Ischemic Nerve Damage
The length of time nerve tissue can survive oxygen deprivation varies, but eventually, all ischemic tissue becomes necrotic. Fortunately, restoration of blood supply usually minimizes the damage, but not always. Notice in Figure I, how the application of an arm tourniquet not only compresses large arteries and surface veins, but also small capillary beds surrounding the radial nerve. In some cases of thoracic outlet syndrome (TOS), similar nerve trunk compression can lead to oxygen deprivation, loss of nerve nutrition and vague dull, diffuse ache in the shoulder, arm and hand. Postural abnormalities, especially the rounding forward of the shoulders, decrease the costoclavicular space, which can cause compression of the brachial plexus and blood vessels (Fig 2).
Prolonged scalene spasm from injury or overuse can also cause problems as they tug on the first rib pulling it up against a ‘drooping’ clavicle. When the brachial plexus gets squashed between the clavicle and rib, a condition known as costoclavicular syndrome arises. This disorder is thought to be one of the leading causes of TOS. Repetitive stress of local soft tissue from overuse, results in collagenous remodeling, inflammation, and nerve enlargement. Changes in shape of the nerve bundle may promote greater entrapment and a pain-spasm-pain cycle.
Provocation tests such as the Adson maneuver (scalenes), ‘Hands-up’ (pec minor), Allen (radial pulse) and the Elevation maneuver for costoclavicular canal impingement may be useful in identifying the pain-producing site. These assessments may or may not reproduce symptoms, but are sometimes helpful in ruling out other causes, which may produce similar symptoms. Due to the overlapping of symptoms, it’s often difficult to make a definitive assessment using provocation tests. If in doubt, start treating proximally (neck & upper ribs) and release all possible impingement sites through the arms and hands.
Commonly seen muscle imbalance patterns such as Vladimir Janda’s upper crossed syndrome (Fig. 3) play a major role in the formation of entrapment neuropathies. As tight pectoral muscles roll the shoulder girdle forward on the ribcage, the clavicles drop onto the first thoracic rib causing brachial plexus compression. Anterior displacement of the humeral head (tight pecs and lats) is also an area of impingement associated with upper crossed patterns. Fortunately, many illusive TOS cases are easily corrected using manual therapy techniques such as those shown in the video below.
Include home-retraining exercises such as the the “Wall Angel” (Fig. 4) to help open the chest wall and strengthen the scapular stabilizers.
This is an excellent Upper Crossed test and retraining exercise to evaluate mobility and flexibility in the chest, shoulders, lats and upper back muscles.
TEST: Place your client in a position to have three points of contact against the wall: top of glutes, thoracic (upper back) and back of the head. Test to see if client can keep the forearms from the elbow to the back of the hand against the wall while maintaining wall contact. Arms at 90/90, contract core abdomen to keep ribcage against wall and allow arms to rise staying against wall.
TRAIN: Have the client slowly move the arms together against the wall. When the elbows won’t extend any further, ask them to bring the arms down towards the ribcage, trying to squeeze the shoulder blades in and down at the same time.
We wanted to share an article of how scars affect the function of organs and how massage can restore tissues flexibility.
Scar Remodeling, Adhesions, and Nerve Pain
Restoring Function to Inflexible Tissues
By Erik Dalton, Ph.D.
Scar tissue is nature’s response to tissue damage (Image 1). This fibrous material of human healing is composed of the same protein (collagen) as the tissue it replaces, but lacks the ultraviolet absorption, circulation, and flexibility of the original tissue. Instead of the random basket-weave design found in normal tissue, scarred collagen forms a mangled alignment of crosslinks that bind themselves in a single direction.1
Nerves live for motion and relish the ability to slide and glide. If a nerve runs through impaired muscle, fascia, or visceral tissue, the entwined nerve can be pinched or pulled by the fibrous scar, causing pain signals to be sent. For example, scars sometimes grow long, tentacle-like strands called adhesions. It’s not uncommon for the adhesions from a Cesarean-section scar to entrap nearby hypogastric and pudendal nerves feeding the bladder and urethra (Image 2). This, in turn, may cause referred nerve pain that mimics, and is often treated as, cystitis. Consequently, when a woman’s fingers press firmly on a C-section scar, she may experience urethral burning, urgency, or frequency. That’s why it’s important to remember that pain caused by a scar may be referred far from where the scar is located. Moral of the story: don’t chase the pain.
