYA...1 bronze...10.000m track&field

Lotte Friis...Denmark...bronze...800 freestyle swim

Alaxander Dale Oen...silver...mens 100m breast stroke

Go World!!

Here is a sample list of 2008 Beijing Olympic athletes, from around the world, we have worked with over the past four years. Gonna be busy watching TV soon!!

Australia-Swimming
Eamon Sullivan


Australia - Track & Field
Luke Adams


Canada - Triathlon
Simon Whitfield
Paul Tichelaar
Colin Jenkins
Lauren Groves

Eric Gillis 5,000m


Denmark - Swimming
Mads Glæsner
Chris Christensen
Jon Rud
Emil Dall Nielsen
Louise Jansen
Lotte Friis
Julie Hjorth Hansen
Jeanette Ottesen
Micha Østergaard



Great Britain - Track & Field
Mo Farah


Japan - Swimming
Kosuke Kitajima
Takuro Fujii
Yuko Nakanishi


United States - Track & Field
Abdi Abdirahman
Anthony Famiglietti

Beijing Baby!!

With his dark beard and long hair, Anthony Famiglietti looked as if he'd stumbled into the 3,000-meter steeplechase at the Olympic trials from the great north woods.

Really, he's just a 29-year-old guy from Medford, L.I., with indefatigable legs, a spiritual bent and some ethical uncertainty about the Olympic Games.

"The Olympics is not what it used to be," Famiglietti said Saturday, minutes after he won the trials with a wire-to-wire victory in 8 minutes, 20.24 seconds, a feat he celebrated by traipsing bare-footed through the Hayward Field stands, seemingly hugging half of Eugene. "It doesn't have that power anymore. A lot of people get caught up in the winning of the gold medal, the silver medal, the bronze medal, the money behind it, the fame behind it, and they lose sight of the competition. There's too much commercialism behind the whole thing."
Full story

Yes Sir!

Fam came out strong, looked great, hips, feet, legs and back.......the Myoskeletal Engine at work. Anthony Famiglietti, who has the fastest time in the U.S. this year, also posted the best time in the semifinals (8:25.27).

GO GET EM FAM!!!

Anthony Famiglietti races the 3000m steeple chase
tonight at 9:10 pm pacific. I have to say, Fam is one of
the most genuine professional athletes I work with while he is
here in Flagstaff, AZ doing Altitude Training.
Race well Bro...

High Road

Appearing in July /August issue of Massage & Bodywork magazine....

High Road to the Olympics.......Geoffrey Bishop

Flagstaff, Arizona, sits atop the world, especially this year as we work our way nearer the 2008 Olympics in China. Many of the world’s fastest athletes utilize the hypoxic conditions of this high altitude city to produce more red blood cells in which to carry oxygen to their muscles. They train long and hard, get sore, get up, and do it all over again the next morning. Erik Dalton’s Myoskeletal Alignment is the therapy of choice for many training Olympians this year, and I’m honored to play a small part in their success.

Full Text.....

Summertime

Summer is off to a great start! Congrats to the Canada crew on making the Canadian Olympic Triathlon Team!


Vancouver (TC) – Two-time Olympian and 2000 gold medallist Simon Whitfield of Victoria will be joined in Beijing by first-time Olympians and fellow National Team Teck Cominco members Paul Tichelaar of Edmonton, and Colin Jenkins of Hamilton, Ont., for the 2008 Olympic Games.

Whitfield qualified for the team based on 2007 results of a top-8 finish at both a World Cup event and the World Championships, while Tichelaar and Jenkins were nominated to the team for submission to the Canadian Olympic Committee late Sunday night by Triathlon Canada’s selection committee.

“Our men’s team in Beijing will be among the strongest of any country,” said Triathlon Canada’s Executive Director Alan Trivett. “The addition of Jenkins and Tichelaar adds the opportunity to race as a team with Whitfield; however Tichelaar has been very consistent on the World Cup Circuit over the past year and is equally capable of producing a top result for Canada on his own.”

Full Story

Run Fast

Notice the difference between first, second and third effort of hip extension......the first is limited, the second is not bad after some hip flexor stretches and the third is pretty darn good and clear after having done muscle spindle work for G.MAX. THIS IS MYOSKELETAL......

Run Fast

Myoskeletal Engine & Foot Mobilization

What a great workshop this really did come out to be.

Erik and Aaron came together after several years of beating their own brains out on how all of this works. And they gave it to us.

Thanks.

Pain Managment in Paradise 2008

What a wonderful trip the 6th Annual Pain Management in Paradise turned out to be. Erik Dalton brought along the originator of Active Isolated Stretching, Aaron Mattes, for a fun filled and informative week of 26 hours of continuing education.

Many of the workshop participants experienced a life alteration. This 26 hours of education coupled with the tranquil setting of Pura Vida Resort and Spa provided an opportunity for therapists to study theory of new concepts, practice techniques and reflect on why we do what we do.

Many new relationships were built over the seven days in Costa Rica. For those of us who had met before it was an opportunity to expand our personal and professional relationships. For me, getting to know Aaron and Judy Mattes a bit better was one highlight. What great, honest and caring people the two of them are.

Over the past 45 years, Aaron Mattes has spent well over 250,000 hours developing AIS in sports participation, sports and health instruction, rehabilitation, athletic training, adapted physical education, sports medicine, training and prevention programs. This man is the real deal, and his wife Judy, god bless her, has to reign him in at the end of the day, he is fully committed to helping people understand and use the techniques.

