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Jomar Rodriguez, Meralco Avenue, Pasig (2025)

02/09/2025

CUBAO SCHEDULE
SEPT 2 TO 6
2PM TO 6PM. FOR APPOINTMENTS ONLY

27/08/2025

🔗 Tongue, Nerves, and the Whole Body Connection

1. Tongue as a Neurological Hub

The tongue isn’t just a muscle for speaking and swallowing — it’s densely packed with sensory and motor nerves.

Main connections:

Trigeminal nerve (CN V): carries sensation from the tongue, teeth, and jaw → sends input to the brain about position, pressure, and pain.

Hypoglossal nerve (CN XII): controls tongue movement, posture, and coordination.

Glossopharyngeal (CN IX) & Vagus (CN X): connect tongue base and throat directly with the brainstem.

2. Trigeminal–Brainstem–Autonomic Loop

The trigeminal nerve feeds into the brainstem (pons & medulla).

The brainstem houses vital centers that regulate:

Breathing rhythm (respiratory centers)

Heart rate & blood pressure (cardiac centers)

Stress responses via the autonomic nervous system (sympathetic vs parasympathetic).

If tongue/jaw input is “off” (e.g., misaligned bite, mouth breathing), it confuses the brainstem → disrupts normal breathing and heartbeat regulation.

3. Vagus Nerve as the Master Regulator

The vagus nerve is the body’s main parasympathetic nerve (“rest & digest”).

Runs from the brainstem down to the heart, lungs, and digestive tract.

Influences:

Heart rhythm (keeps it steady)

Breathing depth (diaphragm/lung control)

Gut function (peristalsis, enzyme release)

Relaxation state (lowers stress hormones)

4. What Happens if the Tongue & Jaw Are Misaligned

Low tongue posture (resting on the floor of the mouth instead of the palate),

Jaw misalignment,

Mouth breathing — all send distorted signals through the trigeminal system.

This can:

Disrupt vagus nerve balance

Trigger overactive sympathetic response (fight/flight)

Cause compensations → shallow chest breathing, tension in neck & shoulders, poor sleep, digestive upset.

5. Symptoms of Dysregulation

Shallow or rapid breathing

Palpitations or irregular heartbeat

Indigestion, acid reflux, or bloating

TMJ pain, tension headaches, bruxism (teeth grinding)

Anxiety or “wired but tired” feeling

Chronic neck/shoulder tightness

6. Correcting Tongue Position = Resetting the System

Proper tongue posture: tongue rests gently against the roof of the mouth, lips closed, breathing through the nose.

This gives clear sensory input → brainstem resets → vagus nerve rebalances.

Result:

Deeper, calmer breathing

More efficient heart rhythm

Improved digestion

Nervous system shifts back into rest, repair, recovery

7. Practical Therapies

Myofunctional therapy (tongue & jaw exercises)

Breathing retraining (nasal, diaphragmatic breathing)

Chiropractic / craniosacral adjustments (jaw, neck, cranial alignment)

Vagus nerve stimulation (humming, gargling, cold exposure)

Dental/orthodontic correction if bite is severely misaligned

✨ Key takeaway:
The tongue acts like a switchboard between the mouth, brain, and body. Fix the tongue posture and bite → you reset the nervous system, breathing, and heart rhythm.

25/08/2025

📌 Gallbladder Channel (GB) – Acupuncture Points & Therapeutic Guide

The Gallbladder meridian (Foot Shaoyang) runs along the side of the head, neck, torso, and legs.
In Traditional Chinese Medicine (TCM):

It is linked to the Liver and the function of decision-making, courage, and balance.

Emotionally, it relates to fear, hesitation, and irritability.

Clinically, it is often used for headaches, dizziness, vision problems, muscle tension, and emotional disorders.

🔹 Frontal & Temple Area

GB 1 (Tongziliao – Pupil Crevice)

Location: Outer canthus of the eye.

Uses: Glaucoma, poor vision, redness/pain of the eyes.

Modern note: May help with eye strain, digital screen fatigue.

GB 2 (Tinghui – Meeting of Hearing)

Location: In front of the ear, at the depression when the mouth opens.

Uses: Depression, tinnitus, hearing loss, jaw dysfunction (TMJ).

Modern note: Used for stress-related ear/jaw issues.

GB 3 (Shangguan – Upper Gate)

Location: Slightly above GB 2 near the temple.

