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Session

5

Eugene Charles D.C., DIBAK

APPLIED KINESIOLOGYIN CLINICAL PRACTICE

N

NL

CSF

NV

AMC

Session

5

2

APPLIED KINESIOLOGY

by

Eugene Charles D.C., DIBAK

APPLIED KINESIOLOGY can be defined as the clinical

application of the study of movement and function.

Functional Neurology

Diagnostic of the body’s central integrative state through

the detection of direct or reflex manifestations within the

structure or function of the muscular system.

3

These functional aberrations may pertain to the:

Muscular

Neurological

Vascular

Osseous

Lymphatic

Respiratory

Digestive

Endocrine

Acupuncture / Meridian systems.

Therapies to induce or restore individual normal function

include but are not limited to:

Chiropractic adjustive therapy

Cranial techniques

Therapeutic massage modalities

Reflex therapies

Acupuncture techniques

Exercises and stretches

Nutritional supplementation

Emotional support or modalities

Lifestyle changes

With the aim of decreasing cumulative noxious stimuli

below threshold and allowing the body to heal itself

Disease

Health

4

5

Applied kinesiology (AK) is a continually

evolving system which provides the doctor with

the skills and knowledge to purposefully,

systematically and logically ascertain the optimal

treatment of the patient.

AK embraces the work of all individuals and

disciplines who endeavor to diminish the suffering

of humanity. AK attempts to unify such diverse

knowledge and techniques into a usable scientific

system for one purpose:

To bring patients to a higher level of healthand help them to actualize their potential.

6

APPLIED KINESIOLOGY IN CLINICAL PRACTICE

SESSION 5

1964

George Goodheart D.C.

“Winging” scapula

Serratus anterior

Origin & Insertion

Neurological function versus muscular disability

“If we did all the things we are capable of

doing, we would literally astonish

ourselves.”

Thomas Edison

THE NECESSARY STEPS TO DEVELOP PERSISTENCE

1. A definite purpose backed by burning desire for its

fulfillment.

2. A definite plan, expressed in continuous action.

3. A mind closed tightly against all negative and

discouraging influences, including negative suggestions of

relatives, friends and acquaintances.

4. A friendly alliance with one or more persons who will

encourage one to follow through with both plan and

purpose.

9

SESSION 5 OUTLINE

Acupuncture…………………………………...……18

Basic Concepts

Meridian - Muscle relationships……………….…22

Chi - and its flows through Meridians……………25

Diagnosis and Treatment of Meridian Imbalances……..31

Pulse Points………………………………………….35

Alarm Points……………………………………...…39

Associated Points……………………………………41

Tonification and Sedation Points……………………43

10

SESSION 5 OUTLINE

Single Meridian Imbalance Procedures

Pain - Tonification (Melzack Wall)…………………..46

Visceral Problem - B & E Technique…………...……48

Luo Points……………………………………….……52 Right / Left Imbalances

Paired Meridian Imbalances

Superficial Blockage

11

Upper Extremity Examination & Treatment

Examination and treatment of the wrist and hand….75

Visual inspection of static posture

Visual inspection during gait

palpation

range of motion

orthopedic tests

elbow joints

Treatment Conditions

Carpal Tunnel Syndrome…………………….…….76

Pisiform Hamate Syndrome………………….…….82

General Treatment Procedures……………….…….84

12

Examination and treatment of elbow………………85

Visual inspection of static posture

Visual inspection during gait

palpation

range of motion

orthopedic tests

elbow joints


“Tennis elbow”……………………………….….90

“Golfer’s elbow”………………………………...94

13KEYPOINTS OF MUSCLE TESTING

1. Approximate the origin and insertion.

2. Avoid bony contacts.

3. Adequately stabilize the patient.

4. Instruct the patient in which direction to push or pull.

5. Do not overpower. Initiate patient’s contraction with

your test, then steadily increase your pressure for three (3)

seconds. You are measuring the ability of the muscle to

“lock”.

