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Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
June, 2009, Vol. 09, Issue 06
The Importance of Scar Tissue Release Therapy
By Marjorie Brook, LMT, CIMI
Scar tissue therapy is generally overlooked by health professionals because the extent of physiological effects scars can have on the body have never really been acknowledged. As massage therapists, we know that the slightest restriction in the elaborate matrix of fascia can have major repercussions from one end of the body to the other.A simple scar from a childhood accident to major surgery can have a lifelong effect both physically and mentally for your client. Scar tissue has the potential to spread in any direction including internally throughout the body. It can also restrict movement or function anywhere in the body from a joint to an organ.
Scar tissue release therapy is extraordinarily simple to learn, easy to apply and yields powerful results that can prevent a lifetime of compensation, complications and pain. I have been a licensed massage therapist for more than 12 years and in all that time, a reoccurring theme seems to have prevailed. The presence of scar tissue can have a lifelong physiological effect on the body -- a fact that seems to have eluded traditional health care professionals. This realization combined with my clinical experience, education, teaching and research, has led to developing methods that improve upon existing fascial techniques for scar tissue release.
During the course of my career I've treated many patients whose problems could be traced back to a scar they had forgotten they even had. Almost everyone has a scar. While not every scar presents a problem, often they can. This is due to the fact that the body is one large, three-dimensional piece of fascia that envelops us like an intricate spider web. Any kink, pull or restriction in one area affects the whole matrix.
Scar Tissue & Adhesions
Scar tissue and adhesions are the result of our body's natural healing process and it occurs both internally and externally. The process, if working correctly, is supposed to eliminate the scars and adhesions once the wound is healed. In some cases, a person's body does not breakdown the scar tissue. The adhered tissue continues to spread which can trigger a cascading effect of compensations throughout the body.
Scars are areas of fibrous tissue that have replaced normal skin, or other tissue, after injury. A scar results from the biologic process of wound repair (protective, useful barrier) in the skin and other tissues of the body. Scar tissue is never as functional as the original tissue it has replaced. With the exception of very minor lesions, every wound (both internal and external) results in some degree of scarring.
Adhesions are bands of scar tissue that anchor and support the wound. It binds together all tissue it comes into contact with. Adhesions may be thought of as internal scar tissue. Although adhesions can occur anywhere, the most common locations are within the stomach, pelvis and heart. (For a comprehensive list of specific types of scar tissue and adhesions go to www.brookseminars.com/resources.)
Cases of Scar Tissue Treatment
Scar tissue release therapy is extraordinarily simple to learn, easy to apply and yields powerful results that can prevent a lifetime of compensation, complications and pain. The therapy is a series of fascial techniques that release and realign the restrictive tissue from the starting point (visible scar) to the end point (where the line of frozen fascia stops). This release system differs from traditional methods because it approaches the multi-faceted matrix of fascia three dimensionally.
I have used this therapy with success for clients who range in age (from children to seniors) and who have experienced a broad scope of problems. In many cases, the results have been achieved within one to three sessions. Below are the stories of three clients who have experienced dramatic results (client names have been changed to protect their identities):
Another client for general relaxation massage referred "Laura" to me. Prior to starting our first session she forewarned me (out of being embarrassed) that her leg was "scary" looking due to vein removal surgery she'd had several years prior. I've seen and helped many clients with scar tissue resulting from vein removal surgery but was stunned at hers. Starting about two inches above her knee all the way down to the middle of the foreleg was a scar every inch and a half - with skin puffing up in between. It looked as though she had been bitten by a shark. In addition to the physical scarring, she experienced pain in her knee and down her leg (which made it difficult to keep up with her four boys). As you would imagine these scars not only affected her physically, but emotionally as well. She was very self-conscious of their appearance, so uneasy that she had not worn shorts since the surgery. She was frustrated that she couldn't keep up with her mother's walking pace while out shopping. And she was angry because her doctor told her nothing could be done, "it just healed that way." But after just one scar treatment session Laura experienced relief physically. By the end of three sessions the swelling was gone, the scars were reduced and Laura was thrilled. Laura's scars have faded by 85 percent. She now wears shorts and was able to actually go skiing with the boys for the first time in four years!
"Debbie," 35, came to me several years ago for help with what she thought was carpal tunnel syndrome. After observing a large scar on Debbie's wrist I inquired as to its origin. When she was nine years old she had put her hand through a window chasing her brother. After working on her hand for two sessions, scars from the glass cuts were reduced visibly by about 80 percent, she obtained range of motion back in her hand/wrist and the numbness was gone.
Another regular massage client one day inquired about my services for his 10-year-old son "Bobby." Bobby, who is very active in sports, was born with a clubfoot and was experiencing a lot of pain in the Achilles tendon of his good leg. After three surgeries his foot was locked in an inverted position causing him to walk on the outside edge of the foot. He was also scheduled for a fourth in a series of seven surgeries. After a thorough evaluation it was clear that it was not the deformity of Bobby's club foot that was holding his foot in this position - but the scar tissue and adhesions from the past surgeries which was wrapped around the ankle into the arch of the foot and up the back of the Achilles tendon. Due to the inversion of the foot, Bobby was using his hip flexors to move his leg forward. After working on Bobby's good leg, I asked his parents if it would be all right if I worked on the other foot. Much to the parent's shock after the first session of treatment, Bobby's foot released about 90 degrees. Upon seeing her son stand with his foot almost flat on the ground Bobby's mom said half in shock and half in anger, "Why didn't the doctors tell us to work on the scars? We would have done it everyday!" I continued to work with Bobby for almost two years. Along with continued work on removing the extensive scar tissue, he needed stretching and strengthening sessions to retrain the muscles in the atrophied leg and throughout his hip. While his foot will always be stunted from his deformity he never did have that fourth surgery.
It is my hope that with modern science starting to recognize the importance of fascia and the effects of scar tissue on the body that scar tissue release will be brought to the forefront of therapy. Massage therapists can make significant and long-lasting changes in the health and well-being of their clients by incorporating scar tissue release therapy into their treatments. It is my experience that this therapy can play a major supportive and therapeutic role in helping anyone living with the physical, emotional and mental effects of scar tissue and adhesion restrictions.
Marjorie Brook has been a nationally certified, New York State LMT since 1997. She is an advanced AIS practitioner/instructor who teaches nationwide, as well as in Canada and Europe. Marjorie offers continuing education courses in Active Isolated Stretching and Strengthening, Scar Tissue Release, and Body Mechanics through her company at www.brookseminars.com.
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