What is Muscle Energy Technique (MET)

Over the weekend I had a continuing education course for physical therapy to continue my license. The course dealt with using manual therapy, specifically muscle energy technique (MET), to correct problems of the pelvic girdle, sacrum, and lumbar spine. I have taken many courses over the years to learn my specialty of MET and I am very partial to the courses and education provided by Michigan State’s Osteopathic medical school and their manual medicine series. Michigan state has given me the knowledge and skill to treat my physical therapy clients outside of insurance, because of the great outcomes I get. The course I took was not a Michigan State course but it did provide a great review of the knowledge I already have along with reminding me how powerful MET is. Using physical therapy and MET is how I get such great outcomes far and above the norms and is why I can be an independent practitioner and not have to deal with insurance.

What exactly is MET? Muscle Energy Technique (MET) is defined as a form of soft-tissue treatment in which the patient’s muscles are actively used, on request, from a precisely controlled position, in a specific direction, and against a distinctly executed therapist-applied counterforce. The key defining element of MET is the use of an isometric contraction before subsequent stretching or movement of restricted tissues. What this means is if you have a sacrum/tailbone that is stuck in an abnormal position for example, I can put your body in a specific position and use your own muscle contraction to put the sacrum back in place. I can do this with your pelvis and the vertebra up and down the spine.

Using MET not only puts the bones back in the appropriate positions it also resets the normal length of the muscles that are involved in locking the bones into the abnormal position. When bones and joints are in abnormal positions this can cause muscles to shut down and significant pain that can become chronic unless the dysfunction is fixed appropriately.

Using manual therapy and MET takes time when done appropriately. I spend at least an hour evaluating leg length, the pelvic girdle, SI joints, lumbar spine, pubic symphysis, muscle strength and tightness. I then give physical therapy exercises that are very specific to help hold my adjustments in place that are a complement to the manual therapy. Treating by this method, in my opinion, can only be done appropriately on a cash based manner because of the time and attention involved. Insurance gets in the way of the best care I know I can give. In the long run, I am much cheaper than other treatment methods because my clients usually respond very quick and my goal is to have the pain mostly gone within 4 visits.

I am very passionate about what I do and using MET has allowed me to help many people and achieve great outcomes. I am greatly appreciative to all the instructors I have had over the years that have furthered my career and given me the knowledge to help people in pain.

Using Manual Therapy To Treat The Spines Of Student Athletes

Over the years I have treated many student athletes for about every injury and body part you could think of.  A lot of them have been post-surgical ACL reconstruction, ankle surgeries, shoulder surgeries along with the typical sprains and strains of every body part.  It is always fun because young adults tend to heal very well and they are motivated.  Post-surgical therapy takes time because you have to let the body go through its normal processes of healing with the inflammatory response, swelling, early stages of movement and eventual strengthening.  I always say you promote the healing process with therapy after surgery, you can’t force the healing process.  You let the body do its job and we as therapist promote and guide the healing along for the most efficient recovery possible. 

I have enjoyed post-surgical rehab but I find it quite simple at this time, and what I really enjoy is treating students that have not had surgery.  I especially enjoy treating students that have back and neck pain that won’t go away or basically an injury to the spine.  I often treat cases that have not responded to chiropractic care or have had physical therapy without much help and meds really haven’t done anything to help either.  Why do I like these difficult cases so much?  Honestly, I like them because they are not difficult cases at all, and as long as you make the right diagnosis, treat the problem correctly, the pain usually goes away very quickly.  Again, young adults heal very well and if you treat with the appropriate manual therapy, they respond quite quickly.  For example, I had a young lady not too long ago that injured herself in gymnastics doing a tumbling skill.  She had pain in her low back into her left hip.  She was walking with a limp and had a hard time standing upright.  This went on for a month or two without much help.  When she came to me all she needed was the appropriate manual therapy with corrections of a rotated sacrum along with abnormal rotations of her lumbar spine.  These dysfunctions were not allowing her to walk upright and were causing her glute muscles to shut down.  Because she is young she healed very fast after the appropriate treatment and a few exercises to engage the correct muscles.  I saw her two visits.  Another case was similar with a young student woke one morning with low back pain and hip pain that would not go away.  He was actually recommended to have surgery on his hip.  He came to me and also had rotations in his sacrum and lumbar spine along with some other dysfunctions present.  He was back to normal after 6 visits.  If he had not come to me who knows what the outcome would have been.  Again he was recommended for surgery and all it really took was the correct diagnosis and treatment to fix him.  Another example is a young man came to me after having pain in his shoulder and neck for years.  He had many kinds of treatment and nothing helped.  The problem was he had not had the appropriate manual therapy of his thoracic, cervical spine and shoulder.  All he had was therapy utilizing strengthening exercises and stretching and chiropractic care many times without much help.  Once I appropriately treated him with manual therapy his symptoms went away.

Next time your student athlete is having pain that won’t go away think about the type of treatment they have had.  If they have not had good manual therapy then that may be the next step to take. 

 

Treating high school athletes for improved performance and post game healing

high school football

Stacy Sykora, the designated libero for the U.S. Women?s National Volleyball Team, two-hands a return during an exhibition match against top-ranked Brazil at Clune Arena on the campus of the U.S. Air Force Academy, Colo., June 14, 2008.  Team USA is concluding a three-match 2008 U.S. Olympic Team Exhibition for Volleyball series that started June 11. (U.S. Air Force photo by Rachel Boettcher/Released)

High school athletics are very demanding and can take a toll on the body. A season of wear and tear and injuries leads to underperforming and a less successful season. No athlete wants to underperform especially when the raw talent is present. Performing at the highest level is every athlete’s goal. Most athletes perform conditioning and weight lifting to prepare for and stay strong during the season, but they are missing ONE BIG COMPONANT when it comes to staying healthy. Trainers and conditioning coaches are good at pure strength and endurance exercises but they do not have the education and the ability to evaluate, make assessments, and treat dysfunctions/injuries an athlete may have before and during the season that is limiting the athletes ability to play at the highest level. There is no reason to miss out on the ONE BIG COMPONANT that can lead to a much more successful and healthy season. And what is the ONE BIG COMPONANT? It is having a total body movement evaluation from Wright Physiotherapy to look for problems the athlete may have in muscles and joints that is limiting the highest level of performance. Then the appropriate hands on manual therapy will be performed to correct any dysfunctions that are present. At the end of the session a group of exercises will be given to specifically strengthen the body and deficits that were found. During the season, manual therapy and hands on treatment techniques can be used to heal injuries such as sprains, strains, back pain, knee injury, shoulder injury, hip injury, and injuries of all kinds to keep the player on the field or court throughout the season. Wright Physiotherapy can keep you healthy, so you can be an all-star performer. Give me a call for a healthier and more productive season!