Advancement Flap Surgery: The management of anal fissure largely relies on relieving anal hypertonicity
There was tenderness and hypertonicity
at the right sacroiliac area.
There are reports, in neck pain patients, of a correlation between cervical joint stiffness and hypertonicity
of the upper cervical musculature on one hand, and the presence of dizziness on the other.
Moderate muscle hypertonicity
is noted over the right piriformis muscle.
23, 25) Meningeal vascular irritation can also cause hypertonicity
of the posterior neck muscles, resulting in permanent tension on the dura, stimulating nociceptive dural fibers.
Manual therapists apply forces to the spine for several reasons including improving joint mobility, reducing muscular hypertonicity
, stimulating proprioceptive activity, and to relieve pain.
Physical examination revealed minimal swelling and hypertonicity
of the left wrist extensor muscles.
10) One theoretical mechanism for this occurring is greater than normal suprapelvic muscle hypertonicity
which leads to an alteration in pelvic rotation.
53) Chronic myofacial pain can be regarded as a form of neuromuscular dysfunction (54,55) characterized by trigger points or focal areas of hypertonicity
Palpation of the right hamstring musculature revealed hypertonicity
compared to the contralateral side.
Palpation of the right pectoralis minor, anterior scalene, upper trapezius, and levator scapulae muscles revealed tenderness and hypertonicity
Palpation of the lumbopelvic musculature revealed tenderness and hypertonicity
throughout, and significant tenderness was present using nerve palpation techniques (10) at the sciatic notch, left mid-hamstring and left mid-gastrocnemius along the length of left sciatic and tibial nerves when compared to the right.
Palpation revealed tenderness and hypertonicity
in the muscles of the thenar eminence (Abductor Pollicis Brevis, Flexor Pollicis Brevis, and Opponens Pollicis).
moderate symptoms: spontaneous or sustained clonus, muscular hypertonicity
Palpation also revealed hypertonicity
of the quadratus lumborum and lumbosacral erector spinae muscles, bilaterally.