He is a registered Kinesiotherapist (#449) and a certified member of the American Kinesiotherapy Association. He is a licensed Massage Therapist (#3864) and a member of the Florida State Massage Therapy Association and the American Massage Therapy Association (#3864). Mattes is a member of the Association of Medical Rehabilitation Administrators, and the National Rehabilitation Association (#039204).

Mattes lectures internationally at sports medicine clinics, medical seminars, and massage therapy conventions. He provides continuing education to personal trainers, nurses, strength trainers, athletic trainers, physical therapists, massage therapists, coaches and athletes. Mattes serves as a consultant to sports clubs, high school, college and professional athletes and teams. He has rehabilitated thousands of subjects including famous politicians, entertainers, and hundreds of Olympic and professional athletes.

Mattes is co-author of two books: Pre-Condition, Re-Condition, Re-Habilitation: Shelton, Greninger and Mattes and Nutrition Therapy For Massage and Physical Therapy Patients: E. Leslie Knight and Mattes. He is the sole author of a number of books on stretching including his 2000 text "Active Isolated Stretching: The Mattes Method”. Mattes is internationally recognized for his techniques in treating pain, scoliosis and major spinal distortions, post polio, parkinsonism, multiple sclerosis, fibromyalgia, spinal cord problems, and joint replacements.

Some therapist's may try to emulate his life, his commitment, and even his teachings, but there is only one Aaron Mattes, and what an honor it was to work along side him and assist him in his work over this unforgettable week. Thanks Aaron.

hope to see you soon.......

And We're off!

Headed to Costa Rica today after class in Sedona.......it's been a long few weeks, teaching, clients, family, photo shoots, this and that.

We get into San Jose at 5:30am on Friday, enough time to sleep a bit before getting back to work. While at these workshops, it is definitely not all about rest for me. I sort of end up running around a lot. Making sure this cord is plugged into that hole, copies are made and delivered, students are happy, temperature is good, Erik, Kim and Paul have enough liquid, coffee, etc. Then the Power Points and anatomy images are good to go, how is the sound? We review the class outline about five times, make changes, prep and teach.

It really is quite nice. I continue to learn each time I go to work. I see and hear the concepts again and again. We scan the room, and check each student's finger, arm and hand positioning, making sure the receiving participant is feeling good with the applied technique. With a variety of learning styles represented in the room, we often need to re-teach the technique per individual. It is a great chance for me to encounter people on a one on one basis, and dial in effective teaching strategies....

Plus three fresh, organic meals a day prepared just for us!!! Mmmmm.........can't wait!

Until next time......Pura Vida Amigos....

Upcoming Workshops

Costa Rica

Erik Dalton & Aaron Mattes
San Jose, Costa Rica
Pura Vida Resort
April 26- May 3, 2008
26 CE Hours>>>Cutting-Edge Therapy>>>Tropical Vacation

Pura Vida Spa......Set in a tropical paradise hidden in the hills of Costa Rica, renowned manual therapy specialists Aaron Mattes and Erik Dalton conduct lively, entertaining and informative certification workshops. Special video animation, anatomy dissection and hands-on demos stimulate the visual learner, while relaxed practice sessions delight kinesthetically-attuned therapists.

NAMTI
Sedona Arizona.....

Sedona Arizona- NAMTI

Presented by Geoffrey Bishop, Dalton's 1st certified teacher in Myoskeletal Alignment Techniques

Pain Management for Neck, Low Back, and Shoulder Dysfunction
25 CE hours

To Register Contact: NAMTI (928) 282-7737 or visit NAMTI online

Day 1….Neck Pain: Dalton’s very popular “Dirty Dozen” pain-bustin’ techniques help massage therapists assess and correct neck "cricks", dowager's humps, TOS, pinched nerves, scoliosis, rib pain and more.


Day 2…Back Pain: Simplified "back spasm" recipe for torsioned spines, locked SI joints and adhesive hip capsules. Includes innovative side-lying techniques & assisted stretching routines…perfect for treating large or pregnant clients.

Day 3…Upper Extremity: Shoulder, arm, and hand pain plagues the American workforce and sporting industry. Here you will learn innovative techniques to assess and treat; frozen shoulder, acromioclavicular pain, rotator cuff injuries, bicipital tendonitis, “golfer’s” and “tennis” elbow, carpal tunnel, De Quervain syndrome and trigger fingers. A must take for all corporate and sports massage therapists.

Work Hands

Fig. 1

Fig. 2

A common complaint we see at Stay Tuned Therapeutics, when working with office and production workers, is forearm discomfort. We see many people coming in with pain at the outside, top of the elbow, when the palm is facing down. It may be that the tendons at the lateral condyle are week, and in need of strength rather than the stretch. Stretch is commonly prescribed when anything hurts. What if it is to long and weak already?

Theraband products are a big help, easy to use and affordable. This simple elastic resistance band has many uses, today we will explore finger/wrist extension so those little tendons don't get so beat up.

Fig.1) Start. Begin by making a gentle fist and covering it with the resistance band as shown in the image.

Fig. 2) Slowly extend the fingers and wrist, as shown in Fig. 2. Hold for 4 seconds, then allow the fingers to curl back under, slowly. Slow is a key factor, have control of this movement. This is known as concentric and eccentric exercise.

