Cases

Question 1

Sinusitis

Answer 1

Check tart: cervicals, TMJ, and Lymph(TAT check)
Direct- MET to Cervicals
Indirect- MFR for hypertonic temporalis(TMJ)
Lymph- thoracic inlet–> cervical chain drainage

Question 2

Rotator cuff injury

Answer 2

Check tart: shoulder, thoracics, Lymph(Zinc pattern)
Direct- MET to thoracics
Indirect- MFR: Scapulothoracic MFR
Lymph/SNS/PNS: thoracic inlet→ effleurage on that shoulder/arm

Question 3

Otitis Media

Answer 3

Check tart: Cervicals, TMJ, Lymph(Zinc Pattern)
Direct- MET to cervical
Indirect- MFR for hypertonic temporalis(TMJ)
Lymph/SNS/PNS: thoracic inlet–> Auricular drainage

Question 4

Low Back pain in Pregnancy

Answer 4

Check tart: Lumbar, LE(hip), Lymph (zinc pattern)
Direct- ME LE
Indirect- Lumbar BLT
Lymph/SNS/PNS: Thoracic inlet - doming diaphragm

Question 5

Psoas syndrome

Answer 5

Check tart: Lumbar, Leg/hip, Lymph(Zinc Pattern)
Direct- MET to lumbar
Indirect- Hamstring MFR
Lymph/SNS/PNS: thoracic inlet→ effleurage on leg

Question 6

Piriformis syndrome

Answer 6

Check tart:
Direct-
Indirect-
Lymph/SNS/PNS:

Question 7

short leg syndrome

Answer 7

Check tart: Innominate, Legs, Lymph(zinc pattern)
Direct- MET on innominate
Indirect- MFR Leg
Lymph/SNS/PNS: thoracic inlet→ pedal pump

Question 8

lumbar degenerative disease: osteoarthritis

Answer 8

Check tart:
Direct-
Indirect-
Lymph/SNS/PNS:

Question 9

lumbar degenerative disease: herniated/bulged disc

Answer 9

Check tart: Thoracic, Cervical, Lymph(zinc pattern)
Direct- MET to cervical
Indirect- MFR to thoracic
Lymph/SNS/PNS: Paraspinal inhibition

Question 10

thoracic outlet syndrome

Answer 10

Check tart: Thoracic, Cervical, Lymp(zinc pattern)
Direct- MET to cervical
Indirect-MFR to thoracics
Lymph/SNS/PNS: thoracic inlet→ Dome the diaphragm

Question 11

lateral and medial epicondylitis

Answer 11

Check tart: Wrist, Elbow, Lymph(zinc pattern)
Direct- Stills Wrist MFR
Indirect- elbow mfr
Lymph/SNS/PNS: thoracic inlet–>Effleurage on arm

Question 12

rotator cuff syndrome

Answer 12

Check tart:
Direct-
Indirect-
Lymph/SNS/PNS:

Question 13

ankle sprain

Answer 13

Check tart:
Direct-
Indirect-
Lymph/SNS/PNS:

Question 14

Common Fibular Nerve Entrapment Neuropathy

Answer 14

Check tart:
Direct-
Indirect-
Lymph/SNS/PNS:

Question 15

degenerative knee osteoarthritis

Answer 15

Check tart:
Direct-
Indirect-
Lymph/SNS/PNS:

Question 16

Tension Headache

Answer 16

Check tart: Cervical, TMJ, Lymph(zinc patterns)
Direct- MET Cervical
Indirect- MFR TMJ
Lymph/SNS/PNS: Suboccipital Release

Question 17

Community Acquired Pneumonia

Answer 17

Check tart:
Direct-
Indirect-
Lymph/SNS/PNS:

Question 18

Temporomandibular Joint Disease

Answer 18

Check tart: assess cranials (sutures, RRADS), palpate joints (crepitans/clicks), palpate mastication muscles, ROM (open/close, laterally, retract/protrude), facial asymmetry; check c-spine and thoracic spine
Direct- MFR temporalis muscle or muscles mastication
Indirect- TMJ BLT or CS (masseter TP, TMJ TP)
Lymph/SNS/PNS: Thoracic Inlet/Submandibular Drainage/Cervical Chain drainage/Auricular drainage

Question 19

Postop Ileus

Answer 19

Check tart: C-Spine (Vagus - ascending Colon), T-SPine (T8-L2), Sacrum (S2-S4 - rest of Colon) Or Chapmans/ Zinc Pattern
Direct- Soft Tissue to C-Spine
Indirect- BLT to Sacrum Or maybe Anterior Pelvis/lumbar CS
Lymph/SNS/PNS: Paraspinal Inhibition

Question 20

Nephrolithiasis

Answer 20

Check tart: T-Spine (T10-T11), Sacrum (S2-S4), Chapmans (1inch superior and Lateral to Umbilicus)
Direct- MFR to TSpine
Indirect- CS to Sacrum Tenderpoint
Lymph/SNS/PNS: Chapmans or Thoracic Inlet

Question 21

GERD

Answer 21

Check tart: C-Spine (Vagus N), T-Spine (T5-9) … Check Chapmans (Left Anterior Medial 5th intercostal Space or Left T5 Transverse Process) or Thoracic Inlet
Direct- Direct MFR or Direct Soft Tissue
Indirect- BLT to C-Spine
Lymph/SNS/PNS: Open thoracic Inlet then dome Diaphragm