14KEYPOINTS OF MUSCLE TESTING

6. Be aware of operator prejudice

7. Observe if the patient is trying to change the parameters

8. Observe if the patient is holding breath

9. Keep the patient’s hands off body

10. Coordinate timing so that doctor and patient initiate

test simultaneously

15Wrist Muscles

Flexor Carpi Radialis Flexor Carpi Ulnaris

Extensor Carpi Radialis Extensor Carpi Ulnaris

Opponens Pollicis Flexor Digiti Minimi Pronator Quadratus

Elbow Muscles

Bicep / Tricep Anconeus Brachioradialis Supinator Pronator Teres

16

GAIT ANALYSIS

In AK there are four objective criteria

1. Postural Analysis

2. Temporal Sphenoidal (TS) Line

3. Gait Analysis

4. Acupuncture Pulse Point Analysis

Along with a thorough history and standard examination

procedures

Muscular dysfunction may be due to specific Meridian

imbalances

ACUPUNCTURE PULSE POINT ANALYSIS

N

NL

CSF

NV

AMC

18

THE MERIDIAN SYSTEM

5th factor of the Intervertebral foramen (IVF)

An encompassing energy arrangement within the body

Along with the 7 major Chakras comprise the “Aura”

Chiropractors have been accidentally influencing the

meridians since the first recorded adjustment in 1895

“A good doctor restores health; a great doctor prevents

illness from occurring.”

19

HISTORICAL PERSPECTIVE

Acupuncture philosophy - humans are one with the

universe and all life is permeated with a differentiated, but

Single Life Force. (Chi, Prana, Spirit)

Chi circulates along pathways called Meridians

Balanced energies = Health

Imbalances = Disease

Trauma, stress, improper nutrition can cause imbalances

Treatment includes stimulating certain points along the

Meridian to direct the flow of Chi and restore harmony.

20

HISTORICAL PERSPECTIVE

Acupuncture has been used for several thousand years

All temporal experiences have opposites that merge and

compliment each other to create balance. I.e. hot/cold,

day/night, male/female...

These complimentary opposites are known as:

Yin (female, moon, negative, deep)

&Yang (male, sun, positive, superficial)

1960’s Mao Tse Tung invited Western doctors

1966 Goodheart introduced acupuncture into applied

kinesiology

21

BASIC CONCEPTS OF ACUPUNCTURE

Primary intent is to prevent disease

Oldest reference is the Nei Ching written around 2650 BC

Four Basic methods of treatment:

1. Stimulation of points to balance energies

2. Dietary changes and use of herbs

3. Spinal Manipulation

4. Meditation and introspection

22

MERIDIAN - MUSCLE RELATIONSHIPS

Meridian Associated Muscles

Lung Deltoids, Serratus Anterior, Coracobrachialis

Large Intestine TFL, Hamstrings, QuadratusLumborum

Spleen/Pancreas Latissimus Dorsi, Triceps,Mid & Lower Trapezius

Stomach Pectoralis Major Clavicular,Neck Flexors/ ExtensorsTMJ muscles

23



Triple Warmer Teres Minor, Infraspinatus

Circulation Sex Sartorius, Gracilis, Adductors,

Gluteals, Piriformis,Tibialis Pos.

Small Intestine Quadriceps, Abdominals

Heart Subscapularis

24



Gall Bladder Popliteus

Bladder Tibialis Anterior, Peronei,

Sacrospinalis

Kidney Psoas, Iliacus, Upper Trapezius

Liver Pectoralis Major Sternal, Rhomboids

25

LUNG LARGE INTESTINE

B: below clavicle at coracoid B: lateral nail of index finger

E: lateral nail of thumb E: nasal sulcus

CRANIAL IMBALANCESMeridian - Energy Pathways

26

STOMACH SPLEEN

B: inferior to eye B: medial nail base of great toe

E: lateral aspect of 2nd toe E: 6th intercostal space, mid-axillary


27

HEART SMALL INTESTINE

B: axilla B: medial nail base of 5th finger

E: lateral nail base of 5th finger E: TMJ


28

BLADDER KIDNEY

B: medial canthus of eye B: plantar surface of foot

E: lateral nail base of 5th toe E: junction of 1st rib, clavicle, sternum


29

CIRCULATION SEX TRIPLE HEATER

B: lateral to nipple B: medial nail base of 4th finger

E: lateral 3rd finger E: lateral eyebrow


30

GALL BLADDER LIVER

B: lateral to eye B: lateral nail bed of 1st toe

E: lateral nail bed of 4th toe E: 7th intercostal-midclavicle


31

General Diagnostic Procedure

1. Pulse Point therapy localization on the wrists

2. Manually muscle test the corresponding muscles for inhibition or excessive facilitation

3. Alarm Point therapy localization on the thorax for positive response

4. Challenge for Associated Point (spinal) & nutritional involvement

CRANIAL IMBALANCESDiagnosis and Treatment of Meridian Imbalances

32

Specific Diagnostic Procedure

1. Manual muscle testing reveals an inhibited or excessively

facilitated muscle

2. Therapy localize to its Alarm Point for positive response.

Proceed to the contralateral, coupled, 24 hour or 5 element

point.