Do a set of 10 on each wrist/hand, with 4 second holds in extension. Repeat this strength movement 3 times a day. Often times I have seen a much quicker recovery from hand and wrist pain using these strength exercises than I have with stretching the heck out of it......

Inspiration

Pelvic Floor

There are only a few times I can think of when people mention Pelvic Floor. One being after child birth and the other being incontinence (bladder control). The typical prescription is to strengthen the pelvic floor.

There is research to show that the breath is directly related to function the pelvic floor as well. In yoga class we learn to breath deep into the abdomen, we hear the teacher refer to diaphragmatic breathing. It is necessary at this point to be able to allow the pelvic floor to drop and relax. Often times people present with tight adductors, hamstrings, gluteals, and rotators of the hips (piriformis, obturator internus) all of which share fascial connections with the pelvic floor, specifically, levator ani.

Learning to feel

On the in breath, the spine begins to flatten and we lose some degree of our lumbar curve. As we breath deep into the diaphragm, it is necessary to drop the abdominal content toward our knees. This achieved by relaxing the pelvic floor (pelvic diaphragm) and allowing it to expand. Feel your sacrum drop, lengthening the spine.

These exercises have been know to help in some cases of incontinence, systitis and irritable bowl syndrome as well, when the key factor at play is facilitation of the pelvic floor (too tight). Cases such as abuse and assault may create such holding patterns, lending to a life long insult to a persons psyche. Many cases are simply a result of mechanically-produced, excessive tone with a background of dance, athletics and bad Pilates.

Try this simple exercise in breathing, consult your health care provider and manual therapist and see if you begin to feel better.

Thanks

A note from the teaching clinic.....

Geoffrey,

Thank you for your time this afternoon. I really enjoyed the learning opportunity with such a perfect client to work on. How can I say this best - I'm so impressed with your professionalism and your talent. I've been working diligently and consistently in school to learn my basic anatomy and its obvious that there is a lifetime of learning yet to be done.

Also, I really like the new location and what you have done to it to create a warm and inviting atmosphere.

My pleasure Dana, I have passion for my work and love to pass the information along. You are going to be a wonderful therapist as is evident by your passion for the work. I wish you all the best......

Sedona, Phoenix, Sedona, Home...Costa Rica

Up coming schedule.....

Myoskeletal Alignment Techniques, NAMTI, Sedona
Sunday, April 6, 10am-6 pm
Monday, April 7, 6pm-9:30pm
Wednesday, April 9, 6pm-9:30pm
Friday, April 11, 6pm-9:30pm (Phoenix, Ironman Arizona, 8am-2pm)
Sunday, April 13, 10am-6pm
Monday, April 14, 6pm-9:30pm
Wednesday, April 16, 1:30 -5pm, 6pm-9:30pm
Thursday, April 17, 9am-5pm
Friday, April 18, 6pm-9:30pm
Monday, April 21, 9am-5pm
Tuesday, April 22, 9am-5pm
Wednesday, April 23, 9am-5pm
Thursday, April 24, 9am-12:30pm

1st group
2nd group

Thursday, April 24th, Fly out for Myoskeletal Alignment 6th annual retreat with Erik Dalton and Aaron Mattes at Pura Vida Resort in Costa Rica.

Click the purple links to find out more......

Flagstaff Invasion

Keeping Peter Gilmore's spinal engine running.

Flagstaff, Arizona has recently experienced a great influx of population from the North, South, East and West. For me it has been a welcomed experience. At 7,000 ft, the city of Flagstaff is prime real estate for the athletes, from all over the world, to train their way to the 2008 Beijing Games. Many of the spots are still open for the world's best.

Athletes come to Flagstaff to train their systems while adapting to altitude. In acclimatizing to the altitude, the human body produces more red blood cells (hemoglobin) in which to carry oxygen to the working slow twitch muscles fibers of endurance sports. These muscles burn oxygen as one source of fuel. The training may produce only a small improvement in times for the athlete. There is only a small gap between first place and last place when the entire field is moving like these guys. Look at the recent ITU Mooloolaba triathlon. Between first place of 1:49:50 and tenth place 1:50:58 there is just over one second.

Please note 7th place belongs to Paul Tichelaar 1:50:38 and tenth place to Kyle Jones 1:50:58. Both of whom hail from Canada and trained in Flagstaff from late Feb. to late March. I am interested in speaking with the guys now that they have left, to see how they feel the training has paid off.

The UASTF Olympic trials are to be held in Eugene, Oregon this year from June 27 thru July 6. I may be in attendance providing Myoskeletal Alignment with some of my long time athletes, and hoping to meet some new people. Flagstaff has an abundant population of athletes move here, part time and full time,to prepare for these events. Time will tell. I am optimistic that the long hours will pay off.

Recovery and prevention are key components for all of the folks who come here to train. Along with proper nutrition and smart training, many of the athletes are utilizing Myoskeletal Techniques as preventative medicine. With the efforts put in by these athletes, staying ahead of the aches and pains associated with movement and breathing is the name of the game. The athletes cannot allow themselves to focus on the lack of efficient oxygen/nitrogen transfer during their initial training. They learn to ignore and conquer the discomfort that comes with each breath until the pain slowly recedes. When the headaches, diarrhea, and stomach cramps finally subside…they begin to excel.