Uses: Tinnitus, otitis, earache, facial paralysis.

Modern note: Helpful for tension headaches.

GB 4–7 (Temporal points)

GB 4: Migraine, temple pain.

GB 5: Anxiety, agitation, nervous tension.

GB 6: Lateral headaches, dizziness, migraine from stress.

GB 7: Sinus congestion, nasal obstruction.

Modern note: All of these are powerful for temporal headaches, trigeminal neuralgia, and sinus issues.

🔸 Upper Area (Forehead & Crown)

GB 13 (Benshen – Root of the Spirit)

Uses: Migraine, calms excessive thoughts, overthinking.

Modern: Anxiety, ADHD, stress.

GB 14 (Yangbai – Yang White)

Uses: Frontal headache, eye twitching, facial paralysis.

Modern: Eye strain, brow tension.

GB 15–16 (Hairline points)

GB 15: Mood swings, emotional disturbance, eye disorders.

GB 16: Blurred vision, dizziness, vertigo.

GB 17 (Zhengying – Upright Nutrition)

Uses: Toothache, facial pain, trigeminal neuralgia.

GB 18 (Chengling – Support the Spirit)

Uses: Calms the mind, relieves anxiety, insomnia, depression.

Modern: Great for mental fatigue, stress, overwork.

🔹 Lateral Area (Parietal & Ear)

GB 8 (Shuaigu – Leading Valley)

Uses: Vertigo, migraines, “Liver fire” (anger headaches).

Modern: Hangover point – used for alcohol-related headaches.
Learn
GB 9–10 (Near ear)

GB 9: Headache, dizziness.

GB 10: Boosts immunity, supports general health.

GB 11 (Touqiaoyin – Yin Portals of the Head)

Uses: Epilepsy, neurological disorders, tinnitus.

GB 12 (Wangu – Mastoid Process)

Uses: Insomnia, stiff neck, jaw clenching.

Modern: Useful for stress bruxism (teeth grinding).

GB 19 (Naokong – Brain Hollow)

Uses: Epilepsy support, calming convulsions.

GB 20 (Fengchi – Wind Pool)

Location: At the base of the skull, between trapezius & SCM muscles.

Uses: Poor memory, stiff neck, hypertension, headaches, vertigo, eye strain.

Modern: One of the most popular points for tension headaches, migraines, and high blood pressure.

GB 21 (Jianjing – Shoulder Well)

Location: Highest point of the trapezius.

Uses: Neck/shoulder tension, phlegm, breast disorders.

Modern: Excellent for stress release, frozen shoulder, postural tension.
⚠️ Contraindicated in pregnancy (induces labor).

✨ General Therapeutic Roles of the Gallbladder Channel

Emotional Balance: Helps with indecision, lack of courage, fear, anxiety, irritability.

Neurological & Sensory: Used for migraines, vertigo, tinnitus, epilepsy, eye problems.

Musculoskeletal: Relieves shoulder, neck, jaw, and temporal muscle tension.

Digestive & Metabolic: Supports bile secretion, aids in fat digestion, helps with gallstones.

Energy Flow: Clears “Liver Fire” (anger, headaches, red eyes, hypertension).

📚 Gallbladder Meridian Points & Lower Back Pain

🔹 Key Concept in TCM

The Gallbladder channel belongs to the Shaoyang (Liver–Gallbladder pair).

It travels from the head → side of body → hip → outer leg → 4th toe.

Many GB points influence the lumbar spine, sacrum, sciatic nerve, hip tension, and muscular imbalances that contribute to low back pain.

✅ Important Gallbladder Points for Lower Back Pain

1. GB 20 (Fengchi – Wind Pool)

Location: Base of skull, back of neck.

Function: Releases neck & spine tension → relieves pain referral down to the lower back.

Student note: Always check neck–lumbar connection in posture.

2. GB 21 (Jianjing – Shoulder Well)

Location: Top of shoulder.

Function: Reduces upper back load, indirectly easing lumbar strain.
⚠️ Contraindicated in pregnancy.

3. GB 29 (Juliao – Stationary Bone)

Location: Near hip joint.

Function: Sciatica, hip stiffness, radiating pain to low back.

4. GB 30 (Huantiao – Jumping Circle)

Location: Buttock, near sciatic nerve exit.