3. Challenge the Associated Point for subluxation.


33

Treatment Procedure

1. Stimulate the indicated point (Tonification, Sedation, Luo,

Beginning & End) by tapping, rubbing, laser, teishein, acu

- aids, electrical, moxibustion etc.

2. Challenge and adjust the Associated subluxation.

3. Challenge for related nutrition or ribonucleic acid (RNA)

- memory decrease

- poor balance

- paradoxical thyroid signs & symptoms


34

CRANIAL IMBALANCESBasic Overview of Meridian Therapy

35

Pulse points are used to diagnose imbalances within the

meridian system.

They are located on both wrists over the radial artery.

Classically, there are 3 points - each consisting of a deep

and a superficial pulse.

A positive Therapy localization means that there is an

imbalance in one or both of the meridians.

CRANIAL IMBALANCESPULSE POINTS

36

Triple Warmer BladderCirculation Sex Right Left Kidney

Stomach Gall Bladder Spleen Liver

Large intestine Small IntestineLung Heart

Conception Vessel Conception VesselGoverning Vessel Governing Vessel

CRANIAL IMBALANCESPULSE POINTS

Illustrated

37

No Pulse Diagnosis

Dehydration Challenge with water

Cease respiration Test for muscle inhibitionafter 10 seconds.

Test in gait position Muscle Meridian

CRANIAL IMBALANCESNEGATIVE PULSE POINT DIAGNOSIS

38

3 or more positive Pulse Points

Occiput Fixation or Subluxation

Upper Cervical Fixation or Subluxation

Diaphragm Phrenic, Reactive with Psoas

Thoracolumbar fixation

CRANIAL IMBALANCESEXCESSIVE PULSE POINT DIAGNOSIS

39

Alarm points are used to diagnose imbalances within a

meridian.

They are located on the thorax.

There are 18 points - 6 single and 6 bilaterally (12).

A positive Therapy localization means that there is an

imbalance within that meridian.

CRANIAL IMBALANCESALARM POINTS

40

Lung

Circulation Sex Kidney

Heart Spleen

LiverGall Bladder

StomachLarge intestine

Triple Warmer

Small Intestine Bladder

CRANIAL IMBALANCESALARM POINTS

Illustrated

41

English physician, Felix Mann stated that meridian

imbalances create subluxations at its Associated points.

Goodheart found that spinal subluxations can cause a

meridian imbalance.

They are located on the bladder meridian between two

vertebrae and can indicate a subluxation of either.

Restoring normal juxtaposition to the vertebral complex

helps removes blockage from the excess meridian.

CRANIAL IMBALANCESASSOCIATED POINTS

42

T3, 4 Lung

T4, 5 Circulation Sex T6, 7 GV

T5, 6 HeartT8, 9 CV

T 9, 10 Liver

T10, 11 Gall BladderT11, 12 SpleenT12, L1 StomachL1, 2 Triple Warmer

L2, 3 Kidney

L4, 5 Large intestine

S1 Small IntestineS2 Bladder

ASSOCIATED POINTS

Illustrated

43

Used to increase or decrease the amount of energy in a

meridian.

Located distal to the knees and elbows.

If a muscle becomes facilitated to its own alarm point and

patient presents with pain- Tonification.

Use Sedation point primarily to see if a muscle is

excessively facilitated.

CRANIAL IMBALANCESTONIFICATION and

SEDATION POINTS

44

Lung 5

Lung 9

Circulation Sex 7

Heart 7

CRANIAL IMBALANCESTONIFICATION and

SEDATION POINTS

Illustrated

Triple Warmer 10

Large Intestine 11

Small

Intestine 8

Triple Warmer 3

Small Intestine 3

Heart 9

Large Intestine 2

Circulation Sex 9

45

Liver 2

Stomach - 41

Spleen 2

Bladder 65

TONIFICATION and

SEDATION POINTS

Illustrated

Gall Bladder 43

Spleen 5

Kidney 1

Bladder 67Liver 8

Kidney 7

Gall Bladder 38

46

Find the inhibited muscle that corresponds to the positive

Pulse point.

