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Manual Therapy for the Myodural Bridge

publication date: Dec 31, 2017
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What is the myodural bridge?

The myodural bridge is an important soft tissue connection between the suboccipital muscles and the dura mater of the spinal cord. The discovery of these connections is relatively recent (and evolving) in the history of anatomy, and the clinical implications for manual therapists is huge! Potential symptoms related to dysfunction in this area include:

  • Whiplash injury
  • Cervicogenic & tension headaches
  • Migraine headaches (via sensory modulation difficulties in this area)
  • Sensorimotor Dysunction
  • Postrual Control Dysfunction
  • Cervicocephalic pain syndrome including
    • Auditory disturbances (Tinnitus)
    • Visual Disturbances (Nystagmus)
    • Dizziness
  • Cervical Proprioception Dysfunction
  • Dural "infolding" interfering with proper sub-arachnoid space
  • Coccygeal & pelvic difficulties
  • Related mindbody anxieties and stressors that would accompany the above symptom presentations

What is included in this presentation?

  • Webinar recording (+1 hour)
  • Supplemental videos from webinar including:
  • Interview with industry expert Sandi Howlett, DC, Cst-D
  • Two dissection videos evidence from unpreserved human cadaver
  • One midsaggital video demonstrating movement of the spinal dura with paraspinal tissue movement
  • One video visibly demonstrating spinal dura movement beneath the vertebral bodies with suboccipital fascia mobilization
  • Downloadable PDF of the power point presentation

Presentation outline:

  1. Introduction
  2. What is the myodural bridge?
  3. Anatomy of the myodural bridge
  4. Clinical significance of the MDB to the manual therapist
  5. Techniques for treating the MDB
  6. Interview with industry expert Sandi Howlett, DC Cst-D
  7. Closure


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