In the absence of proper manual therapy, the months that athletes spend at altitude can seem much longer. Some camps can last for as long as three months, creating a dramatic energy drain. These folks need to be able to concentrate on their sport, not their body telling them there is something wrong with the biomechanics of their movement and activities. This year could be the realization of a life long dream, the podium in China.

I wish all of the athletes I have worked with the best on their journey.

Who is Ida Rolf?

I was recently asked by a client, "Who is this Rolf lady?" So I thought I would share this interesting video with you.

Sign Language Interpreters

Yesterday I hosted a CEU class for local sign language interpreters at my clinic. What an experience. It was an information exchange bridging the gap between "work and wellness".

Teresa Sedano from Healthy CEU's was the sponsor of the event. Teresa did a wonderful presentation on aromatherapy for stress reduction, awareness, and self recognition. It was fun, informative, and much needed for a stress out massage therapist as well as sign language interpreters to pay themselves back a little.

My part of the presentation was focused on body mechanics, breath awareness and preventative maintenance. I had missed the component of what it takes to convey emotion in sign, separating ones self from the emotion portrayed. What a job, and what strength of character it takes to not get sucked into the emotion. Transference and counter-transference issues come to mind.

It seems as though these topics of conversation are missing in a large part of the community of interpreters. The idea of what to do with this information one it is identified. Holding patterns in the physical as well as the emotional body. It seems as if isolation with in the community may be a factor as well. Yesterday was a great meeting of the minds, a chance to for interpreters to share feelings about life and work.

We then focused back on taking care. We ended our time together with a group breathing exercise and some movement identification and re-education.

Thank you all who attended.

Flagstaff on Olympians' radar screen

It is an exciting date (08/08/'08) for spectators across the United States and the world. For the athletes it is the benchmark of years of hard work and determination. Some of the finest athletes in the world are training in Flagstaff for the chance to be in Beijing on that date. They are using the facilities at the Center for High Altitude Training at NAU.

Assistant director Sean Anthony said the excitement to work with these world-class athletes should extend beyond the center to Flagstaff itself. "I think it's exciting for the community too, because once we get closer to the Beijing Games we're going to publish a list of all the athletes that trained through the training center in preparation for the Olympic games," he said. "So that way members of the community can look at the names and say, 'Wow that guy trained in Flagstaff,' or, 'I remember seeing that guy at the pool,' or, whatever the case may be."

"I helped that athlete recover in their training to get to Beijing!"

Some of the athletes training at the center now or in the next few weeks include Fasil Bizuneh, Peter Gilmore and Chris Lundy in the marathon, Aaron Aguayo in the 3,000 meters and steeplechase, Renee Metivier Baillie in the 5,000, Abdi Abdirahman in the 10,000, Anthony Famiglietti in the 5k, 10k and steeplechase, and ex-NAU standout Lopez Lomong in the 800 and 1,500.

"So right now we have a 32-person delegation from the German Athletic Federation, a 10-person delegation from Triathlon Canada, five Japanese swim clubs and roughly 20 U.S. distance runners trying to secure a spot on the U.S. Olympic team," he said. "So that's a lot of activity to have at once."


Triathlon Canada Simon Whitfield- Former Olympic champion (Gold Metal in 2000 Games), Whitfield continues his streak of at least 1 Gold medal in every race season dating back to his Gold medal in the 2000 Sydney Olympics. He has dual Canadian and Australian citizenship Kyle Jones- Jones had 3 top-15 World Cup results in 2006 with some of the strongest fields on the World Cup Circuit (14th in Mazatlan, 13th in Edmonton & 7th in Corner Brook). Jones finished the year ranked #49 - the second best among the Canadian men in 2007.

Read the entire story.....

High Altitude Sports Massage

RappStar

The fine line. The interesting thing for a sport therapist working with elite training camps is just that. The fine line, the dance between "pre and post" event type work. We are taught in schools of bodywork that pre event is fast paced muscle spindle work, get them ready to preform. Post event is to be of a recovery and slower regenerative work speed and focus. So, what do we do when an athlete is recovering from a big run Sunday, and getting ready for a big push on Tuesday? Walk the line. Individualize treatment for the athlete, and within that athlete, individualize the treatment for the muscle belly at hand, or the kinetic chain of a specific movement. With enough thought it can seem tricky to know what to do, where and how to work.

With the Canadian National Triathlon Team my focus has been two fold. Keep the bodies of the athletes as close to alignment as possible, hip rotation, head on neck, neck on shoulders, clean running spinal engine, springing knees, ankle, and feet. Then to keeping the bigger long lever muscles, prime movers and synergistic stabilizers as fresh as can be expected. With the efforts put in by these guys/gal, staying ahead of those niggles is the name of the game. I really feel like they are all doing well.

This is a sample of the early training I stole from Colin Jenkin's blog......
The last couple days have been rough up here at altitude. I have been getting some altitude headaches on and off and trying to drink as much as I can as it is very easy to get dehydrated up here.

Joel's idea when we got here was to go easy the first couple days, just to flush out the system from the race and get used to the altitude. Then we will gradually increase the intensity from there so we do not overload the body. Well the first day was flush, the second was rough, and the last two have been pretty damned hard. I guess that is Coach Joel's idea of building into it.