Have patient Therapy Localize to the muscle’s related

Alarm point. (I.e. right deltoid - right lung alarm point)

IF POSITIVE:

Treat TONIFICATION pointadjust T3 / T4 vertebra

Nutrition for Lung (Vitamin A, C, water

fenugreek, hyssop, lung extract)

CRANIAL IMBALANCESAK Acupuncture Procedures

utilizing Tonification Points

47

FOR PAIN REDUCTION

One positive meridian on Pulse points

Muscle facilitates to its Tonification point

TAP TONIFICATION point & Associated point for2 minutes

Test for pain reduction. If not at least 50% less,

1. change rate of tapping

2. Challenge with nutrition for Endorphin production (Amino Acids)

3. Auricular points


utilizing Tonification Points

48

Stimulating the Yang Meridians seems to affect the master

glands (Hypothalamus, Pituitary). The concept is that the

tapping aids the paranasal sinuses in cooling the area and

improving function.

Located on the skull. (cranial faults)

If muscle becomes facilitated to its own Alarm point and

patient presents with endocrine disturbances - B & E

point

Tap on points simultaneously on phase of respiration that negates the Therapy localization.

NUTRITION - Hypothalamus, Pituitary, Amino Acids

CRANIAL IMBALANCES

BEGINNING and

END POINTS

BEGINNING and

END POINTS

Illustrated

Bladder

Triple Warmer

Gall Bladder

Small Intestine

Stomach

Large Intestine

Bladder

Triple Warmer

Gall Bladder

Small Intestine

Stomach

Large Intestine

51


Pulse point.


Alarm point. (I.e. right TFL - right Large Intestine alarm

point)

IF POSITIVE:

Challenge and treat B & E point on proper respiratory phase for 2 minutes.

Nutrition for Hypothalamus, Pituitary,

Amino Acids

CRANIAL IMBALANCES

AK Acupuncture Procedures

utilizing B & E Points

52

Used to treat imbalances between 1. paired, 2. coupled,

3. Midday - Midnight opposite, and / or 4. adjacent

meridians on the 24 hour Superficial Flow Cycle.

Located distal to the knees and elbows.

If muscle becomes facilitated to an adjacent alarm point

(contralateral, coupled, Midday - Midnight, Superficial) -

LUO point.

CRANIAL IMBALANCESLUO POINTS

53

Lung 7

Circulation Sex 6

Heart 5

CRANIAL IMBALANCESLUO POINTS

Illustrated

Small

Intestine 7

Triple Warmer 5 Large Intestine 6

54

Stomach 40

LUO POINTS

Illustrated

Spleen 4

(medial base of 1st metatarsal)

Bladder 58

Liver 5

Kidney 5

Gall Bladder 37

55

Find the inhibited muscle that corresponds to the positive Pulse point.


Alarm point. I.e. right deltoid - right Lung alarm point

IF negative:

1. Go to contralateral Alarm point

If Positive:

Treat Lung 7 and adjust Lung Associated point at T3, T4

NUTRITION for Lung


utilizing Luo Points

56

1. Go to contralateral Alarm point

If Negative:

2. Go to Coupled Meridian Alarm point

(Lung / Large Intestine)

If Positive:

Treat Lung 7 and adjust Large Intestine

Associated point at L5

NUTRITION for Large Intestine - acidophilus,adsorbant clays (bentonite), boneset, H2O



57



If Negative:

3. Go to Midday - Midnight pair

(Lung / Bladder)



58

Energy of the body flows through the 12 meridians in a 24

hour cycle.

Each meridian has a 2 hour window of highest & lowest

energy.

When a meridian is at its highest, its opposite is at its

lowest (I.e. Gall bladder is peak at midnight while Heart is

at its lowest energy.

Symptoms that occur at specific times may be due to

meridian imbalances.

For example: Headaches at 2am may be due to Liver

dysfunction.