In workshops, I find it helpful to use a paintbrush as an example of scar tissue crosslinking. The brush starts out as a soft, supple, parallel group of bristles that can bend easily in many directions. If the brush is cleaned and stored appropriately after use, it stays soft and can be effectively used for a future project. But, if the paint-covered bristles dry, they bind to one another and the brush loses flexibility and function. At this point, more care is required to rehabilitate the brush and get it back to work—which is why I encourage clients to have a scar-tissue injury assessed promptly, so effective treatment can begin.
At the third International Fascial Research Congress in Vancouver, Canada, Raul Rodríguez, PT, DO, presented a fascinating clinical video of himself treating a bullfighter who had suffered a nasty scar when he was gored through the thigh. The audience of 800 gasped as they watched layers of fibrous, crosslinked connective tissue give way for the first time, as Rodríguez’s trained hands manipulated the adhesive layers, allowing them to once again glide on one another.
Through real-time sonoelastography imaging, Rodríguez was able to visually demonstrate the process of manual scar remodeling and how it can be effectively used to guide massage and bodywork treatments. Although many clinicians in the audience were well acquainted with the palpatory sensation of restoring local elasticity to injured and sometimes painful tissue, witnessing the process in action was spellbinding. According to a 2013 study conducted by Rodríguez and Galán del Río, fascia is the “skeleton of muscle fibers organized as a network and may be responsible for the pathophysiology and healing process of all muscular injuries.”2
But injury is not the only cause of scar tissue. In clinical practice, we commonly palpate fibrous connective tissues associated with plantar fasciitis, tennis elbow, and rotator cuff pain. When scar tissue arises near a nerve root, it is referred to as epidural fibrosis (Image 3). This is a frequent occurrence in those experiencing failed back surgeries.
Adhesions are bands of scar-like tissue that form between two surfaces inside the body and cause them to stick together. When the scar extends from one tissue to another, usually across a virtual space such as the peritoneal cavity, the body deposits fibrin onto the injured tissues. The fibrin acts like a glue to seal the injury and builds the fledgling adhesion. At the sites where abdominal adhesions occur, scar-tissue tentacles sometimes grab a piece of the small intestine. As internal pressure causes the intestine to twist and tangle on itself, peristaltic action is stalled and the putrefaction process begins.
Adhesions require treatment because the body has no mechanism for mobilizing these strands of scar tissue naturally. Although the body can sometimes adapt and tolerate a certain amount of adhesive scar tissue, it will fail to function optimally, predisposing itself to repeated injury. There are many types and styles of manual therapy for the treatment of adhesions. Clearly, the sooner therapy begins, the more effective it will be. Semifresh scars respond more quickly to treatment, but hope still exists for old injuries, too, as seen in Rodríguez’s brilliant sonoelastography demonstration.
The goal is to restore function to inflexible tissues and normalize cellular and organ metabolism. Much like the stretching and torsional maneuvers used by Rodríguez on the injured bullfighter, hands-on modalities using varying degrees of pressure and depth may also help soften and functionalize tough, fibrous connective tissues resulting from an abdominal scar.
In Images 4 and 5, fingers and thumbs search for underlying adhesions and slowly work to free entrapped nerves responsible for referred pelvic pain patterns. To speed recovery, teach your clients how to perform these simple techniques at home.
- 1. Jonathan A. Sherratt, “Mathematical Modeling of Scar Tissue Formation,” Department of Mathematics, Heriot-Watt University (2010).
- 2. Raúl Martínez Rodríguez and Fernando Galán del Río, “Mechanistic Basis of Manual Therapy in Myofascial Injuries. Sonoelastographic Evolution Control,” Journal of Bodywork and Movement Therapies 17, no. 2 (2013): 221–34.
Investigators recently set out to measure the therapeutic effects of a manual therapy protocol on improving pain, pressure pain thresholds, quality of sleep, function and depressive symptoms in both men and women and men with fibromyalgia syndrome.
Eighty-nine patients were randomly assigned to experimental or control group, according to an abstract published on www.pubmed.gov. The experimental group (24 female, 21 male) received 5 sessions of manual therapy and the control group (24 female, 21 male) did not receive any intervention.
Pressure pain thresholds (PPT), pain, impact of FMS symptoms, quality of sleep and depressive symptoms were assessed in both groups at baseline and after 48-hours of the last intervention in the experimental group, according to the abstract.
Among the results:
• Manual therapy protocol was effective for improving pain intensity, widespread pressure pain sensitivity, impact of
FMS symptoms, sleep quality and depressive symptoms.