Yesterday we started the day out with a set of 3x100 fast, then 3x300 sub threshold all on 1:30 per hundred pace. We had to do that 3 times. The first two rounds were pull paddle on the 300's and the last round was swim. Thats where the altitude hits you like a ton of bricks. I had to pull the 2nd 300 to rest my legs or my heart would have probably exploded.

From there we had a quick lunch and went for a 2.5 bike with the last 60min steady. The group of us did that working pretty good together in a pace line, we were smoking! Then we hopped off the bikes, did a quick change and ran 40min (10 steady, 10 easy X 2) on our Mooloolaba course. Lets just say I hope I run quicker in the actual race. Day done.

Today was a bit more manageable. I started the day out with a 60min spin on the trainer (pic above) and then off to the pool for a recovery swim. Later on in the afternoon we did a 70min run on a muddy, red dirt road. Oh, and it was filled with potholes everywhere. Perfect place for a 30min tempo run. So we did 30min WU, 30min tempo, 10min cooldown. Running tempo at altitude is tough but it went by quick and the day is finally done.

You can see what I mean about the fine line between recovery and preparation.

Upper Cervical Complex Pain?

Strengthen the cervical and capital flexors. Slide head back, tuck chin, keep eyes flat on horizon. 10 reps.
Tuck chin and roll through seven cervical segments. At the end of movement assist with your hands gently. 10 times, hold 2 seconds. Or what ever feels good.
Rotate head 45 degrees, nose over chest, take nose to chest, then assist with your hand, gentle. 10 times 2 sec hold.

Rotate head away 45 degrees. Then bring ear to same side chest. 2 sec hold, 10 times.

Be sure to use good breathing, never hold breath. Breath out on execution of movement, breath in during the relax phase. Following these simple movements a few times a day can really open things up and be refreshing for the muscles and the brain! This helps the little muscles at the back of the head top of the neck release. This is a great practice for people on the computer, driving a lot, or ride a bike 200 miles a week! Do this at home, in the car (at stop lights, not while driving) or in the shower. Simple maintenance can go a long way.

Idaho

Great trip! The Snow Gods were happy and the stars were in line. There was nearly 15 feet of snow at the top of Brundage, where we spend the most of our time. Fresh powder lines each morning, and most of the day on Superbowl Sunday. That's all I got to say.

Muscle Preparation

As I prepare for a long weekend snowboarding in Idaho, I feel like it is important to give my muscles a bit more attention. I have put together a short routine for the muscles where I feel the ripping and shredding the most. These are a few of the rolling techniques I have been using. You may find them useful as well. You carving, you carve, you carve, you carve, no slide.....even if it's icy.



(fig. 1.) Gluteal muscles. These guys get fatigued a bit in the squatting position used frequently in snowboarding. While in the squat, we are using our back foot to maneuver the tail of the board for steering. This position on the foam roller puts glute max on a bit of a stretch , as we roll the tissue all around the sacrum we also touch on the long dorsal sacroiliac ligament. This is crucial in having freedom of movement in the SI joint. In my opinion, it is a wise idea to do some type of straight leg extensions after "opening up" and "turning on" this tissue. This can be done by lying face down and doing straight leg raises.

(fig.2.) Heinemann, or DH danceman, says he's been getting it in his quadriceps muscles. I agree. Here we roll from above the knee to the hip and back. Easy enough. If you have not used a foam roller in the past, you may be surprised at the depth of pressure you can achieve. Tilt your body left and right a bit to get the lateral and medial tissues of the thigh. An attempt should be made to push the lateral tissues back up to the middle of the bone. Separate the bellies of the 4 quads.




(fig. 3) Knee pain may be resolved to some degree by paying special attention to the connective tissue around the knee. Just below the knee, on the outside, is the attachment of bicep femoris. This hamstring muscle has been known to cram the tib fib joint closed, reducing the available slide, shock absorbing element of this part of the "knee" joint.

Use your upper body to provide movement from the knee to the hip. At the top of this movement do get into the tissue of the TFL, tilt slightly forward, All around that IT band tissue.

(fig. 4) Lats. Latissimus dorsi that is. Very interesting muscle. This dude is attatched to the arm, the low back, and the hip. So it helps in feeding, walking, rotation of the spine, side bending, so we see how this is important in snowboarding. have to eat ya know!

With the arm over head and externally rotated, we roll from around the arm pit, down to the ribs. Watch those floaters at the bottom of the rib basket. The intent is to pull the tissue back to the back to the beat. Get on the back of the "rotator cuff" high at the arm pit. I like to add an enhancer here, internal and external rotation of the humerus.

I hope you find these foam roller techniques useful. If you do not have a roller, you may find one at your local PT department, many massage therapist, running stores, and yoga studios may have them as well. This is a great device to have between massage appointments for at home care. They are cheap, fun, feel good and help create bodily awareness. Have fun with this stuff. Try some balance work. Squats while standing, arms out front. Stand erect doing overhead extensions. Lay on your back, foam roller length wise under spine. try to lift one foot then the other. What do you find. Core.

Team Avocado

Team Avocado was founded in around 1992, give or take six or eight months. (maybe someone can let me know)...... I do not feel as though I was one of the "Original Gangsters" or "OG" as they now call it in the central mid-west. The two who started the posse are long gone from the old turf and I will not give out their names.