Function: One of the strongest points for sciatica, hip, and lower back pain.

Modern: Often used in lumbar disc herniation, piriformis syndrome.

5. GB 31 (Fengshi – Wind Market)

Location: Side of thigh.

Function: Relieves sciatica radiating pain down the leg.

6. GB 34 (Yanglingquan – Yang Mound Spring)

Location: Below knee, outer leg.

Function: Influential point of tendons & ligaments → relaxes fascia, hips, and lumbar support.

Student note: Think of GB34 as the “muscle–joint release point.”

7. GB 40 (Qiuxu – Hill Ruins)

Location: Near ankle, lateral side.

Function: Supports hip & lumbar through channel connection.

Used in chronic lumbar weakness.

🌀 How They Work Together (Simplified for Students)

GB 20–21: Release upper-body & spinal tension that worsens low back pain.

GB 29–30: Direct action on hip & sciatic nerve → best for radiating pain.

GB 31–34: Relieve leg tension pulling on lumbar fascia.

GB 40: Stabilizes channel energy for long-term support.

✨ Teaching Analogy

Think of the Gallbladder meridian as a side “support beam” of the body:

If the neck and shoulders (GB 20–21) are too tight, it pulls the spine.

If the hips and sciatic nerve (GB 29–30) are blocked, pain radiates to the lumbar.

If the legs are tense (GB 31–34), the lower back becomes overloaded.

📚 Pathological Reflexes & Their Clinical Relationships

🔹 1. Babinski Reflex

Method: Stroke the lateral sole of the foot.

Normal: Toes flex downward.

Positive (abnormal): Big toe extends upward, other toes fan.

Indicates: UMNL, corticospinal tract lesion.

Relationship: “Prototype” reflex → many others (Chaddock, Oppenheim, Gordon) are variants of Babinski.

🔹 2. Chaddock Reflex

Method: Stroke skin around lateral malleolus (ankle).

Positive: Big toe extends (same as Babinski).

Relationship: Variant of Babinski — tests same corticospinal damage.

🔹 3. Oppenheim Reflex

Method: Firmly stroke or press along tibial crest (shin).

Positive: Big toe extends upward.

Relationship: Another Babinski variant — alternative when foot sole is hard to test.

🔹 4. Gordon Reflex

Method: Squeeze calf muscles.

Positive: Big toe extension.

Relationship: Babinski-type response — helps confirm UMNL.

🔹 5. Piotrowski Reflex

Method: Percuss tibialis anterior muscle.

Positive: Extension of toes.

Relationship: Also linked to Babinski family (pyramidal tract lesion).

🔹 6. Brudzinski Reflex (Sign)

Method: Passive flexion of the neck.

Positive: Involuntary hip & knee flexion.

Indicates: Meningeal irritation (meningitis, subarachnoid hemorrhage).

Relationship: Unlike Babinski group, Brudzinski is about meningeal signs, not corticospinal.

🔹 7. Hoffman Reflex (Sign)

Method: Flick the nail of the middle finger.

Positive: Thumb & index finger flex.

Indicates: UMNL, cervical spinal cord pathology.

Relationship: Considered “Babinski of the hand.”

🔹 8. Rossolimo Reflex

Method: Percuss the tips of toes.

Positive: Quick flexion of toes.

Indicates: Corticospinal tract lesion.

Relationship: Supplementary Babinski sign.

🔹 9. Schaeffer Reflex

Method: Squeeze Achilles tendon.

Positive: Extension of big toe.

Relationship: Yet another Babinski-type reflex variant.

✨ Summary of Relationships

Babinski Reflex is the core sign of UMNL (pyramidal tract lesion).

Chaddock, Oppenheim, Gordon, Piotrowski, Schaeffer, Rossolimo → all variants/supplements of Babinski.

Hoffman Reflex → “Babinski of the hand” (upper limb version).

Brudzinski Sign → Different category → meningeal irritation.

25/08/2025

Guys sa cubao ako ngayon 2pn to 6pm, Kong sino malapit pm lang, bukas pa Vietnam ako Kaya nag bago schedule ko. Mag confirm Muna bago Pumunta. Thanks

19/08/2025

The suboccipitals are a group of small but powerful muscles located just beneath the base of your skull. They control precise movements between your skull and the top two vertebrae in your neck:

🔎 The Suboccipital Muscles – Hidden Gatekeepers of Head & Eye Control

The suboccipitals are a cluster of four tiny muscles tucked beneath the base of the skull, attaching the occiput (skull) to the atlas (C1) and axis (C2).

