What We Treat

UNDERSTANDING FUNCTIONAL MANUAL THERAPY

Functional Manual Therapy® (FMT) was developed by Gregory S. Johnson, PT, and Vicky Saliba Johnson, PT. FMT is an integrated approach of evaluation and treatment that promotes optimum human performance by enhancing total body mobility and CoreFirst® postural and movement strategies. The combined 75 years of clinical experience and innovative treatment development by the co-founders of FMT® bring a unique and comprehensive approach to patient care.

Recent research and functional imaging of the brain continues to reveal the interrelationship between pain, muscular inhibition and poor movement strategies. Just mobilizing joints, giving patients stretching and strengthening exercises, or having a patient participate in “core stabilization” is not sufficient to address the complex interrelationship between the available mobility of the human system and the integration of automatic and volitional motor strategies.

Areas of focus and issues we treat:

ARM – Areas we treat:

– Carpal Tunnel Syndrome
– Cubital Tunnel Syndrome
– De Quervain’s Tendinitis
– Elbow Bursitis
– Elbow Fracture
– Golfer’s Elbow (Medial Epicondylitis)
– Pitcher’s Elbow (Medial Apophysitis)
– Tennis Elbow (Lateral Epicondylitis)
– Thoracic Outlet Syndrome
– Ulnar Collateral Ligament (UCL) Injury
– Wrist Fracture
– Wrist Tendinitis

ANKLE – Areas we treat:

– Ankle Fracture
– Ankle Impingement
– Ankle Sprain
– Benign Hypermobility Joint Syndrome
– Peroneal Tendinopathy
– Tarsal Tunnel Syndrome

CHRONIC PAIN – what we treat:

– Chronic Pain Syndrome
– Diabetes
– Fibromyalgia
– Lymphedema
– Osteoarthritis
– Pain
– Rheumatoid Arthritis
– Multiple Sclerosis

HIP – Areas we treat:

– Benign Hypermobility Joint Syndrome
– Femur Fracture
– Greater Trochanteric Bursitis
– Groin Strain
– Hamstring Injuries
– Hip Bursitis
– Hip Impingement (Femoroacetabular Impingement)
– Hip Labral Tear
– Iliotibial Band Syndrome (ITBS or IT Band Syndrome)
– Osteoarthritis of the Hip
– Pelvic Fracture
– Pelvic Pain
– Snapping Hip Syndrome
– Total Hip Replacement (Arthroplasty)

KNEE – Areas we treat:

– Above-Knee Amputation (Transfemoral Amputation)
– Anterior Cruciate Ligament (ACL) Tear
– Below-Knee Amputation (Transtibial Amputation)
– Knee Bursitis
– Knee Pain
– Medial Collateral Ligament (MCL) Injury
– Medial Patellofemoral Ligament (MPFL) Injury
– Meniscal Tear
– Osgood-Schlatter Disease
– Osteoarthritis of the Knee
– Patellar Instability
– Patellofemoral Pain
– Pes Anserine Bursitis
– Plica Syndrome
– Posterior Cruciate Ligament Injury
– Total Knee Replacement (Arthroplasty)

LEG – Areas we treat:

– Above-Knee Amputation (Transfemoral Amputation)
– Below-Knee Amputation (Transtibial Amputation)
– Calf Strain
– Lower Extremity Stress Fractures
– Phantom Limb Pain
– Shin Splints (Medial Tibial Stress Syndrome)

NECK – Areas we treat:

– Cervical Radiculopathy
– Degenerative Disk Disease
– Herniated Disk
– Neck Pain
– Osteoarthritis of the Spine
– Thoracic Outlet Syndrome
– Torticollis

THIGH – Areas we treat:

– Above-Knee Amputation (Transfemoral Amputation)
– Femur Fracture
– Groin Strain
– Hamstring Injuries
– Iliotibial Band Syndrome (ITBS or IT Band Syndrome)

SHOULDER – Areas we treat:

– Acromioclavicular Joint Injuries
– Ankylosing Spondylitis
– Benign Hypermobility Joint Syndrome
– Biceps Tendinitis
– Biceps Tendon Rupture
– Collarbone Fracture
– Frozen Shoulder
– Osteoarthritis of the Shoulder
– Proximal Humeral Epiphysitis
– Proximal Humerus Fractures
– Rotator Cuff Tear
– Rotator Cuff Tendinitis
– Shoulder Bursitis
– Shoulder Dislocation
– Shoulder Impingement
– Shoulder Labral Tear
– Shoulder Replacement (Arthroplasty)
– Snapping Scapula Syndrome

BACK & CHEST – Areas we treat:

– Ankylosing Spondylitis
– Degenerative Disc Disease
– Herniated Disk
– Hyperkyphosis
– Low Back Pain
– Lumbar Radiculopathy and Sciatica
– Osteoarthritis of the Spine
– Scoliosis
– Spina Bifida
– Spinal Compression Fractures
– Spinal Muscular Atrophy
– Spinal Stenosis
– Spondylolysis and Spondylolisthesis

WHAT IS DRY NEEDLING?

Dry needling is an invasive procedure whereby solid filament (acupuncture) needles are inserted into the skin and muscle directly at a myofascial trigger point.

A myofascial trigger point (sometimes known as a knot) consists of multiple contraction knots, which are related to the production and maintenance of the pain cycle.

The approach is based on Western anatomical and neurophysiological principles which are not to be confused with the Traditional Chinese Medicine (TCM) technique of acupuncture (Travell & Simons 1999).

How does Dry Needling work?

The exact mechanism is not known but there are mechanical and biomechanical effects. The pioneering studies by Dr. Shah and colleagues at the National Institutes of Health (USA) suggest that inserting a needle into trigger points can cause favorable biochemical changes which assist in reducing pain. It is essential to elicit a Local Twitch Response which is a spinal cord reflex and is the first step in breaking the pain cycle.

  1. Something causes pain, if it happens often enough or if the trauma is great enough, the pain signal may return through the Sympathetic Ganglion and activate Primary Afferent Nociceptors (H) which will feedback to the spinal cord. This will cause pain to continue instead of fade and is called a Reflex Arc.
  2. At the same time motor neurons may become stuck in a feedback loop/reflex arc, facilitating muscle spasm. In some cases the reflex arc continues for years, even decades.
  3. Introducing a new stimulus (i.e. the needle) impedes the reflex arc and has the effect of relaxing the muscle.