CRANIAL IMBALANCESMIDDAY - MIDNIGHT

LAW

59Midday - Midnight Law

Gall

BladderLiver

Lung

Large

Intestine

Stomach

Spleen

Heart

Small

Intestine

Bladder

Kidney

Circulation

Sex

Triple

Warmer11pm 1am

3am

5am

7am

9am

11am1pm

3pm

5pm

7pm

9pmMidnight

Midday

60Midday - Midnight Law

Gall

BladderLiver

Lung

Large

Intestine

Stomach

Spleen

Heart

Small

Intestine

Bladder

Kidney

Circulation

Sex

Triple

Warmer11pm 1am

3am

5am

7am

9am

11am1pm

3pm

5pm

7pm

9pmMidnight

Midday

61



If Negative:


(Lung / Bladder)

If Positive:

Treat Lung 7 and adjust Bladder Associated point at S2 (lower SI joint)

NUTRITION for Bladder - Vitamin A, CCranberry, Juniper, water



62


(Lung / Bladder)

If Negative:

4. Go backwards along Superficial Energy Flow

(Liver Lung)



63

Energy of the body flows through the 12 meridians in a

specific order.

The flow is unidirectional and maintains a continuous

cycle.

A blockage at any meridian can affect the subsequent

“downstream” meridians. (related organs & muscles)

Mother / Child Law

For example: Liver is the mother of Lung. Stomach is the

child of Large Intestine

CRANIAL IMBALANCESSUPERFICIAL FLOW

OF ENERGY

64Superficial Flow Of Energy

Gall

BladderLiver

Lung

Large

Intestine

Stomach

Spleen

Heart

Small

Intestine

Bladder

Kidney

Circulation

Sex

Triple

WarmerMidnight

Midday

65Superficial Flow Of Energy

Gall

BladderLiver

Lung

Large

Intestine

Stomach

Spleen

Heart

Small

Intestine

Bladder

Kidney

Circulation

Sex

Triple

WarmerMidnight

Midday

Inhibited

Deltoid

Inhibited

TFL

Inhibited

PMC

------------

66


(Lung / Bladder)

If Negative:


If Positive:

Treat Lung 7 and adjust Liver Associated point at T9, T10

NUTRITION for Liver - Vitamin A, B,Milk Thistle, Yellow Dock, Liver Extracts,Detoxification Programs (Large Intestine)



CRANIAL IMBALANCESACUPUNCTURE MERIDIAN

PROCEDURES

Summary

Find the inhibited muscle that corresponds to

the positive Pulse point.

1. Have patient Therapy Localize to the muscle’s related

Alarm point. (I.e. right deltoid - right lung alarm point)

IF POSITIVE = TONIFICATION point

Treat Lung 9 and adjust Lung Associated

point at T3 / T4 vertebra (ipsilateral)

Nutrition for Lung (Vitamin A, C, water

fenugreek, hyssop, lung extract)


(Summary)

Summary

2. Continue to contralateral alarm point

(NOTE: Central Alarm points may signify the need for Tonification or Luo)

If Positive = LUO point

Always the challenge the treatment point

to confirm findings.

Treat Lung 7 and adjust Lung Associated

point at T3, T4

NUTRITION for Lung (Vitamin A, C, waterfenugreek, hyssop, lung extract)


(Summary)

Summary

3. Proceed to Coupled Meridian Alarm point

(I.e. Lung / Large Intestine)

If Positive = LUO point

Treat Lung 7 and adjust Large Intestine

Associated point at L5

NUTRITION for Large Intestine - acidophilus,adsorbant clays (bentonite), boneset


(Summary)

Summary


(I.e. Lung / Bladder)

If Positive:

Treat Lung 7 and adjust Bladder Associated point at S2 (lower SI joint)

NUTRITION for Bladder - Vitamin A, CCranberry, Juniper, water


(Summary)

Summary


Gall Bladder Liver Lung Large Intestine

If Positive = LUO point of first deficient meridian

Treat Lung 7 and adjust Liver Associated point at T9, T10

NUTRITION for Liver - Vitamin A, B,Milk Thistle, Yellow Dock, Liver Extracts,Detoxification Programs (Large Intestine)


(Summary)

Review


Pulse point.

Find the Alarm point that facilitates:

Have patient Therapy Localize to the muscle’s related Alarm

point. (I.e. deltoid - lung point) TONIFICATION

Continue to contralateral (if applicable), coupled (I.e.

ipsilateral Large Intestine), Midday - Midnight pair (I.e.

Bladder), or backwards on Superficial Energy Flow (I.e.

Liver) LUO

Treat the point and other factors of the deficient meridian.

Treat the spine and nutrition of the excess meridian.


(Review)

1. Slow and steady wins the race.

2. The only way a turtle can move forward is to

stick its neck out.