Re**us Capitis Posterior Minor → fine adjustments, connects dura mater via the myodural bridge.

Re**us Capitis Posterior Major → head extension and rotation.

Obliquus Capitis Superior → side bending, stability.

Obliquus Capitis Inferior → key rotator of atlas on axis.

1. Neurological Role

Packed with proprioceptors → act like sensors telling the brain where the head is in space.

Strong connection to the vestibular (balance) system and ocular reflexes.

Through the oculocephalic reflex, every time your eyes move, suboccipitals micro-adjust your skull so vision stays stable.

2. Link to Eye Strain & Visual Dysfunction

Poor eye teaming (convergence/divergence problems) → suboccipitals "lock down" to stabilize the head.

Result: tension headaches, "migraine-like" pain, dizziness, and even jaw/TMJ stress.

Myodural Bridge → Re**us Capitis Posterior Minor has connective tissue fibers directly attached to dura mater → chronic tension here can irritate dura, contributing to cervicogenic headaches.

✅⚡ Common Symptoms of Suboccipital Dysfunction

Band-like or one-sided headaches (often mistaken for migraines).

Dizziness, lightheadedness, visual fatigue.

“Heavy head” feeling or poor neck mobility.

Pain radiating into eyes, temples, or upper traps.

Poor posture: forward head, rounded shoulders.

🌀 Integrated Healing & Therapy Approaches

🔹 Medical & Physiotherapy

Postural retraining → chin tucks, cervical mobility drills.

Neuromuscular re-education → eye-tracking + head control coordination.

Manual therapy → soft tissue release, suboccipital inhibition techniques.

Vision therapy → convergence exercises, eye–hand coordination drills.

✅🔹 Chiropractic

Gentle C1–C2 adjustments to restore motion.

Atlas realignment improves proprioceptive feedback.

Addresses irritation of greater occipital nerve.

✅🔹 Traditional Chinese Medicine (TCM)

Acupoints:

GB20 (Fengchi) – relieves headaches, clears wind.

BL10 (Tianzhu) – relaxes neck, calms spirit.

SI3 + BL62 – opens Du Mai channel for spine/brain harmony.

Cupping on upper trapezius + suboccipital zone to release stagnation.

Herbal support: Chuan Xiong, Bai Zhi (for headaches due to qi stagnation).

✅🔹 Self-Therapy & Exercises

1. Suboccipital Release (Tennis Ball)

Lie on floor, place 2 balls at base of skull, gentle nodding.

Hold 2–3 minutes → relax tension.

2. Eye–Head Coordination Drill

Keep head still, move eyes left-right, up-down, diagonals.

Then add small coordinated head movements.

Goal: re-train eye–neck link.

3. Breathing Reset

Suboccipitals overfire when chest breathing dominates.

Practice diaphragmatic breathing → reduces neck load.

🌐 The Core Principle

👉 Vision guides posture. Posture guides stability.
If eyes are misaligned, the suboccipitals tighten → leading to headaches, poor coordination, and spinal stress.
The healing path is two-way:

Release the suboccipitals → restores nerve flow & reduces pain.

Train the eyes → removes the root overload.

✨ Key Takeaway:
Fix the eyes. Release the neck. Align the spine.
This triad of vision–neck–posture is the missing link in many chronic headache and balance disorders.

Fix the eyes. Release the neck. Change the posture. It starts with restoring the link between vision and spinal control.

🧠 Suboccipital–Suprascapular Nerve Connection

📍 Anatomy of the Suprascapular Nerve

Origin: Upper trunk of the brachial plexus (C5–C6).

Pathway:

1. Traverses posteriorly into suprascapular fossa.

2. Passes through suprascapular notch under the suprascapular ligament.

3. Sends branches to supraspinatus muscle.

4. Continues to spinoglenoid notch, under the spinoglenoid ligament.

5. Supplies infraspinatus muscle.

Suprascapular artery & vein run above the ligament (“Army over, Navy under”).

🔗 Relationship to Suboccipital System

Shared tension patterns:

Suboccipital tightness (base of skull) often accompanies shoulder girdle dysfunction.

Both systems rely heavily on postural stability and proprioception.

