FDM Living Manual

Folding Distortions

Cervical Spine Folding Distortion

Cervical Spine Folding Distortion

Cervical Spine Folding DistortionUnfolding/Traction - unfolding the cervical spine may be best suited for provider and patient with the patient in the supine position. Traction force is applied to unfold the involved segments. Traction is maintained while corrective...

Thoracic Folding Distortion

Thoracic Folding Distortion

Thoracic Folding DistortionThe patient will use his hand to try to unfold the upper ribs. If the hand goes further in the direction of the cervical spine, then it is likely that the fascia of the facet joint is affected. The body language in this region is similar to...

Scapula Folding Distortion

Scapula Folding Distortion

Scapula Folding DistortionRestoring scapular glide is a common goal for most acute and chronic shoulder distortions. Folding and unfolding techniques of the scapula are best performed with the patient in a side-lying position so that leverage and gravity can be best...

Shoulder Folding Distortion

Shoulder Folding Distortion

Shoulder Folding DistortionBody language that is specific to refolding distortions is where the patient strokes crosswise over the joint. If the patient does this, then he must have a refolding distortion. Other gestures such as kneading, rubbing, or moving the joint...

Arm Folding Distortion

Arm Folding Distortion

Arm Folding DistortionBody language in the case of a folding distortion on the arm; The patient will hold the tissues of the arm and will try to separate the muscles from each other.Body LanguageTreatmentsIntermuscular Septum - Lateral SeatedIntermuscular Septum -...

Elbow Folding Distortion

Elbow Folding Distortion

Elbow Folding DistortionWe rarely find folding distortions in the elbow because of the joint's simple mechanics. For this reason, there are similarly few techniques for treating folding distortions in the elbow. Refolding distortions are caused when someone falls on...

Forearm Folding Distortion

Forearm Folding Distortion

Forearm Folding DistortionThe patient holds the muscles of the lower arm and tries to pull the muscles apart from the bone. In the case of a folding distortion of the interosseous membrane, the patient pushes in between the ulna and the radius (pinch grip) with his...

Wrist Folding Distortion

Wrist Folding Distortion

Wrist Folding DistortionRefolding distortions occur frequently in the wrist when someone falls on an outstretched arm. Before these are treated, you should check whether a Continuum distortion is present. This should be treated before treating a refolding...

Hand Folding Distortion

Hand Folding Distortion

Hand Folding DistortionUnfolding/Traction - short lever and long lever traction forces can be utilized in order to unfold the carpal- metacarpal joints. Refolding/Compression - refolding the hand requires constant compression while mobilizing the joint(s) in all...

Fingers Folding Distortion

Fingers Folding Distortion

Fingers Folding DistortionUnfolding/Traction - combining traction with various degrees of rotation is the optimal approach for unfolding the fingers. Refolding/Compression - constant compression coupled with simultaneous rotation of varying degrees will help ensure...

Lumbar Folding Distortion

Lumbar Folding Distortion

Lumbar Folding DistortionThe patient places the hand(s) on the waist or lumbar spinal area. Sweeping from medial to lateral with a finger or fingers, just at or above the belt line, is another very common body language for folding distortions in the lumbar region of...

Sacrum Folding Distortion

Sacrum Folding Distortion

Sacrum Folding DistortionThe patient places the hand(s) on the waist or lumbar spinal area. Sweeping from medial to lateral with a finger or fingers, just at or above the belt line, is another very common body language for folding distortions in the lumbar region of...

Hip Folding Distortion

Hip Folding Distortion

Hip Folding DistortionUnfolding/Traction - The patient places one hand on the region around the greater trochanter (outer portion of hip joint). However, the patients will usually indicate with a hand in the groin region and infer that the pain is deep inside. If...

Thigh Folding Distortion

Thigh Folding Distortion

Thigh Folding DistortionAnterior Septum Breaking the Cookie: Start with the patient supine. Use both hands on either side of the femur, just anterior to the medial and lateral intermuscular septum. Start high in the thigh, push directly posterior to the body, and...

Knee Folding Distortion

Knee Folding Distortion

Knee Folding DistortionUnfolding/Traction - The patient is placed in a prone or supine position. Stand facing the patients head. Place one hand proximal to the malleoli (inferior hand) and the other on the lateral aspect of the knee (superior hand). Traction the knee...

Leg Folding Distortion

Leg Folding Distortion

Leg Folding DistortionInterosseous Membrane Unfolding/Traction -position the patient supine on the treatment table. Place the top hand on the anterior compartment of the leg and push posterolaterally at a 45 degree angle into the anterior margin of the fibula, while...

Ankle Folding Distortion

Ankle Folding Distortion

Ankle Folding DistortionUnfolding/Traction - Place the patient in a supine position. With the leg straight, place the top hand on the dorsal aspect of the foot (thumb facing you), with the little finger on the distal margin of the talus and the inferior hand cupping...

Foot Folding Distortion

Foot Folding Distortion

Foot Folding DistortionThe most frequent injury at the foot is the so-called supination trauma. Along with triggerbands and CDs this mechanism can also can cause folding distortions. However, such a trauma can cause both refolding and unfolding distortions. The pinch...

Toes Folding Distortion

Toes Folding Distortion

Toes Folding DistortionUnfolding/Traction - Hold the base of the joint and pull the toes at the joint to separate. You can use straight tension and give a little thrust at the end, or change direction and use quick little thrusts all of the way through each of the...

Fascial Distortion Model®