Facilitated positional release hypertonicity

This treatment is directed toward the normalization of hypertonic muscles, both superficial and deep. It is probable that most of the vertebral joint motion restrictions diagnosed as somatic dysfunctions are caused and/or maintained by hypertonicity of the small, deep, intervertebral muscles. These hypertonic muscles respond well to facilitated positional release, thus immediately restoring normal joint function. 

FIG. 29-1 Facilitated positional release treatment of superficial muscle hypertonicity of cervical region application of axial compression. 

FIG. 40-1 Facilitated positional release treatment for thoracic superficial muscle hypertonicity application of compression at the left cervico-thoracic junction. 

At the next visit, 1 week later, she was having less discomfort in the thoracic spine. The dysfunction at T4 had not returned. The one at T8 was present but responded easily to a facilitated positional release technique. The left muscles were less hypertonic. She was instructed to continue the exercise program and to return for a follow-up x-ray in 6 months, unless the pain and discomfort recurred. 

The patient was treated using facilitated positional release techniques for the hypertonic muscles as well as the somatic dysfunctions that were... 

The patient was treated using facilitated positional release techniques for relief of the muscle hypertonicity as well as the restrictions and somatic dysfunctions found. Special attention was given to the treatment of the piriformis and tensor fascia lata muscles. A prescription was given for nonsteroidal antiinflammatory (NSAID) medication. 

FIG. 63-2 Facilitated positional release treatment for hypertonicity of the right gluteus maximus muscle. 

FIG. 99-1 Facilitated positional release treatment for hypertonIcIty at the lateral aspect of the right hip. 

Osteopathic manipuiation was added to her treatment pian. The muscle hypertonicity was treated with passive myofascial techniques and facilitated positional release. The somatic dysfunctions were treated with muscle energy, facilitated positional release, and balanced ligamentous tension. Rib-raising was used to induce adequate lymphatic drainage and normalize sympathetic tone. 

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