I joined up with Team Avocado about two weeks after the historic joining of forces. It was a trip for sure!! MH. and his posters. TB with the macaroni with ketchup. Other DH. with mattress lined rooms for battles of kick. DD best bite mark and flop. GB. the rock and roll bedroom equipped with new drums!! MH.with DRAGNET! TH with the best Mom.* JR best phone number. Fire! Fire! GB best getting his ass kicked around DH's porch by his girlfriend. And the list goes on. We all had our place then and we all have places now. But the houses are not as close.

Here's the plan, have a good trip. Mellow. Get ready for the projects called life. Or just forget about it for a few days.

*all Moms are the best..

Next entry......stretch it first.

Second Heart System- Part One

The walking cycle is complex to say the very least. It takes a harmonious balance between the head and neck, spine, ribs, arms, hips, knee and ankle movement. And that is just with-in the bones. Imagine the process form the viewpoint of muscle, ligament, nerves, and fascia. There needs to be an effective firing order of trunk rotation, latisimus dorsi, thoracolumbar fascia, glute max, and lateral hamstring (bicep femoris). All of this is very complex and is something that I am attempting to understand.

I do know the simple act of walking may decrease the likely hood of deep vein thrombosis in the lower extremity, and increased flexibility and tone may help the return of blood flow from the lower leg to the heart.

Many anatomists refer to the soleus muscle as the second heart. The soleus is located somewhat deep in the calf; it is the second muscle deep to the skin, just deep to gastrocnemius. It may be an active muscle in the “toe off” phase in the walking and running cycle, but it's main job is stabilization in the stance phase. Electromyography shows that this muscle is made up of nearly 100% slow twitch, high endurance muscle fibers. This means it does not fatigue easy, and may just become neurologically facilitated to the point where it needs intervention to turn off.

Just deep to the soleus muscle is the venous return system from the lower leg. The veins have a few branches and some of the smaller venuals entwine through the muscles belly and run deep. The veins need effective pumping and the muscle needs freedom of movement to provide this pumping action. Strength and flexibility are two key factors for healthy lower legs.

There are a few things we can do to ensure freedom of movement in this tissue. Using a foam roller is one great technique for applying just the right amount of pressure to this deep calf muscle. Roll from the head of gastroc down to the heel for lengthening the muscle fibers. Try flexing and extending the ankle to get deeper into the fascial layers and to provide a distraction technique if needed. The key is to get the bellies of the muscles separated, allowing space for the blood to flow when the pumping action of the lower legs is active.

Always check with your doctor if you are in pain. Deep leg thrombosis is very dangerous and may indicate the care of a physician. Do not attempt these movements if you suspect any clotting in the tissue. Please check with your doctor first.

Lifting and Twisting

So.... We have had some snow in Flag. We put old Babs to the test. The snow plow moved this bank up onto the side walk, I cleared the whole thing, then had my Dad stand here for a photo opportunity. He made it out alive!! The lifting and twisting motion of removing this snow fall from our driveways and sidewalks brought many people in with acute back pain.

He moved a lot of snow. Before that he raised three kids, worked in the produce industry, beef industry, and back to produce. Dad is 64 years of age. He retired 2 years ago from a major grocery store in the mid-west, with no back pain!

When we go to the grocery store we pick up items in the produce department. I want you to think about this:

Stacks of potatoes- 10 lbs a bag.
Celery- boxes weigh around 40 lbs.
Carrots- boxes weigh around 40 lbs.
Apples- boxes weigh around 40 lbs. And are stacked high and long. 8-10 varieties.
Banana- boxes weigh around 60 lbs. Organic and non-organic.
Lettuce- boxes weigh around 40 lbs. Washed in freezing water. 4 varieties.
Oranges- boxes weigh around 40 lbs. And are stacked high and long.
Peanuts, Chard, Endive, Green Beans, Pineapple, Tomatoes, Onions, Garlic, Grapefruit, Avocado, Peppers of all variety, Asparagus, Watermelon, Squash.....and on and on and on......

No back pain. That's quite a work out everyday. Go back up and look at this guy's posture. No Hunch, strong core, strong back, all as a result of many years of similar work to the snow lifting.

From Dalton's Blog.......

Much controversy exists in the biomedical and rehabilitation community as to the preferred strategy for lifting. This may actually come as some surprise to many of you who believe that lifting with a flat or arched back (lordotic posture) is unequivocally the safer and more efficient way to lift objects from the ground.

Serge is a proponent of what is called the rounded back (kyphotic posture) lifting theory. At a Rolf Institute annual meeting presentation in the early 80’s, Serge argued that the back muscles are not strong enough to properly support the spine and that when lifting naturally (without being coached how to lift) people will round their backs relying on the posterior ligaments and lateral thoracolumbar fascia to support their spines. He insists that lifting with an arched back is dangerous, since contraction of the erector spinae muscles increases the compressive load on the spine.

In fact, a fundamental problem in spinal biomechanics is explaining why vertebrae and discs are not crushed during the lifting of even relatively small loads. This problem has been wrestled with by spinal experts for years.

Gracovetsky attempts to solve the problem by proposing a model of the spine where lifting occurs without great involvement of the back muscles. They argue that lifting with a rounded back (kyphotic lifting posture) is safer since this results in less contraction of the erector spinae (lower back) muscles.

He believes that to lift properly, we must rely on passive bracing of the posterior ligamentous system and the thoracolumbar fascia of the spine for support. They claim that this lifting posture/strategy is to be preferred, since it results in less spinal compression and less tendency for shear forces in the spine.

