1. Integrative Evaluation,
Treatment & Rehabilitation
for
Neuromusculoskeletal Conditions
(Dr Kevin Jardine)
William M Austin DC
CCSP, ACRB-1

2. Integrative Evaluation,
Treatment & Rehabilitation for
Neuromusculoskeletal Conditions
Integrate: to make into a whole
by bringing all parts or
components together

3. Neuromusculoskeletal Conditions
might include:
Interference with neurological
communication (sensory and/or motor)
Muscle strains
Ligamentous sprains
Joint misalignment & faulty biomechanics
Impaired circulation (blood & lymph)
Faulty tissue temperature regulation

4. Integrative Evaluation, Treatment &
Rehabilitation for NMS Conditions
Seminar Goals:
Remind you of what you already know
Teach a few adjustments with a new ‘twist’
Demonstrate a functional ancillary technique
that aids you patients between adjustments

5. Secrets of an English Bonesetter
Joseph Stephenson
1874 - 1960

6. 4 Key Principles
1) Reposition substance:
bones, nerves, muscles, ligaments
2) Break up congestion:
blood, lymph, mucus, wastes
3) Restore flow (circulation):
blood, lymph, mucus, air
4) Restore tissue temperature:
increase or decrease heat

7. Principle #1: Reposition Structure (Adjustment)
Rotate Cervicals
¼ Twist Lumbars ¼ Twist Thoracics
Lift Gluteal Nerves ¼ Twist Gluteal Nerves Piriformis M & Sciatic N
7

8. Seated ¼ Twist

9. Breakup Congestion (#2) – Restore Circulation (#3)
Blood and Lymph Circulation

10. #2 Breakup Congestion #3 Restore Circulation
Areas of congestion A light, gentle, gliding
(stagnated blood or or drawing, motion to
lymph), are dispersed create ‘a vacuum’ over
using a light circular the affected area to
motion with the finger stimulate the normal
pads that gently drags circulation
the congested tissues
10

11. Therapeutic Taping
• Acute strains and sprains
• Athletic injuries
• Swelling & inflammation
• Chronic pain syndromes
• Arthritis
• Musculoskeletal rehab
1970’s
• Muscle imbalances
• Post-operative care
Dynamic Support, neuromuscular
stimulation, increased micro-circulation &

12. Therapeutic Taping
All Patients
Dr. Kevin Jardine
Created SpiderTech Athletes
Pre-cut kinesio tape
Dynamic Support, neuromuscular
stimulation, increased micro-circulation &

13. Vibration Exercises for
Strength, Coordination, and Balance

14. Gentle English Bonesetting for
the Cervical Spine
With light pressure, stabilize the facets with your thumb
Gently tilt the head forward and roll the head ¼ turn towards
the thumb side up to the neutral position (T4 - Occiput)

15. SpiderTech™ provides functional
ancillary care 24-7
Neuromuscular
facilitation
Blood capillary
stimulation
Lymphatic
drainage
Neck
Spider™

16. Keys to Effective Application of
Elastic Therapeutic Taping
Apply to clean,
dry, hairless skin
DO NOT TOUCH
the ADHESIVE
DO NOT STRETCH
the base or ends
RUB THE TAPE to activate the glue
Do not completely remove the backing of the
tape until 90% of the section is applied

17. Bonesetting for High Blood Pressure
Venous and lymphatic
congestion

18. High Blood Pressure Treatment
1. Adjust the Spine (T4-Occ)
2. Decongest clavicular-trap triangle
Venous and lymphatic 3. Create a vacuum to drain the jugulars
congestion in the internal
jugular veins, right and left
subclavian veins, right
lymphatic duct and the
thoracic duct
Overall treatment time 5-10-15 minutes 18

19. Bonesetting for the Shoulder
Adjust the Spine & Ribs as necessary
¼ Twist Mobilize* AC Inferior glide Decongest
under SCJ & Scapular of humerus
•Front hand stabilizes.
Back hand cups scapular & pushes forward

20. Exercise the Shoulder Stabilizers
Supraspinatus m
Infraspinatus m Dynamic
Support
Teres Minor m
Mid-traps / Rhomboids

21. Adjust-Rehab-Support
Dynamic
Support, neuromusc
ular
facilitation, stimulate
micro-circulation
and lymphatic
drainage

22. Elbow Anatomy
Right A-P
Median nerve Ulnar nerve (in
(anterior side) groove on
posterior side)

23. Move
Median N Move
back Ulnar N
towards back into
midline groove

24. Forearm Pain
Dynamic
Support
Push in articular cartilage
Vacuum
Down

25. Bonesetting for Extremity Joints
Reset the Articular Cartilage
2. Pressure on the articular cartilage
1. Open the joint (flexion)
3. Close the joint (extension)

26. Bonesetting for the Wrist & Hand
Reposition Substance
Find tender spots
between the bones of
wrist or fingers
1. Open the joint
Articular Cartilage
2. Hold pressure on
cartilage
3. Close the joint

27. Reset the Articular Cartilage
Find the Open the Hold the Dynamic
painful joint & cartilage in Support
spot in the push in the and close
joint line articular the joint
cartilage

28. Joint Play Motions – John Mennell
1. Anterior Glide
2. Posterior Glide
3. Internal Rotation
4. External Rotation
5. Right Tilt
6. Left Tilt
7. Extension

29. Reposition Articular Cartilage in
Metacarpal Phalangeal Joint
1. Find the tender spot in the joint line
2. ‘Open’ the joint
3. Push the displaced cartilage in
4. Hold it in and ‘Close’ the joint

30. Kaddy Wampus Pelvis
Serial Distortion Muscle Imbalance

31. Sacrum and Gluteal Nerves
Gluteal or
sacral nerves

32. Treating the Sacrum & Gluteal Nerves
Patient is seated - Doctor seated behind
Lift up the gluteal
nerves with thumbs
¼ Thumb twist under
gluteal nerves
Push in piriformis m.
& sciatic n

33. Treating the Sacrum & Lift Gluteal Nerves
Gluteal Nerves
¼ Twist Gluteal Nerves
Piriformis M & Sciatic N

34. Lower Back Spider™
1. Apply the ‘base’ to clean dry hair-free skin
2. Patient bends forward “Stretch muscle not tape”
(neurosensory stimulation to decrease pain)
3. Apply the ‘paraspinal’ strips then apply the ‘wings’
4. Rub Tape to activate the glue

35. Bonesetting for the Hip
Adjust the Hip
Up 45º - Out 45º
Web contact under
Trochanter Push In
Dynamic
Support

36. Bonesetting for the Knee Release
Adjust the Spine Tibial
Rotation
Fixations
Reset the
Menisci
(synovial
resorption)
Create a
vacuum to
drain back of
the knee

37. Release
Tibial
Rotation
Fixations
Reset the
Menisci
(synovial
resorption)
Create a Dynamic
vacuum to Support
drain back of
the knee

38. Drain the Back of the Knee
Break up
congestion
‘circular
drag’
Create a
vacuum to
drain the back
of the knee

39. Foot & Ankle Sprains
Reposition Substance
(Articular Cartilage)

40. Reposition Articular Cartilage Under
Lateral Malleolus
1. Find the tender spot in the joint line Dynamic
2. ‘Open’ the joint (invert foot) Support
3. Push the displaced cartilage in
4. Hold it in & ‘Close’ the joint (evert ft)

41. Joint Play Motions for the Toes
1. Anterior Glide
2. Posterior Glide
3. Internal Rotation
4. External Rotation
5. Right Tilt
6. Left Tilt
7. Extension