Still Technique is used for for myofascial somatic dysfunction

Indication: Tight muscles – practically anywhere in the body

Contraindications:

• Joint instability
• Herniated disc
• Foraminal stenosis – especially if have radicular signs
  • Test with Spurling to rule out
• Severe sprains  / strains
• Vertebral basilar  insufficiency
• Certain congenital anomalies
• Significant Osteoporosis
• Fracture
• Mets to bone
• Open wound

This is a passive and indirect THEN direct technique

Three Simple Words… “Ease Compress Barrier”

• Begin treatment with the joint its position of ease
• Apply compression
• While maintaining compression, move the joint into its barrier

Steps for Treatment/Diagnosis

1. Area of body must be locally at rest
2. Tissue/joint placed in EASE of motion position — Exaggerate the position of ease
3. Compression (or traction) vector force added toward (or away from) somatic dysfunction
4. Tissue/joint moved through restriction arc, while maintaining compression (or traction) and force vector toward or away from the SD
5. Release compression (or traction) (force vector)
6. Return passively to neutral position
7. Reassess

Things to Note:

While FPR and Still Technique are very similar it is important to note Key differences between the two techniques:

• Still Technique is BOTH an Indirect and then Direct Technique
• Still Technique does NOT require flattening of the A-P Curve
• Still Technique applies compression AFTER moving the dysfunction into the freedom