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A full-color introductory guide to a revolutionary new osteopathic treatment: a direct manual medicine approach for reestablishing cranial rhythmic impulse, improving primary respiration mechanism, and restoring potency at the site of dysfunction.
In the first book to discuss the long lever technique, Bobby Nourani, DO, introduces a manual medicine treatment for treating somatic dysfunction, reducing pain, and manipulating the body for effective and efficient healing. Written for professionals–osteopaths, physicians, bodyworkers, physical therapists, occupational therapists, craniosacral therapists, and other practitioners who want to integrate osteopathic techniques into an existing practice–Long Lever Techniques focuses on how we can mobilize interconnected structures to positively restore the body to better health and function.
The long lever approach–using the arm or leg as lever and fulcrum to mobilize an area of somatic dysfunction–is a manual application of corrective force that can be applied once or multiple times. It has wide-ranging applications, from pain reduction to autonomic rebalancing to improved respiration rate, and is presented with full-color photos and illustrations so that medical professionals can put it into practice quickly.
Readers will learn about:
• The history and development of long lever techniques
• Its clinical applications to cervical, thoracic, rib, lumbar, sacral, and pelvic dysfunction
• Coccyx and craniococcygeal anatomy, evaluation, indications, and informed consent and documentation
• How to integrate long lever techniques in practice
Richard Huff, DO (1943 - 2019) synthesized the Long Lever Technique concept as a fusion of A.T. Still's and W.G. Sutherlands's principles for effective and time efficient treatment. Dr. Huff was an avid learner, well-respected clinician, an invaluable instructor of manual medicine. He was a devoted leader in the osteopathic community and founded the Neuromusculoskeletal Medicine residency program in West Michigan. The osteopathic legacy of Richard Huff, DO is presented in this manual.
Bobby Nourani, DO, FAAO is an expert in the area of integrative musculoskeletal pain medicine. His clinical, academic and research contributions support the use of treatment approaches that are well received by patients and peers alike. His past positions include the Director of Osteopathic Education and Curriculum at the University of Wisconsin, and Medical Director of the Inpatient Integrative Health Consult Service at the University of California, Irvine. He advanced and expanded the Long Lever Techniques as taught by his mentor, D. Huff, and utilizes them in his teaching and Practice.
The Long Lever Technique does not focus on just one part of the body, but on how we can mobilize distant interconnected structures to positively restore the body to better health and function. The information is taught in a way that physicians and other body workers can learn to put into practice immediately.
If you are interested in learning how to incorporate osteopathic skills in a busy primary care practice to improve the health of your patients, this book and the technique it describes is a great place to start.
David Rakel MD
... one of my outstanding teachers stressed that we should “learn the principles and get them to work for you.” The Long Lever Technique is, for me, an illustration of that truth.
Ed Stiles, DO, FAAO, Dist.
The Long Lever Technique is a unique blend of principles that were developed by generations of osteopathic pioneers. With a strong basis in anatomy and physics and an understanding of functional physiology (including the primary respiratory mechanism), this technique offers something of value to any of the osteopathic approaches you typically use in your practice.
Rachel Brooks, MD
A well organized, efficient, and easy to apply treatment that is practical for students, residents, and physicians of all levels.
Michael A. Seffinger, DO
This is a practical and well-illustrated manual that guides the practitioner through all aspects of applying this technique. I use long lever for exaggeration of the lesion in an indirect approach. Now, after reviewing this book I intend to try this more direct method as well.
Eliott Blackman, DO
Long Lever Technique is a beautiful melding of structure and function and uses the principles of applied anatomy in a direct and efficient manner. It acknowledges the underlying forces of the Breath of Life while addressing the structural problems encountered in both acute and chronic conditions. This book is a welcome addition to the osteopathic literature.
Thought-provoking observations and pearls of insight appear throughout the text that present a unified approach to managing health and function. Uniquely, clearly and concisely, this manual describes OMT techniques designed to help practitioners leverage longer-lasting resolution of somatic dysfunction and systemic integration of local function. It additionally contributes to the relatively sparse literature on treatment approaches for coccydynia while also providing an application of the LLT in a way that I have not seen before.
Michael Kuchera, DO, FAAO