Dear Howard

I could not agree with you more. A simple manipulation ( preferably
mobilisation)changes everything, provided you change ALL joints of the
ankle and midfoot.

It is the best way to start headache and neck pain patients on their way
to recovery. This simple procedure also produces major chnage in:
- scapula distances
- cervical rotation
- interanl and external hip rotation
- and anything else you wish to mention.

I am only too willing to demonstrate these changes along with changes in
posture in the AP (antero-Posterior) as well as lateral posture using the
simple plum bob.

Hopefully I will be able to when both Shane Toohey and myself come to the
UK early Jan 2005.

In all our workshops we issue a pre and post treatment chart. There are
many a smile at end of the workshop due to dramatic postural and ROM
changes to joints (neck; foot;hip;plum bob), all using less than 2-5
pounds of presssure, by persons who have never done anything like this
before.

You do not have to be superman to completely change a persons life forever
in less than 10 minutes.

I must admit I can spend an hour changing foot motion but luckily that is
rare, less than 1 in 100.

I have documented over 80,000 feet findings.

I have yet to see anyone who had:
- back pain
- neck pain
- headache
any or all of the above, who had normal passive dorsiflexion. I use 15+
degrees of supination in a patient lying supine when applying 5Kg of force
to the whole foot.

Before all get excited and say how do you know 5Kg, I have applied a small
wooden plank to a set of kitchen scales, hold the foot in neutral and then
push and stop when the scales reach 5Kg and simply measure against square
using a goniometer.

I have performed this so many times that I can apply this force without
the scales, but I check at leat once a day.

It is a very common finding for persons to have a passive dorsiflexion of -
20 degrees. That is plantar flexed.

With this in mind it is easy to see why these souls have low back
ache/pain and foot pain along with the so called plantar fasciitis.

I see 4 new patients every day and the magic plantar fasciitis is a common
diagnosis. It has never been challenged by ultrasound, the ONLY method
that supports your clinical suspicions.

The commonest cause of anterior canlcaneal heel pain that I see is an
immobile middle and lateral cunieform bones.

Simple mobilisation IMEDIATELY removes their pain that may have been there
for years and 6+ pairs of orthotics and at least 10000 dollars spent
on 'that pain!'

I will not correct their joint without them saying 'bye bye pain'. I do
this because I know in 10 seconds time 'their pain' will be gone forever.

It has yet to fail.

Regards,

PAul Conneely. www.musmed.com.au

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