The physiotherapist Robin McKenzie developed a method that has evolved from its manual therapy roots into a modern, patient-centred form of examination and treatment.

Development is now being driven forward by the McKenzie Institute International, and McKenzie Mechanical Diagnosis and Therapy is used in many parts of the world.

Fascia Therapy

Fascia therapy is an extremely interesting development from physiotherapy. For a long time, far too little attention was paid to the fascia as a connective tissue sheathing, forming and guiding the bundles of muscles. Today, scientists recognise disorders of the structure or coordination and, derived from this, numerous causes of pathological processes, especially as pain triggers. This is all still in flux, but some findings have already been translated into successful treatment methods.

Trigger point therapy

According to the IMTT (Interest Group for Myofascial Trigger Points), trigger points are a frequently overlooked cause of acute and chronic pain. The musculature as the primary cause of pain and functional limitations has long been neglected. Trigger point therapy aims to eliminate so-called “myofascial trigger points”. These are localised muscle hardenings in the skeletal musculature that are locally sensitive to pressure and from which transmitted pain can emanate. Around 80 to 90% of pain syndromes are said to be caused by such muscle hardening. Manual trigger point therapy was founded primarily by Dr Janet Travell and Prof. Dr David Simons from the USA.

Craniomandibular Therapy

Craniomandibular dysfunction is the term used to describe an often painful dysregulation of the masticatory apparatus, which is triggered by a disturbed interaction of various muscles, tendons and joints.

This symptom complex can include:

  • Grinding of the teeth (bruxism)
  • Myoarthropathy (myofascial pain of the temporomandibular joint)
  • Disc displacement of the temporomandibular joint
  • trigeminal neuralgia
  • orofascial complaints
  • malocclusion

Interdisciplinary cooperation (dentist, orthodontist) is essential for this type of complaint.

Please do not confuse this clinical picture with craniosacral osteopathy, which is mentioned elsewhere. As you can read here, these are two completely different topics.