75

Wrist and Hand Muscles & common associations:

Pronator Quadratus - Carpal Tunnel Syndrome

Opponens Pollicis - Carpal Tunnel Syndrome

Flexor Digiti Minimi - Pisiform Hamate Syndrome

Extensor Carpi Radialis

Extensor Carpi Ulnaris

Flexor Carpi Radialis

Flexor Carpi Ulnaris

THE WRIST AND HAND

76

Discussion: due to compression of the Median nerve as it

passes through a tunnel formed of the distal Radius &

Ulna, Pisiform, Navicular, Hamate, and Trapezium

enclosed by the Flexor Retinaculum.

Flexor Retinaculum is made up of the palmar carpal

ligament and the transverse carpal ligament.

Subluxation of the distal Radioulnar and a carpal bone

(Lunate, Navicular most commonly) can compress the

tunnel and create a peripheral entrapment of the median

nerve.

Carpal Tunnel Syndrome

77

Contents include the Median nerve and tendons to many hand flexors.


78

Symptoms:

Parasthesia, pain or hand weakness. History of falling on

hand or chronic strain. Thenar atrophy corresponding with

chronicity.

Examination Findings:

Weakness of Opponens Pollicis. Weakness will be

negated by approximation of the distal Radioulnar

joint and Therapy Localization to the anteriorly

subluxated carpal bone (if applicable).


Separative

displacement

79

General Treatment Protocol:

1. Correct any muscle imbalances - most commonly the

origin and insertion of the Pronator Quadratus requires

stimulation as does the spindle cells of the Opponens

Pollicis.

2.Realign the joints.


80


3. Nutritional Support - manganese, Vitamin C & E, whole

adrenal for ligament recovery. Raw calcium (phosphatase)

for the injured muscles.

B6 is often helpful. If B6 inhibits check for need for zinc,

riboflavin, magnesium or phosphorous all of which are

necessary to convert pyridoxine (B6) into pyridoxal-5-

phosphate.

NOTE: Excessive B6 ( I.e. >150mg for over 8 weeks) can

cause the same neurological symptoms it helps alleviate.

(pyridoxine neuropathy syndrome)

FYI: Birth Control Pill = 30mg B6 daily


81


4. Structural Support - wrist braces or tape.

Patient Instructions: Rubber band exercises to strengthen

finger extensors.


82

Discussion: Also called the Ulnar Tunnel Syndrome. This is the most common peripheral entrapment of the Ulnar nerve. Nearly always due to a displacement of the Pisiform or Hamate carpal bones.

Symptoms: Pain or sensory

alteration on the medial aspect

of the hand coinciding with

Ulnar nerve distribution.

Pisiform Hamate Syndrome

83

Examination Findings: Manual Muscle Testing will

reveal a weakness of the Flexor Digiti Minimi. The

weakness will be negated by challenging the offending

bones in the vector of correction.


1. Realign the Pisiform (usually) either medially or

laterally as indicated.

Structural Support - wrist braces or tape.

Patient Instructions: Avoid leaning on hand or breaking

bricks.

Pisiform Hamate Syndrome

84

General Wrist & Hand Treatment Procedure

(in lieu of a specific condition warranting obvious attention)

History, inspection, palpation, ortho / neuro, radiological

Test all muscles - AK manual muscle testing “Replaces

nothing, augments everything.”

Balance muscles, restore normal movement to joints.

Differential Diagnose - carpal tunnel, Pisiform Hamate,

wrist sprain/strain from a cervical disc or radiculitis,

thoracic outlet, trigger points or ligamentous referral or

from an Ileocecal valve Disorder.

Meridians

C -spine to distal digit

85

Consists of three joints: Humeroulnar, Humeroradial, and

proximal Radioulnar.

EXAMINATION OF THE ELBOW

86

Elbow Muscles & common associations:

Bicep Brachialis - main flexor

Tricep Brachii - main extensor

Anconeus - small part of Tricep originating from posterior

surface of lateral epicondyle and inserting into olecranon

Brachioradialis - insomnia, Forearm ache.