• Gender differences were observed in response to treatment: women and men get similar improvements in quality of sleep and tender point count, whereas women showed a greater reduction in pain and impact of FMS symptoms than men, but men reported higher decreases in depressive symptoms and pressure hypersensitivity than women.
The research was published in the Clinical Journal of Pain and was conducted by investigators with the Department of Nursing, Physical Therapy and Medicine, Universidad de Almeria, Spain †Department of Physical Therapy, Universidad de Granada, Spain ‡Servicio Andaluz de Salud. Family Medicine Specialist. Granada. Spain Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain, and Esthesiology Laboratory of Universidad Rey Juan Carlos, Alcorcón, Spain.
Article by: Massage Magazine
by Erik Dalton, Ph.D. Any time an internal body part pushes into an area where it doesn’t belong, it’s called a hernia. When we eat, food travels down the esophagus passing though a small opening (hiatus) in the diaphragm, before entering … Continue reading
Grand Re-Opening of wellness center to benefit and improve the health ofDavie’s Community
The press is invited to attend the grand re-opening of Margie’s WellnessCenterto take advantage of the offers on Therapeutic treatments or facials! The grand re-opening will be at our new location at5400 S University Drive, Suite 110inDavieon November 9th from 12:30pm to 3:30pm. The event will feature the benefits, the products and testimonials of each treatment the center has provided to our community. You will also have the opportunity to meet other professionals that make up the concept our wellness center is based on.
For the list of all our services please visit our website at www.margiesmassage.com. For more information or to RSVP by November 7, 2013 please call (954)665-0424 or email firstname.lastname@example.org.
Margie’sWellnessCenterwas established back in 2001, earning the 2013 Best of Hollywood, Massage Therapist Award. After seven successful years of business in the city ofHollywood, Maryuri Velazquez was presented with the opportunity of expand and move her current practice to the city ofDavie. Maryuri Velazquez brings with her more than 12 years of experience in the bodywork and therapeutic treatment. In those “Good Works Prepared”, Margie’sWellnessCenteris thriving and looking forward to another successful endeavor in this prosperous and hard working community.
Massage Therapy Helps Keep Dancers on Their Toes
They can glide with ease across a dance floor or perform amazing acrobatics. With years of practice behind them, endless hours of exercise and rehearsals, dancers make the difficult seem easy. Just like professional athletes, all that hard work also means having to keep in tiptop shape. Additionally, it means injuries are part of the job. Learn how dancers can maintain and even prolong their professional careers through the use of massage therapy.
By Linda Fehrs LMT
Whether it is television’s “Dancing with the Stars,” professionally produced stage shows such as “Riverdance” or “Cirque de Soleil,” or live performances of classical ballet, we have come to see professional dancers as the athletes that they really are.
Often starting when they are very young in local competitions, the stars we see on stage or the dance floor already have years of lessons, training and rehearsals behind them. With all that work the body gets a daily workout which cannot only strengthen muscles but strain them as well, leaving the dancer with aches, pains and injuries that can adversely affect the next performance.
Dancers as Clients
Having seen how helpful massage can be, many dance companies now employ a full-time massage therapist. In some cases one or more of the dancers has attended massage school and is certified in massage; in other cases it is a physical therapist or physiotherapist who is also trained in massage. Some dance troupes may hire a massage therapist as needed, or have a massage therapist on call as an independent contractor.
Some massage therapists, while not associated solely with a particular company, may opt to specialize or focus their practice on dancers. This could include not only the highly trained professionals, but also amateur competitors – those who just love to dance on weekends or even individuals just starting out with dance lessons.
Common Dance Injuries
Dance injuries are similar to what would be considered sport injuries. Just as athletes, they run, jump and endure long periods of high energy activity. For those few minutes of actually performing on stage, they may have rehearsed or exercised for six to eight hours a day, or even more, several days a week. In addition to the physical movement part of the profession, in some cases, like Broadway shows, the dancers may have to wear heavy costumes or other gear both in dress rehearsals and actual performances. This means extra stress on joints, ligaments and muscles not only in the arms and legs – yet also in the neck and back muscles, too.
