What is Myotherapy?

Myotherapy is a client-centred healthcare profession focusing on the assessment, treatment and management of the whole person, applying a range of modalities and evidence-informed knowledge to support client outcomes.

Myotherapy uses clinical reasoning, manual hands-on therapy, problem solving and planning skills to design and implement treatment and management programs specific to client needs and health outcomes.

Treatment applications may include, however are not limited to, dry needling, exercise and rehabilitation planning, massage therapy and joint mobilisation.

Myotherapy treatments can assist and aid in prevention, assessment, early intervention and treatment of injuries and pain and the ongoing management of chronic musculoskeletal conditions.

What do Myotherapists Treat?

Myotherapists provide evidence-based assessment, treatment and rehabilitation for a wide range of musculoskeletal pain and associated conditions, for example:

  • Back pain
  • Neck and shoulder pain
  • Headache
  • Sports injuries
  • Rotator cuff problems
  • Occupational injuries
  • Achilles tendinopathy and other ankle injuries
  • Jaw pain and clicking
  • Fibromyalgia and other chronic pain presentations
  • Tennis elbow

You don’t need to be in pain to visit a Myotherapist. Once symptoms have settled treatment may focus on restoring optimal activity (rehabilitation), reducing the likelihood of further injury and keeping you moving and performing at your best.

What can I expect in a myotherapy treatment?

In an initial consult treatment is generally broken down into 4 parts and as treatment is tailored to the client, the length of time spent on each may vary from person to person.

History

This is the part of the session where you will generally discuss with your myotherapist what brought you in to see them.

This is where the myotherapist aims to narrow down potential structures that are affected. This conversation may revolve around what led to the complaint in the first place, what makes it better or worse, lifestyle habits, history of previous injuries that might be relevant and more. Answers to these questions will give your myotherapist insight into what may or may not be related to your presentation. It is not uncommon in these conversations that clients mention details of their life that they don’t think are related but actually give their myotherapist a lot of insight into their complaint and may lead to further questions.

Physical Assessment

Assessment will vary from client to client but the goal of this assessment is to objectively further narrow down the specific structures that are affected. This may be done by:

  • Testing the clients range and quality of movement
  • Neurological testing
  • Orthopedic testing
  • Testing the strength and length of specific muscles or movements

It is after this that your myotherapist may prefer to discuss with you what they have found, how it seems to play into the bigger picture of your complaint and what they feel would be the best approach to treatment and why.

Treatment

Depending on the structures involved, treatment may comprise of any combination of the following

  • Manual soft tissue treatment e.g. massage or myofascial cupping
  • Dry needling
  • Joint mobilisations
  • Muscle Energy Techniques (METs)
  • Exercise prescription (exercising aiming to strengthen or improve mobility when doing certain movements)
  • Nerve mobility exercises (e.g. nerve gliding)

After this, the myotherapist will likely reassess anything that provoke your complaint prior to the treatment portion

Homecare

More often than not, exercises that you were taught during your session will be brought up again when discussing your homecare and you will be taught when and how to do them at home. This will likely also be the point of the session where Erica will discuss what to expect between now and next session and the treatment goals for the next session assuming everything goes to plan and there aren’t any unexpected issues that present before then.

In follow up consultations, the elements of treatment will be the same but they will usually be more specific to anything that may have come up between sessions or to what we know may still be an issue from previous sessions. If symptoms are no longer present, treatment will likely be directed towards reducing the risk of reinjury.

Referenced from the Myotherapy Association Australia website.