Dr. Joe Muscolino has been a manual and movement therapy educator for more than 35 years. He has created several online streaming subscription platforms for manual therapy continuing education, including LearnMuscles Continuing Education with more than 3,300 video lessons and more than 320 hours of NCBTMB credit. He has also created Massage Therapy—Master Online Curriculum, a full online curriculum for massage therapy schools. He is the author of multiple textbooks with Elsevier and has authored more than 90 articles. For more information on any of Dr. Joe’s content, visit learnmuscles.com. To contact Dr. Joe directly, you can reach him at joseph.e.muscolino@gmail.com.
There are seven conditions that can cause or contribute to shoulder impingement syndrome. Understanding the underlying biomechanical pathophysiology and function helps us creatively apply our hands-on assessment and treatment skills.
The beauty of applying the hill and valley approach to palpation of the hip flexor musculature is that the hip flexor muscles form an alternating contour of hill, valley, hill, valley, etc.
When we angle the palm by supinating or pronating the forearm, we can diminish the size of the palm contact, making it much more specific without being pokey the way thumb and finger pads can be.