Perhaps the most common injuries are to the legs and back. With dance, whether bouncing up and down as in a Jive, Quickstep or Lindy-hop, or sliding across the floor in a Waltz, the legs and feet are constantly in motion, constantly enduring stress. The back often gets a workout with Latin dances such as Salsa, Rumba and Paso Doblè with all the hip shakes, twists and turns of both the upper and lower torso. Neck injuries, similar to whiplash, can occur with the fast snapping of the head as well as some of the lifts and jumps where one partner may jump over or slide under the other.
Less common are arm injuries or injuries to the face and head, simply because they do not receive the impact other body parts get exposed to. Arm injuries may occur in partner dancing when one partner flips or twists the other and the hold somehow gets stuck, while the partner moves on still holding tight. One partner lifting the other can also cause strains and stress on muscles in the arms, back and legs.
Helpful Massage Techniques
To help in the prevention of injury, dancers may do specific exercises and stretches, such as those offered in Pilates, a regimen designed to strengthen the body’s core muscles as well as maintain flexibility and develop good coordination. Yoga is also a good choice for being able to keep focused and limber. A good overall massage, used for relaxation and keeping the body in good health, would be Swedish massage. Dancing, as lovely as it looks, can be very stressful for professionals and amateur competitors. It must be cautioned, though, a relaxing massage should never be received the day of a performance as it can affect the dancer’s balance and coordination adversely. The very nature of a relaxing massage and its engagement of the parasympathetic nervous system is paradoxical to the needs of a dancer who has to be ready to move quickly and with precision.
Modalities such as The Feldenkrais Method help to reconnect the body to its natural movements, connecting the thoughts of the mind to the motion of the body. The Alexander Technique helps to re-educate and retrain the body away from harmful movement patterns and release unnecessary tension in the muscles.
What can be helpful on an almost daily basis are massage techniques learned from Sports Massage. Over the years the development of Sports Massage techniques have been proven to help keep muscles toned as well as speed up the healing process, so the athlete may return to playing as quickly as possible. Shorter massages, such as simply massaging the calf muscles may be helpful in limbering up before a dance practice session or removing toxin buildup after a performance.
Dancers and other performers should routinely be examined for hidden, yet painful, injuries that may indicate precautions for massage therapists such as shin splints, hairline fractures, broken ribs or severe muscle tears. Any neck injury should be thoroughly checked out by a physician before attempting any massage work. With most sprains, strains and painful injuries, it is usually better to wait a day or two – sometimes more – before massaging the area. When in doubt, get clearance from a doctor.
One of the requirements for a good and dedicated dancer is the need for intensive workouts, practicing routines and basic moves as well as maintaining a hectic schedule of performances. Days not dancing means the body can quickly lose tone, strength, flexibility and stamina. Massage therapy can be part of an overall program used to keep a dancer on her (or his) toes.
Alfaro, N. (2007, Dec). Health & Fitness. Retrieved from www.dancemagazine.com/issues/December-2007/Health-Fitness
Dance Informa Staff. (2011, April). Massage for Dancers. Dance Informa Magazine, DOI: www.danceinforma.com/magazine/2011/04/massage-for-dancers/
Field, T. PhD, Leivadi, S. PhD & Hernandez-Reif, M. Ph D., et al, (1999). 108 Massage Therapy and Relaxation Effects on University Dance Students. Journal of Dance Medicine & Science, 3(3), DOI: www.iadms.org
Petronio, S. (2011, Feb). Injury as Opportunity. Retrieved from www.dancemagazine.com/issues/February-2011/Injury-as-Opportunity
Stanyer, L. (2011, July 22). Importance of Massage for Dancers. Retrieved from www.laurastanyer.blogspot.com/2011/07/importance-of-massage-for-dancers.html
Sydney Essential Health Staff. (2010). Dance & Performance Massage. Retrieved from www.sydneyessentialhealth.com.au/Modalities/Mod_Dance_Performance_Massage.html
Wozny, N. (2010, May). Your Body: Magic Touch. Retrieved from www.dancemagazine.com/issues/May-2010/Your-Body-Magic-Touch
Fibromyalgia: 5 Underlying CausesBY DR. WILLIAM COLE
OCTOBER 22, 2013 5:00 AM EDT
Fibromyalgia affects millions of people, with little to no help provided by mainstream medicine. This debilitating condition is known for symptoms such as chronic fatigue, depression, painful muscular points and sleep disorders. People struggling with fibromyalgia are typically given pain medication, antidepressants and are told to learn to cope with their symptoms. The problem is that a fibromyalgia diagnosis tells you the symptoms of the disease, not the underlying causes. Because of this, a diagnosis is a starting point, not an answer to your problems.
