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Relieve 1st MPJ Pains without Surgery

1st mtpj mobilisation Nov 11, 2019
 

1st MtPJ Mobilisation Technique

Objectives:

  • Assess QoM of 1st MtPJ structures
  • Release connective tissue restrictions affecting the 1MtPJ
  • Stimulate synovial fluid production within the 1st MtPJ

Set up:        

  • Patient position - seated with heel resting on the treatment table
  • Practitioner position - lateral to the patient's leg
  • Proximal hand - stabilise the 1st Metatarsal at the neck
  • Distal hand - use 'clamp grip' on 1st proximal phalanx
  • Surface Anatomy Tips - isolate 1st MtPJ (do not include 1st IPJ)

Action:

  • Action - at full traction position (extend), rotate, up-down, side-to-side
  • Force Application - 3-5 kgs (but must be tolerable by patient)
  • Repetitions - 6 repetitions (to take ~30 seconds in total)

Ted's Tips and Rookie Mistakes to Avoid:

All are revealed in the video.

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