✅ Neurological link:

Suboccipitals connect with cervical spinal nerves (C1–C2).

Suprascapular nerve (C5–C6) integrates with cervical plexus and shoulder stabilizers.

Dysfunction in one region (e.g., forward head posture → suboccipital compression) increases load on scapular stabilizers, stressing suprascapular nerve.

✅ Clinical overlap:

Patients with suboccipital headaches often also report deep posterior shoulder pain from suprascapular nerve entrapment.

Both contribute to postural imbalance and compensatory overactivation of traps and levator scapulae.

✅ ⚡ Pathologies

Suprascapular Nerve Entrapment

At suprascapular notch → supraspinatus weakness → difficulty abducting shoulder.

At spinoglenoid notch → infraspinatus weakness → external rotation loss.

Symptoms: posterior shoulder pain, weakness, atrophy.

Suboccipital Overload

Eye strain, posture imbalance, nerve compression → headaches, dizziness.

🌀 Integrated Treatment Approach

🔹 Medical / Physiotherapy

For Suboccipitals

Suboccipital release, posture correction, eye–head coordination therapy.

For Suprascapular Nerve

Scapular stabilization exercises (serratus anterior, lower traps).

Rotator cuff rehab (supraspinatus, infraspinatus strengthening).

Stretch & mobilize posterior capsule to decompress nerve.

✅🔹 Chiropractic

C1–C2 adjustments → reduce cervicogenic headache input.

Scapulothoracic mobilization → restores shoulder rhythm.

✅🔹 Traditional Chinese Medicine (TCM)

Acupoints:

GB20 (Fengchi) → suboccipital release.

SI11 (Tianzong) → relieves scapular tension.

SI12 (Bingfeng) → local point for suprascapular entrapment.

LI15 + SJ14 → shoulder mobility.

Cupping along upper traps, supraspinatus fossa.

Herbs: Du Huo, Qiang Huo (wind-damp shoulder pain).

✅🔹 Manual Therapy & Self-Release

1. Tennis ball under suboccipitals → reduce cranial tension.

2. Lacrosse ball on supraspinatus fossa → mobilize suprascapular nerve region.

3. Scapular retraction + chin tuck drills → restore neck–shoulder alignment.

4. Breathing reset → diaphragmatic breathing reduces upper trap overuse.

🌐 Key Clinical Insight

👉 The suboccipital muscles and suprascapular nerve are part of a head–neck–shoulder stability chain.

If the eyes and head are misaligned → suboccipitals overwork.

If scapular stabilizers fail → suprascapular nerve gets compressed.

Both result in chronic headaches + shoulder pain that reinforce each other.

Healing strategy:
🧠 Release the neck → 🦴 Free the shoulder → 🌀 Reintegrate posture.

14/08/2025

Kung namamaga ang tuhod mo, depende sa sanhi, puwedeng iba-iba ang tamang doktor:

1. Kung aksidente o biglang pamamaga dahil sa injury (pilay, bagsak, sports injury):

Orthopedic doctor – espesyalista sa buto, kasu-kasuan, at ligament. Siya ang magpapa-X-ray o MRI kung kailangan.

2. Kung may kasamang init, pamumula, o lagnat (posibleng infection):

Orthopedic doctor pa rin o Rheumatologist, pero ER muna kung matindi ang sakit para maagapan agad.

3. Kung paulit-ulit at may kasamang paninigas ng kasu-kasuan (posibleng arthritis, gout, rheumatoid arthritis):

Rheumatologist – espesyalista sa arthritis at mga sakit sa immune system na apektado ang kasu-kasuan.

4. Kung kasama sa problema ang ugat o pamamaga ng buong binti:

Vascular specialist – kung hinala ay may blood clot o problema sa daloy ng dugo.

📌 Tip:

Puwede ka munang magpa-check sa General Practitioner o Family Doctor para ma-refer sa tamang espesyalista.

Habang hindi pa nakakapunta sa doktor, iwasan muna ang bigat sa tuhod, puwede mag-cold compress 10–15 minutes ilang beses sa isang araw, at iangat ang binti para mabawasan ang pamamaga.

✅ Sanhi ng pamamaga ng tuhod (namamaga, mainit, masakit, o matigas) kasama ang paliwanag:

1. Injury o Trauma

Ligament tear (ACL, MCL) – madalas sa sports o biglaang pagikot ng tuhod.

