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Soft Tissue Therapy

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Question:

If the longus coli is in chronic spasm (tightness), and it is going to flatten the lordotic curve of the neck, what should you do about it? This is causing them cervical disc pain, and weakened their vertebra. Currently, the patient is in the remodelling phase of their healing, OR this is an old injury that is causing them chronic issues.

Author: Alexandra Jessie Wilson

If the longus coli is in chronic spasm (tightness), and it is going to flatten the lordotic curve of the neck, what should you do about it? This is causing them cervical disc pain, and weakened their vertebra. 

Currently, the patient is in the remodelling phase of their healing, OR this is an old injury that is causing them chronic issues.



Answer:

You should work on gently increasing their range of motion, and strengthening the other muscles in the neck, to help the neck right itself. If it is indeed an old injury, also increase bloodflow to the area. This will likely cause your patient to feel a little stiff or sore the next day. This is normal. If they have no edema during treatment, have them ice, then heat the sore area, if they feel discomfort the next day. CONTRADICTION: Do not advise this if the patient has screws or wires in their neck.


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