Gracovetsky argues that the lower back muscles are not located posterior enough to the spine to be able to exert very much extensor torque and that since the erectors are located very close and lateral to the spine, they were never intended to generate much power.

While I may not agree one hundred percent with this model, many people do seem to lift this way, and many never have acute low back pain......

Hope it helps........and I hope we receive more snow!!

Welcome......

Thoracolumbar Junction Dysfunction Fix. Pain from this junction may be felt in the top of hip, glutes, IT Band, and into the groin. Rarely is pain felt at the site of dysfunction.

Stroke Awareness

STROKE: Remember The 1st Three Letters.... S.T.R.
If everyone can remember something this simple, we could save some folks. Seriously..

Please read:

STROKE IDENTIFICATION:

During a BBQ, a friend stumbled and took a little fall - she assured everyone that she was fine (they offered to call paramedics) .....she said she had just tripped over a brick because of her new shoes.

They got her cleaned up and got her a new plate of food. While she appeared a bit shaken up, Ingrid went about enjoying herself the rest of the evening.

Ingrid's husband called later telling everyone that his wife had been taken to the hospital - (at 6:00 pm Ingrid passed away.) She had suffered a stroke at the BBQ. Had they known how to identify the signs of a stroke, perhaps Ingrid would be with us today. Some don't die.... they end up in a helpless, hopeless condition instead.

It only takes a minute to read this...

A neurologist says that if he can get to a stroke victim within 3 hours he can totally reverse the effects of a stroke... totally . He said the trick was getting a stroke recognized, diagnosed, and then getting the patient medically cared for within 3 hours, which is t ough.

RECOGNIZING A STROKE
Thank God for the sense to remember the "3" steps, STR . Read and Learn!

Sometimes symptoms of a stroke are difficult to identify. Unfortunately, the lack of awareness spells disaster. The stroke victim may suffer severe brain damage when people nearby fail to recognize the symptoms of a stroke .


Now doctors say a bystander can recognize a stroke by asking three simple questions:
S * Ask the individual to SMILE.
T * Ask the person to TALK and SPEAK A SIMPLE SENTENCE (Coherently)
(i.e. It is sunny out today)
R * Ask him or her to RAISE BOTH ARMS.

If he or she has trouble with ANY ONE of these tasks, call 999/911 immediately and describe the symptoms to the dispatcher.

New Sign of a Stroke -------- Stick out Your Tongue

NOTE: Another 'sign' of a stroke is this: Ask the person to 'stick' out his tongue.. If the tongue is 'crooked', if it goes to one side or the other , that is also an indication of a stroke.

A cardiologist says if everyone who gets this e-mail sends it to 10 people; you can bet that at least one life will be saved.

Low Back Pain

This is one of my favorite Myoskeletal Alignment Techniques for assisting clients with low back pain. When the psoas muscle (and others) tugs anteriorly on the spine, it can cram the facet joints closed in the lumbar spine. Here we take a client into a side lying position and ask them to do pelvic tilts. When pelvic tilts are performed it asks the joints to open and close, in this case we want the joints to open more, so concentration is placed on posterior tilt, or thrusting the pubic bone forward. Sustained pressure is applied, creating more resistance to clients effort, thus creating more movement in spinal segment upon effort.

Myoskeletal Calander 2008

Here we are, on the front end of another great year. 2008. Again this year I will be assisting Erik Dalton, PhD. and Kim Miller, with the Freedom From Pain Institute, in providing outstanding education to soft tissue practitioners, massage therapists, physical therapists, chiropractors, personal trainers, and sports therapists. The Myoskeletal Alignment Techniques platforms have proven to be the most accurate in assessment and correction that I have studied and used in my practice. I used to find it difficult to reproduce results from session to session. That was until I learned more of the accurate assessments, what to really look for when clients came in with specific dysfunctions and specific pain. Knowing what to look for has made all the difference. The second step is knowing what to do with said dysfunction.

Thinking "out side the box " of typical massage therapy and using all of the soft tissue in the body to achieve results is the corner stone of the Myoskeletal Techniques. We, as massage therapists, are becoming increasingly aware of other inert tissues. Mechanoreceptors in the body give our brain information about the health of joints and healthy, or unhealthy, joint movement. This in turn can activate a response of many other receptors, nociceptors tell us about pain, chemoreceptors tell us about the bombardment of chemicals due to protective muscle guarding and so on....these are all conditions that the soft tissue community should begin to consider when treating people who are in pain. Food for thought.

And so here is our schedule. Hope to see you therapists there!

Feb. 29 - March 2, 2008
Tucson, Arizona Vacation/ Education Destination
Massage Therapy Advanced Neck, Sciatic and Rotator Cuff
24 CE hours

Day 1… Advanced Neck Routines: Dalton’s new head & neck workshop helps therapists determine if pain emanates from pinched nerves or irritated joint receptors. Enhance your palpation skills with this innovative approach for correcting complex conditions such as “chronic cricks”, whiplash, migraines, and facet/rib pain. Pain management therapists will love this skill enhancing presentation.

Day 2…Sciatic: Simplified "back spasm" recipe for torsioned spines, locked SI joints and adhesive hip capsules. Includes innovative side-lying deep tissue massage therapists techniques & assisted stretching routines…perfect for treating large or pregnant clients.

