REMEMBER THE DTM FLOW…
1. Identify provocative movement
2. Consider involved neurology for potential neuropathic component
3. Assess for neural sensitivity
4. Apply treatment to improve mechanical interface of the involved neuro
5. Re-test provocative movement
6. Apply homecare and perform regularly until sensitivity to movement normalizes
Common Diagnosis
- Sports hernia
- Inguinal hernia
- Athletic pubalgia
- Costochondritis
- Tietze’s syndrome
Target Neurology
- Anterior cutaneous branches of intercostal nerves
- Lateral cutaneous branches of intercostal nerves
Pain of visceral origin, particularly from appendicitis, inguinal hernia and kidney stones must be considered and ruled out here. We have found that in our patients that have had abdominal surgery (appendectomy, Caesarean section, laparoscopy, hernia repair, hip surgery), putative tethering of the superficial neurology in the surgical scar is a frequent cause of unexplained chronic pain in these areas.
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