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Jeffery Allen PT. OCS
Board Certified Orthopedic Clinical Specialist

Manual Therapy Techniques

Manual physical therapy is important to correct physiological barriers in the body caused  by injury, over use, prolonged poor posture. Examples are restricted connective tissue, tightened or knotted  muscles, swollen joints, and misaligned joints, all of which can cause pain, restricted mobility, and function. Having a therapist skilled with techniques to physically correct and aide in the healing of these problems, results in more successful and quicker recoveries. For many chronic pain patients these manual therapy skills may be their only hope for improvement.

Muscle Energy Technique utilizes the energy of ones muscles through very light contractions to release “ catches “, or biomechanical barriers in Muscles and Joints throughout the body.  This procedure is frequently used as less aggressive alternative to manipulation for adjusting the joints of the spine.
Myofasical Release is best understood by first describing fascia, a connective tissue that envelopes every muscle, nerve, blood vessel and ligament fiber of the body. Fascia is considered continuous from head to toe and has a propensity to thicken, tighten and restrict in response to inflammation, injury, or mechanical stress. Fascia restrictions limited muscle mobility and function leading to longer tern dysfunction.  Myofascial release is the slow progressive multidirectional stretching of the cross fibers to break free the barriers and restrictions. Intense training and experience is required to perform properly and the results of treatment can be dramatic in restoring function and relieving pain.
Strain/Counter Strain is a technique utilizes the body’s nervous system reflexes to release spasm and tension in muscles throughout the body to decrease pain and increased motion. The tension within a given muscle is controlled by the Gama motor neuron reflex arc which operates through a structure within the muscle called the muscle spindle. Injury, mechanical, postural, or emotional stresses can cause and increase in Gama motor neuron increasing muscle spasm and restricting motion. Each muscle can be positioned with light force to shut down input from the Gama motor neuron thus releasing the tension in the muscle. This technique takes extensive practice and skill to perform properly, but results in dramatic improvement in muscle mobility.
Cranial Sacral Technique is the least aggressive of manual therapy techniques traditionally used in physical therapy. It involves extremely light touch applied to different areas of the head and spinal tract including the “ tail bone” or the sacrum. Cranial sacral techniques are frequently time consuming so are some times limited in the clinical setting, but are very effective with many conditions including headaches, whiplash, and TMJ dysfunction.
Joint mobilization is the physical stretching or manipulation of a joint’s capsule and/or supporting ligaments in order to restore normal physiologic range of motion. There are many different techniques for joint mobilization most utilize various grades 1-5 of oscillation. All joint mobilization requires specific hand placement and direction of force to achieve the desired results.  


Trigger Point Release is a focal technique using direct compressive force combined with controlled muscle contractions to breakup “knots” or small areas of muscle tightness called trigger points. Most physical therapist treat the most common trigger points, however Jeffery Allen has trained with some of the worlds foremost experts in myofascial pain and trigger point dysfunction. He trained with Jan Dommerholt, PT, MPS, FAAPM and Dr. Robert Gerwin, MD, FAAN in the Janet G. Travell, MD Myofascial Pain Syndrome Course Program.  He is also a member of the International Myopain Society (IMS). Jeffery Allen has experience in multiple techniques for treating trigger points including dry needling acupuncture technique and injections directly into the trigger points. The needling techniques however, are not yet in the practice act in the state of Michigan. The trigger point injections are available at Dr. Irene Metro, M.D.’s office where Jeffery Allen assists in the procedures using his precise palpation techniques.

Allen Physical Therapy
"Hands on Treatment, Every Patient, Every Visit"
South Lyon, Michigan

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