Meniscus tear – cartilage sa tuhod na napupunit.

Fracture o bali ng buto – maaaring may kasamang malakas na pamamaga.

Bursitis – pamamaga ng fluid sac sa tuhod dahil sa pressure o overuse.

Clues: Biglaang pamamaga, sakit, hirap igalaw, minsan may tunog na “pop.”

2. Arthritis

Osteoarthritis – “wear and tear” sa cartilage, karaniwan sa edad 40+.

Rheumatoid arthritis – autoimmune, sabay-sabay naapektuhan ang magkabilang tuhod at ibang joints.

Gout / Pseudo-gout – uric acid crystals o calcium crystals ang naiipon sa kasu-kasuan.

Clues: Paulit-ulit na pamamaga, minsan may mainit at namumulang balat.

3. Infection (Septic Arthritis)

Bacteria o virus na pumapasok sa kasu-kasuan.

Emergency ito dahil puwedeng masira ang cartilage sa loob ng ilang araw.

Clues: Mataas na lagnat, sobrang sakit, mainit, at namumula ang tuhod.

4. Overuse o Strain

Tendinitis – pamamaga ng litid dahil sa paulit-ulit na paggamit.

Madalas sa construction workers, athletes, o matagal nakaluhod.

Clues: Sakit kapag ginagamit, pero hindi masyadong matindi kapag nagpapahinga.

5. Problema sa Daloy ng Dugo o Lymph

Deep Vein Thrombosis (DVT) – blood clot sa binti.

Lymphedema – bara sa lymphatic drainage.

Clues: Pamamaga kasama ang buong binti o paa, minsan mabigat ang pakiramdam.

💡 Kapag dapat magpa-check agad sa doktor / ER:

May lagnat at matinding sakit

Biglaang pamamaga matapos ang injury

Hindi maiunat o maitupi ang tuhod

Pamamaga na may kasamang pamumula at sobrang init

✅ 🩺 Step-by-Step Home Care Protocol

(Habang naghihintay ng doktor, at kung walang fracture o infection)

1. Agarang First Aid sa Pamamaga

Ice Pack – 10–15 minuto, 3–5 beses sa isang araw sa unang 48 oras.
➡ Nakakabawas ng pamamaga at sakit.

Elevation – itaas ang binti nang mas mataas sa puso habang nagpapahinga.

Compression – gumamit ng elastic bandage pero huwag sobrang higpit.

2. Lymphatic Drainage Massage (Banayad)

Maganda ito kung walang infection o blood clot.

Dahan-dahang hagurin mula tuhod pataas papunta sa singit (inguinal lymph nodes).

Ulitin ng 5–10 minuto, 2–3 beses sa isang araw.

Layunin: tulungan ang lymph fluid na bumalik sa circulation para bumaba ang pamamaga.

Iwasan ang sobrang diin, mas mabisa ang mabagal at banayad na galaw.

3. Chiropractic Therapy

Lower limb alignment check – para makita kung may pelvic tilt o misalignment na nagpapahirap sa tuhod.

Gentle mobilization – para ibalik ang natural na galaw ng tuhod at balakang.

Huwag muna ang aggressive adjustments kapag inflamed pa — mas ok muna ang soft tissue release at light mobilization.

4. Trigger Point Diagnosis & Release

Maraming “fake knee pain” ay galing sa masikip na muscles sa hita o balakang.

Quadriceps trigger points – lalo sa vastus medialis at re**us femoris.

Hamstrings & IT band – kung masikip, puwedeng magdulot ng pressure sa tuhod.

Gumamit ng tennis ball o foam roller malayo sa mismong tuhod, sa muscles lang.

30–60 seconds sa bawat trigger point, 1–2 beses sa isang araw.

5. Acupuncture / Acupressure Points

(Puwede ring DIY acupressure habang wala pang acupuncturist)

ST35 (Dubi) – gilid ng tuhod, sa depression kapag nakabaluktot.

SP9 (Yinlingquan) – sa loob ng binti, sa ilalim ng tuhod.

GB34 (Yanglingquan) – sa labas ng binti, sa ibaba ng tuhod.

SP10 (Xuehai) – sa itaas ng tuhod, gitna ng hita sa loob.
➡ I-press nang banayad 1–2 minuto bawat point, 2 beses sa isang araw.