Functional medicine, on the other hand, looks to uncover the myriad underlying factors that cause chronic conditions like fibromyalgia. This process begins with running labs that typically aren’t used in the conventional model, which is largely concerned with diagnosing a disease and matching it with a corresponding drug.
Functional medicine is also called “systems medicine” because it looks at all the different systems of your body and their complex interactions. Let’s look at some of the systems I examine in my patients who are suffering with fibromyalgia:
The majority of your immune system resides in the sophisticated gastrointestinal system. The trillions of bacteria that live in your gut make up a delicate environment called the microbiome. When this system is thrown off balance, it can wreak havoc and cause or contribute to fibromyalgia symptoms. Many people struggling with fibromyalgia have unnoticed gut issues:
- Chronic yeast or fungal Infections, such as excess candida
- Bacterial infections or small intestinal bacterial overgrowth (SIBO)
- Food intolerances
- Gut hyperpermeability (Leaky Gut)
These are some common conditions in the gut system that people with fibromyalgia have and they don’t even know it. Addressing these issues is a piece of the puzzle to feeling like themselves again.
We’re inundated with toxins every day. From our food, environment, cleaning and beauty products — toxins come at us from every direction, and they take a toll on our health. Our bodies are resilient and can handle a certain level of the toxic onslaught, but toxicity is another potential tipping point for fibromyalgia. Heavy metals such as mercury and lead, or mycotoxins from mold are some common things that I see with people dealing with fibromyalgia symptoms. We also need to look at your body’s ability to get rid toxins. Impaired detoxification pathways and genetic weaknesses can make it extra difficult for some people to eliminate toxins properly. This toxic buildup can trigger fibromyalgia symptoms.
Our body communicates and operates with an intelligent system of hormones known as the endocrine system. When there is an imbalance, deficiency or dysregulation to your hormones, it may cause fibromyalgia symptoms. Adrenal fatigue, thyroid disorders, DHEA levels, estrogen and testosterone imbalances are some of the pieces of the puzzle to understanding fibromyalgia symptoms.
Not a true system in the conventional sense, but as a system within all systems, your body’s nutrient levels are essential to understanding fibromyalgia. Deficiencies in magnesium, vitamin D, selenium and glutathione are all potential factors in the development of fibromyalgia.
Your nervous system supplies energy to all other systems of your body! That’s why you may hear your neck referred to as “the arc of life.” Injuries to your neck or bad posture can bring a perpetual source of chronic inflammation and stress to your body’s systems.
As you can see, you would be hard pressed to find a “magic pill” that dealt with all the underlying factors of fibromyalgia. Acomprehensive health program that addresses all these issues should be customized for anyone struggling with fibromyalgia.
Why Massages Really Do Keep You Healthy: A Cardiologist Explains
Yes, you read correctly, The good news is this: if you enjoy a massage, you just might be helping your heart and arteries stay healthy and youthful.
Scientific studies have shown benefits of massage therapy for insomnia, multiple sclerosis, anxiety, cancer pain, post-operative recovery and other conditions.
Several recent studies point to benefits of massage therapy that help heal the heart.
In 2008, researchers studied 263 volunteers who had a massage for 45 to 60 minutes. Average blood pressure fell by 10 mg Hg and heart rate by 10 beats per minute after one treatment. That’s about as much as you might get from prescribing a new blood pressure medication for life!
Earlier this year, 50 people with mildly elevated blood pressure received a 15-minute massage, three times a week for 10 sessions, while a similar group just relaxed for the same amount of time. Blood pressure fell at the end of the sessions and remained lower for several days—but only in the massage group.
Another study this year examined 8 women with high blood pressure who’d had an hourlong massage each week for four weeks. At the end of that period, their blood pressure fell by 12 mm Hg systolic (top number) and measurements in the blood reflecting inflammation (specifically VCAM-1 if you like science) fell significantly. A control group just rested for the same amount of time and had smaller improvements in the same measurements. The drop in markers of inflammation is intriguing and suggests massage therapy may have a body-wide healing effect.
Why might massage therapy result in improvements in measurements of cardiovascular function?
Reductions in salivary and urinary levels of the stress hormone cortisol have been observed in several experiments in humans. In contrast, urinary levels of the stress hormones epinephrine and norepinephrine were not seen to fall during several studies.
Bottom line: not yet completely known and studies remain to clarify these pathways.