Supinator - Lateral Epicondyle Tennis Elbow

Pronator Teres - Medial Epicondyle, Golfer’s Elbow

Extensor Carpi Radialis -Tennis elbow

Extensor Carpi Ulnaris - Tennis elbow

Flexor Carpi Radialis - Medial Epicondyle, Golfer’s Elbow

Flexor Carpi Ulnaris - Medial Epicondyle, Golfer’s Elbow


87


Elbow Muscles :

Bicep Brachialis

Tricep Brachii

Anconeus

Brachioradialis

Supinator

Pronator Teres

Extensor Carpi Radialis

Extensor Carpi Ulnaris

Flexor Carpi Radialis

Flexor Carpi Ulnaris

88


Orthopedic Tests

Cozen’s Test - Lateral Epicondylitis (Wrist extensors Muscle test)

Mill’s Test - Lateral Epicondylitis, fascial shortening of Supinator

Lift Test - Medial Epicondylitis (Wrist flexors Muscle test)

Kaplan’s Test - Lateral Epicondylitis (pre & post Jaymar readings with approximation of the proximal Radioulnar joint)

89


Joint Subluxations

Correct the muscular imbalances, then challenge the distal

Humerus, proximal Ulna and Radius

subluxation in the following vectors:

1. Anterior to posterior2. Posterior to anterior3. Medial to lateral4. Lateral to medial5. Medial rotation6. Lateral rotation

Extremities do not possess the rebound phenomenon

witnessed in the vertebral challenge. Therefore correct in

the opposite direction of the vector that inhibits a normally

functioning muscle.

90


Lateral Epicondylitis a.k.a. Tennis elbow

Discussion: Fairly common malady with some sources

relating that as little as 5% of cases actually attributed to

playing tennis.

Symptoms: pain over the lateral aspect of the elbow.

Examination Findings: Palpable tenderness. Manual

Muscle Testing will reveal inhibition of one or all of the

following - Wrist Extensors, Supinator, Brachioradialis.

If no inhibition found in the clear, test after a) stretching,

b) contracting, c) pincing, d) repetitively or e) reactively.

91



Restore normal 1) Muscle function, 2) Joint motion, 3)

Nutritional & 4) Structural support. Employ exercises only

after these four criteria have been met.

1. Facilitate muscle(s) through appropriate kinesiological

techniques. Most commonly prescribed procedures are

Origin / Insertion and Fascial Release.

2. Therapy localize to each of the 3 joints. Restore normal

juxtaposition to any joint found to be dysfunctioning

through Chiropractic Adjustive Therapy.

92


3. Nutritional Support - manganese, Vitamin C & E, whole

adrenal for ligament recovery. Raw calcium (phosphatase)

for the injured muscles.

Natural anti-histamines, anti-inflammatories, proteolytic

enzymes as needed.

Therapy Localize over painful area, observe what nutrients

minimize pain and negate the positive Therapy

Localization.

When the Gustatory Receptors receive beneficial neurological

stimulus, Orthopedic tests that were previously positive

will often elicit an immediate negative response while the

patient is tasting the biochemical proponents necessary for

healing.

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4. Structural support : Elbow braces or supports.

Patient Instructions: RICE - rest, ice, compression,

elevation. Rehabilitative exercises after applied

kinesiological corrections have stabilized.

I.e. Muscles elicit normal facilitation with no pain. Now

patient can safely perform rehabilitative exercises or return

to normal activities... and not before.

SHARP PAIN

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Medial Epicondylitis a.k.a. Golfer’s elbow

Symptoms: Pain over the medial aspect of the elbow.

Examination: Manual Muscle testing will reveal inhibition

of the Pronator Teres and frequently the wrist flexors.

Correction: Facilitate through Origin / Insertion, Strain

Counterstrain or Fascial Release. Realign the wrist and

elbow as indicated through Joint Mechanoreceptor

Challenging.

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Medial Epicondylitis a.k.a. Golfer’s elbow

Nutritional support: Same as Lateral Epicondylitis.

Structural support : Elbow braces or supports.

Patient Instructions: RICE - rest, ice, compression,

elevation. Rehabilitative exercises after applied

kinesiological corrections have stabilized.

I.e. Muscles elicit normal facilitation with no pain. Now

patient can safely perform rehabilitative exercises or return

to normal activities.

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Session 5

Monday :

Check Pulse Points on all patients.

See if Alarm Point facilitates any inhibited muscles (5th)

Use Tonification points for pain reduction.

Talk to a local coach or company about your ability to help

people with carpal tunnel or elbow injuries by treating all 3

components. (muscle, joint, ligaments)

Practice LEADERSHIP - Doctors should be leaders not

managers!

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