6. Gentle Mobility Exercises (Kapag bumaba na ang pamamaga)

Heel slides – dahan-dahang i-slide ang sakong papunta sa pwet habang nakahiga.

Straight leg raise – nakahiga, iangat ang tuwid na binti hanggang 45° at dahan-dahan ibaba.

Ankle pumps – para sa sirkulasyon.

7. Herbal & Natural Anti-inflammatory

Turmeric + black pepper – pampababa ng inflammation.

Ginger tea – natural anti-inflammatory.

Omega-3 (fish oil) – nakakatulong sa joint health.

⚠️ Kailan Iwasan ang Lymphatic o Chiropractic Muna

May lagnat o pinaghihinalaang infection sa kasu-kasuan.

May open wound sa paligid ng tuhod.

Pinaghihinalaang fracture o DVT.

14/08/2025

Paralyzed patients from Germany nag karoon ng lumbar Stenosis, nag karoon din ng dislocation sa L3, L5 niya. Tapos di rin Pantay ang paa niya. Help Natin siya para Maka lakad ulit. Pag Pray po Natin God bless Us.

14/08/2025

GUYS EXTENDED YONG SCHEDULE NATIN DITO SA PUERTO PRINCESA PALAWAN UNTIL AUGUST, 31

14/08/2025

Splenius Capitis (SC) Functional Overview

The splenius capitis is a paired, superficial neck muscle located in the back of the neck, beneath the trapezius. Its name comes from splenion (Greek for “bandage”) because it wraps obliquely across the back of the neck.

✅ Anatomy
Origin: Lower half of the ligamentum nuchae and spinous processes of C7–T3/T4 vertebrae.

Insertion: Mastoid process of the temporal bone and the lateral portion of the superior nuchal line of the occipital bone.

Innervation: Posterior rami of the middle cervical spinal nerves.

Blood Supply: Branches of the occipital artery and transverse cervical artery.

Primary Actions

1. Neck Extension (bilateral contraction)

Works synergistically with upper trapezius and cervical erector spinae (spinalis, longissimus, semispinalis).

Function: Holds head upright, resists forward head posture.

2. Lateral Flexion (unilateral contraction)

Works with ipsilateral upper trapezius, levator scapulae, scalenes, and sometimes upper erector spinae.

Function: Brings ear toward shoulder on the same side.

3. Ipsilateral Rotation

Works opposite to the sternocleidomastoid (SCM), which rotates the head to the opposite side.

Example: Right SC rotates the head to the right, while left SCM rotates the head to the right (contralateral).

Synergists & Antagonists

Synergists:

Extension: Upper trapezius, erector spinae (cervical), semispinalis capitis.

Lateral flexion: Upper trapezius, scalenes, levator scapulae.

Rotation: Ipsilateral levator scapulae.

Antagonists:

Extension: SCM (bilateral), anterior scalene, longus capitis/colli.

Ipsilateral rotation: Contralateral SCM, upper fibers of trapezius in contralateral rotation.

Lateral flexion: Contralateral splenius capitis, contralateral scalenes.

Common Dysfunction Patterns

“Overworking SC and underworking opposite SCM” — this is a classic muscle imbalance in the neck, often caused by posture or injury.

Why SC overworks:

Forward head posture → constant extension demand on SC to keep eyes level.

Weak contralateral SCM → SC compensates for rotational stability.

Breathing pattern dysfunction → accessory neck muscles (including SC) recruit excessively.

Possible Symptoms:
Local tenderness at mastoid insertion.

Pain radiating toward the eye or top of the head (due to referral patterns).

Decreased cervical rotation range.

Headaches, especially occipital tension headaches.

Assessment Clues

Palpation: Tight rope-like band from mid-cervical spine to mastoid process.

Movement Testing:

Bilateral extension → SC visibly contracts early.

Rotation → If turning head right and right SC engages more than left SCM, imbalance present.

Lateral flexion → SC bulges on working side.

Therapeutic Strategies

1. Inhibit Overactive SC

Myofascial release along muscle fibers.

Trigger point therapy at upper insertion.

Stretch: Flex neck forward + rotate and laterally flex to opposite side.

2. Activate Opposite SCM

Isometric head turns toward the side of the weak SCM.

Chin tuck with contralateral rotation in neutral posture.

Postural retraining — keep ear over shoulder, reduce cervical extension.

