Hypertonic muscles

Topical anesthesia has also been used to improve motor function in some patients with skeletal muscle hypertonicity resulting from a cerebrovascular accident (CVA) or head trauma.53 In this situation, a local anesthetic (e.g., 20% benzocaine) can be sprayed on the skin overlying hypertonic muscles, and then various exercises and facilitation techniques can be performed to increase and improve mobility in the affected limbs. The rationale of this treatment is that it temporarily decreases abnormal or excessive excitatory feedback of cutaneous receptors on efferent motor pathways so that normal integration and control of motor function can be reestablished. Preliminary evidence has suggested that repeated application of this... 

Mephenesin relaxes hypertonic muscles, decreases response to sensory stimuli, and depresses superficial reflexes. It is used for the symptomatic relief of muscular spasm, and hyperkinetic conditions, such as parkinsonism, athetosis and chorea. It is also used in the treatment of anxiety and tension. Its action lasts up to 3 hours. 

When providing documentation on a patient s chart, common nomenclature and abbreviations should be used. For example, "R" indicating "right" and "L" indicating "left" is easily understood by anyone reading the chart "HM" for "hypertonic muscles" would not be. 

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. 

If abduction is added, place the artiarlation into external rotation up to the hypertonic muscle region. If adduction is added, place the articulation into internal rotation up to the hypertonic muscle region. 

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

Note If the hypertonic muscle is located above the mid-line of the shoulder joint, the flexion used is reduced accordingly. If the hypertonic muscle is located below the mid-line of the shoulder joint, the flexion is increased, accordingly, above the 90 degrees. 

The Spencer techniques are seven gentle stretch-ing/articulatory maneuvers used to treat/prevent shoulder restriction caused by hypertonic muscles, early adhesive capsulitis, healed fractures and dislocations, and any other traumatic or degenerative condition in which improved motion is required. 

The fascia may be painful in any of iis parts and it is common to have patients report pain of the plantar surface of their foot whenever they walk or perform specific tasks, such as going up on their toes or heels. A patieni may use a heel cushion with or without a hole in the center for relief of the pain. Localized steroid injection into the region will relieve the pain. Properly fitting shoes are a necessity as is the use of osteopathic manipulative treatment directed to freeing motion of the bones of the foot and stretching hypertonic muscles of the calf as well as the fascia itself Exercises to increase foot flexibility and stretching of the calf muscles and Achilles tendon are important. 

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