Is it time to chuck your blood pressure medication? Throw away your magnesium, CoQ10 and taurine blood pressure lowering supplements? Forgo your plant-based diets full of phytonutrient-rich leafy green vegetables and arginine rich pine nuts, arugula and watermelon?
No, it’s clearly premature to consider massage therapy on par with those approaches. Furthermore, there are no studies showing a reduction in heart attack, strokes, and heart related deaths—and likely never will be due to the costs of such research projects.
However, given that tens of millions of people in the US alone grapple with high blood pressure, massage therapy can join acupuncture, yoga, meditation, and Tai Chi as complimentary approaches to maintaining optimal vascular health.
Buddha said that “to keep the body in good health is a duty, otherwise we shall not be able to keep our mind strong and clear.”
Maybe this is the week to schedule a massage treatment to move toward that goal?
Photo Credit: Shutterstock.com
At our practice some of our common complaints from our clients is hip pain and spasm, this from people that are either active or started are more active life.
Sprain and Spasm
by Erik Dalton, Ph.D.
Increased outdoor activity during the summer months tends to escalate the number of overuse and traumatic injuries seen in massage and bodywork practices. One of the most common of these is sacroiliac joint syndrome (SIJD). The SI joint is susceptible to traumatic (sudden, forceful injury) and inflammatory conditions. Common causes of injury are slips or falls; however, it also can be injured by overuse. Overuse can result from frequent and prolonged bending or sitting for extended periods of time. Occasionally, intense hip pain and spasm can arise from doing something as simple as bending over to pick up a pencil or tie a shoe.
Injuries of this type can produce ligamentous laxity and allow painful abnormal motion. SI joint hypermobility pain can also be caused by leg length discrepancy, gait abnormalities, prolonged vigorous exercise, and trauma. In any case, the resulting dysfunction disrupts the kinetic chain in which the sacroiliac joint is a key link.
Even though the most powerful muscles in the body surround the SIJ, these muscles influence SI motion only indirectly (Fig. 1). However, the effect the SIJ has on these muscles can be profound. The piriformis, iliopsoas, gluteals, quadratus lumborum, and hamstrings can all be affected to various degrees. With SIJD, these muscles can become tense or spastic, ceasing to perform effectively. This further compromises gait and can lead to development of spinal dysfunction, hip bursitis and leg pain.
Being a transitional structure (Fig 2), the SIJ can be thought of as either the bottom of the spine or the top of the leg; it really functions as both (Fig 4 from link above). The joint is not very large, especially considering the forces which cross it. What accounts for its stability are its irregular joint surfaces, wedge-like shape of the sacrum, and most importantly, the binding ligaments – the SIJ ligament complex (Fig. 3). These ligaments, considered the strongest ligaments in the body, function like the cables of a suspension bridge. In order for the joint to function properly, each “cable” needs to provide a certain degree of tension and support; each plays a role in bridging the spine to the lower extremities, thus providing the stability necessary for fluid gait and normal body function.
In order to successfully treat SIJD, several factors need to be taken into consideration and properly addressed. These include altered joint mechanics, muscle dysfunction, and ligament incompetence. Manual therapy serves to re-educate the body. Various deep tissue and joint mobilizations, some of which utilize the principle of indirect muscle effect on SIJ motion (muscle energy) help to realign the pelvis and spine.
When possible, self-mobilization techniques are taught, enabling the client to restore alignment on their own or with the help of a partner. Instruction in body mechanics and activity avoidance helps prevent recurrent painful episodes.
But, it is important for the massage therapist to restore proper muscle length, tone, strength and coordination. To fully retrain coordination, the brain must relearn aberrant movement patterns and this is not always an easy fix given our flexion-addicted society. Through the Law of Facilitation, the myelin sheath that covers the neurons, over time has re-wired those faulty movement patterns as normal. So, following each deep tissue, myofascial release, and joint stretching session, the client is instructed in specific exercises, including a regimented stretch-strengthen program. This is an essential piece of the puzzle folks.
Tight or spastic muscles inhibit progress and are many times responsible for perpetuating the dysfunction. Aquatherapy is also a useful means of initiating motion recovery and restoring normal movement patterns, particularly when excessive deconditioning or pain is an issue. Although restoring normal function can be extremely challenging, it is never impossible. Myoskeletal Alignment and other similar therapies seek to restore length-strength balance to muscles and enveloping fascia before compensations lead to gait alterations and subsequent low back, hip and leg pain.
Please visit our website at Margie’s Wellness Center for your next appointment.