MPL questions
Posted: Sun Sep 11, 2022 7:12 pm
Hi Laurie,
I have a couple of patient groups that I have been reflecting over case management with in order to improve my practice. I would really appreciate your thoughts/wisdom/suggestions here.
MPL - Many of the breeds I see with this condition are dogs that are not particularly amenable to a lot of touch/contact by their owners, and yet they have at times moderate to marked myofascial tightness of the hip adductors, pectineus, medial thigh musculature and fascia due to longstanding MPL. While I encourage a lot of massage to the affected muscles, hip flexor and adductor stretching, and rehabilitation exercises, I would welcome your thoughts. Particularly I have questions around whether I should be adopting some other strategies to focus on activation of the lateral thigh muscles (so that the medial thigh muscle pull is potentially reduced), whether patella mobilisations would be helpful, and if you use any other strategies to help reduce myofascial tightness in the medial thigh muscles - light heat packs (at baby temp) has been a strategy I have suggested prior to massage but this is a sensitive area of the body and not always well tolerated.
Kindest Regards,
KG
I have a couple of patient groups that I have been reflecting over case management with in order to improve my practice. I would really appreciate your thoughts/wisdom/suggestions here.
MPL - Many of the breeds I see with this condition are dogs that are not particularly amenable to a lot of touch/contact by their owners, and yet they have at times moderate to marked myofascial tightness of the hip adductors, pectineus, medial thigh musculature and fascia due to longstanding MPL. While I encourage a lot of massage to the affected muscles, hip flexor and adductor stretching, and rehabilitation exercises, I would welcome your thoughts. Particularly I have questions around whether I should be adopting some other strategies to focus on activation of the lateral thigh muscles (so that the medial thigh muscle pull is potentially reduced), whether patella mobilisations would be helpful, and if you use any other strategies to help reduce myofascial tightness in the medial thigh muscles - light heat packs (at baby temp) has been a strategy I have suggested prior to massage but this is a sensitive area of the body and not always well tolerated.
Kindest Regards,
KG