Day 3…Rotator Cuff Corrections: New approaches for fixing impingement syndromes and frozen shoulders are introduced in this combined soft tissue and joint mobilization presentation. Dalton's unique joint capsule, ligament, bursa, and myofascial mobilization techniques will enhance your assessment, palpation and treatment skills. A must take seminar for all sports therapists! This three-day Myoskeletal Alignment Certification workshop compliments all forms of manual therapy.

To register call Michael at 800-766-1942 or register at www.takemyregistration.com

March28-30, 2008

New Orleans, LA. Education- Party on the Bayou

Myoskeletal Alignment for Neck, Back and Hip Pain
24 CE hours

Day 1… Neck Pain: Dalton’s very popular “Dirty Dozen” pain-bustin’ techniques help massage therapists assess and correct neck "cricks", dowager's humps, TOS, pinched nerves, scoliosis, rib pain and more.


Day 2…Back Pain: Simplified "back spasm" recipe for torsioned spines, locked SI joints and adhesive hip capsules. Includes innovative side-lying techniques & assisted stretching routines…perfect for treating large or pregnant clients.


Day 3…Hip Pain: Learn simple myoskeletal pelvic balancing techniques that focus on eliminating joint/ ligament pain originating at the lumbo-sacral junction. Since the SI joint can become stuck “crooked” in ten positions between the innominates, pain management therapists must be armed with effective tools to fix this common complaint….Incorporate these on Monday morning and watch your practice grow.
This three-day Myoskeletal Alignment workshop compliments all forms of manual therapy.

To register call Michael at 800-766-1942 or register at www.takemyregistration.com

Don't Miss This!

Dalton's 6th Annual Costa Rica Retreat

2008 Pain Management in Paradise

Dual Workshops with Erik Dalton and Aaron Mattes-Creator of Active Isolated Stretching

Click the Link to see Brochure!!

June 6-8, 2008

Dallas, Texas Vacation while you learn...

at the world famous Cooper Clinic- Guest Lodge Hotel & Spa

Advanced Neck, Sciatic, and Rotator Cuff Pain
24 CE hours

Day 1… Advanced Neck Routines Workshop: Dalton’s new head & neck techniques help therapists determine if pain emanates from pinched nerves or irritated joint receptors. Enhance your palpation skills with this innovative approach for correcting complex conditions such as ‘chronic cricks’, whiplash, migraines, and facet/rib pain.

Day 2…Sciatic Pain: Simplified "back spasm" recipe for torsioned spines, locked SI joints and adhesive hip capsules. Includes innovative side-lying deep tissue massage therapy techniques & assisted stretching routines…perfect for treating large or pregnant clients.

Day 3…Rotator Cuff Corrections: New approaches for fixing impingement syndromes and frozen shoulders are introduced in this combined soft tissue and joint mobilization presentation. Dalton's unique joint capsule, ligament, bursa, and myofascial mobilization techniques will enhance your assessment, palpation and treatment skills. This Advanced Myoskeletal Alignment Certification workshop was designed for structural integrators, pain-management, and sports therapists.

A must take workshop event for all sports therapists!

To register call Michael at 800-766-1942 or register at www.takemyregistration.com

July18-20

Salt Lake City, Utah

Education-Relaxation Destination

Holiday Inn- Airport West
24 CE hours

Dirty-Dozen Neck, Low Back and Shoulder Routines

Day 1… Neck Pain: Dalton’s very popular Dirty-Dozen techniques help therapists assess and correct neck ‘cricks’, dowager's humps, TOS, pinched nerves, scoliosis, rib pain and more.

Day 2…Low Back Fix: Simplified "back spasm" recipes for torsioned spines, locked SI joints and adhesive hip capsules. Includes innovative side-lying deep tissue technique & assisted stretching routines…perfect for treating large or pregnant clients.

Day 3…Shoulder Pain: New approaches for fixing impingement syndromes and frozen shoulders are introduced in this soft tissue joint mobilization presentation. Dalton's unique joint capsule, ligament, bursa, and myofascial mobilization techniques enhance assessment, palpation and treatment skills for all forms of manual therapy.

To register call Michael at 800-766-1942 or register at www.takemyregistration.com

Aug. 22-24

Kansas City, Missouri

Barbecue and Blues with Erik Dalton

Holiday Inn KCI & Expo Center
24 CE hours

Advanced Myoskeletal Alignment for Sciatic, Pelvic, and Cervical Pain

This newly-added advanced class explores hidden causes of back, butt and leg pain including SI joint dysfunction. New assessment routines based on research presented at the First Fascial Conference at Harvard will look at Ascending Syndromes...pain originating in the feet and legs that affect pelvic balance and Descending Syndromes...pain originating in the head and neck creating scoliotic strain patterns that refer into the arms and thorax.

Participants will learn exciting new Myoskeletal approaches for treating soft-tissue conditions such as ligament failure, joint capsule adhesions and myofibroblast pain. A must--take class for all structural integrators, pain management and sports therapists!

To register call Michael at 800-766-1942 or register at www.takemyregistration.com

October 17-19

Atlanta, Georgia
Myoskeletal Alignment: Neck, Sciatic and Leg Pain
24 CE hours

To register call Michael at 800-766-1942 or register at www.takemyregistration.com

November 14-16

Baltimore, MD
Myoskeletal Alignment: Neck, Sciatic and Leg Pain
24 CE hours

To register call Michael at 800-766-1942 or register at www.takemyregistration.com