3. Balance the Synergy

Strengthen deep cervical flexors (longus colli, longus capitis) to reduce SC over-reliance.

Incorporate upper trapezius and levator scapulae mobility work.

Restore normal scapular mechanics — a stiff upper trap or levator can change SC loading.

Postural & Functional Integration

Desk posture correction: Monitor at eye level, shoulders relaxed, chin slightly tucked.

Breathing drills: Reduce accessory neck muscle tension.

Rotational control exercises: Slow controlled head turns with band resistance.

Clinical Note:

Over time, if the splenius capitis remains dominant and SCM remains inhibited, the cervical spine may develop facet joint compression and suboccipital shortening, potentially leading to chronic headaches and dizziness.

✅ This article describes its anatomy, kinesiology, and treatment.
https://www.physio-pedia.com/Splenius_Capitis

11/08/2025

Multifidus Muscles — The Hidden Core Stabilizers

The multifidus is a deep set of small but powerful muscles running along both sides of your spine from the sacrum (tailbone) all the way up to the cervical vertebrae.

Main Functions

1. Spinal Stabilizer – Works before big muscles even move, creating micro-adjustments to keep each vertebra in the right position.

2. Part of the Deep Core Cylinder – Along with:

Front → Transverse Abdominis (TVA)

Bottom → Pelvic Floor Muscles

Top → Diaphragm

Back → Multifidus

3. Pelvic Stability During Limb Movement – They fire milliseconds before you lift an arm or leg to protect your spine and pelvis.

Relationship to the Pelvic Floor

Neural Connection: The same spinal segments (L4–S1) that innervate the multifidus also feed into pelvic floor control.

Biomechanical Connection: When you move a limb, TVA + pelvic floor + multifidus co-activate to prevent pelvic tilting and lumbar shear.

Weak Multifidus = Overworked Pelvic Floor: This can cause:

Pelvic tension & pain

Difficulty with relaxation during breathing or bowel/bladder function

Chronic low back pain

✅ Common Trigger Issues

When the multifidus is irritated or weak:

Trigger Points: Deep ache in the low back, sometimes radiating to buttocks or hips

Poor Segmental Control: Feeling like your back “gives out”

Referred Pelvic Floor Tension: Especially during prolonged sitting or one-legged activities

Compensations: Overuse of glutes, erector spinae, or even obliques, leading to tightness elsewhere

✅ Best Treatments & Therapies

1. Physical Therapy & Exercise

Isolated Activation Drills (start low-load, progress gradually):

Bird Dog (slow, small range, focus on deep muscle engagement)

Pelvic Tilts with TVA Engagement

Bridge with Pelvic Floor Relaxation on Lowering Phase

Breathing Work: Inhale → pelvic floor & multifidus relax; Exhale → gentle co-contraction with TVA.

2. Chiropractic

Segmental Mobilization – Restores proper vertebral motion so multifidus can fire reflexively.

Pelvic Alignment Adjustments – Reduces compensatory tension in deep core muscles.

Neuro-Reflex Stimulation – Certain manual techniques can “wake up” inhibited multifidi.

3. Lymphatic Drainage

Tight multifidus muscles can limit spinal and sacral lymphatic flow.

Techniques:

Light effleurage from sacrum upward along erector spinae

Sacral rocking to mobilize cerebrospinal and lymphatic movement

Diaphragmatic breathing for thoracic duct pumping

4. Trigger Point Therapy

Dry Needling or Manual Pressure Release to deactivate deep multifidus knots

Heat before, stretching after

Combine with core reactivation to avoid re-triggering

Self-Care & Prevention Tips

Practice micro-core activation during daily activities (gentle TVA + pelvic floor + multifidus engagement)

Avoid prolonged slouching — micro-movements keep them active

Include low-load, high-awareness spinal exercises in your routine

Prioritize breathing patterns — avoid constant abdominal bracing

➡️ If you’ve been struggling with stubborn low back pain, pelvic floor tightness, or instability when moving, your multifidus might be the missing link.
Don’t wait for pain to sideline you — take charge now:

Book a pelvic health–focused chiropractic or PT assessment

Start gentle deep core activation exercises today

Pair movement with breath to retrain your nervous system

Strong spine, supported pelvis, pain-free life — your multifidus is the silent hero you need to train.

Jomar Rodriguez

02/09/2025

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