Friday, January 31, 2014

Fascial Release Series: What is fascia/fascial release?





What is fascia?

Have you ever handled a raw chicken breast?  You know that thin, white layer that surrounds the muscle and fat on the breast?  That's fascia!

Fascia is a tough, thin tissue that spreads throughout the body.  It is continuous throughout the entire body, wrapping around muscles, bones, joints, and organs from head to toe.


Getting back to the idea of the Total Body Lesion, imagine you hurt your hip during a soccer game in high school.  Although the pain went away and the muscle healed after a few days, there was now increased tension of the fascia around that hip.  Ten years later, you threw out your shoulder during a beer league softball game, and again, it healed fairly quickly, but changed the tension of the fascia.  Now, three weeks ago you missed a step on the way down the stairs (you klutz!), your back goes into spasm and you have this nagging pain in your left low back that will NOT go away.  When we evaluate you, we may see that you have excess tension by your hip and shoulder, and start treating there.  Why?  We just learned that fascia is all interconnected, therefore, the pull in the direction of those previous injuries may have led to the inability for your body to fully recover from the last injury.  We ARE treating your back, just indirectly (which - BONUS - also tends to be less painful!).

Next up - High Five!:  Our staff's favorite tips/tricks learned in class that will benefit our clients today!


Wednesday, January 29, 2014

Fascial Release Series: The Total Body Lesion

If you have ever been a client at EPT, you know we treat the person as a whole.  Although you may come in with elbow pain, we may spend time focusing on how you are habitually standing or how you swing your arms when you walk.  We know how these everyday repetitive motions can cause stress on the body.   This class touched on and expanded upon these concepts.
One major principle in the osteopathic philosophy is that the body is a dynamic unit of function.  When we are speaking of the body, we are not just talking about the physical dimension, but the whole person: mind, body, and spirit. 



In the class, we spoke many times of the Total Body Lesion, which is defined as the sum of dysfunctions of mind, body, and spirit at any given moment in time.  This means that what is making your body hurt is not only the latest ache or pain, but an accumulation of things over time.  That series of ankle sprains during high school soccer, the C-section or hernia repair, those two fender benders, and the stress of starting a new job all have contributed to what you are feeling today.  The pain of these smaller injuries usually quickly fades without need for treatment; at the most, maybe with the aid of a little Advil, ice, and rest.  Although the muscles and ligaments have healed, we are blissfully unaware of the residual muscle, joint, and fascial tension that remains.


When you come to PT, you might identify the “final straw” as that bout of shoveling in sub-zero temps (thanks Vermont!), but your body has endured all of the previous traumas and these things must be considered.  When we evaluate you, we won’t just look at your back, but at your entire body.  After evaluating, we then can perform Total Body Balancing, which may mean we are working up at your shoulder, even though you came in with back pain.

On the next post, we look forward to sharing about one component of Total Body Balancing - fascial release!  

Monday, January 27, 2014

Expanding our knowledge: Fascial Release of the Upper Quadrant

We are very lucky as physical therapists at Essex PT that we are encouraged to continually develop and enhance our skills.  Although our education is very comprehensive, there are always new techniques or methods that can improve our clients’ experiences and outcomes.  Our clinic hosted a class recently focused on facial release, taught by Kerry D’Ambrogio.   Over the next week, we will have a short series of blog entries focused on some of the highlights/interesting points of the course.  These will focus on:

·         What is a Total Body Lesion?
·         What is fascia/fascial release?
·         High Five! - Our staff's top 5 ideas/tips taken from this class that will benefit our clients today!

Monday, January 20, 2014

Postural Tip of the Week - Stop Leaning!

Our postural tip of the week this week has to do with the way we lean our upper bodies when we are sitting.
Whether you see a driver with his left hand on the steering wheel leaning to rest his arm on the center console...











...Or a "desk jockey" leaning to use his mouse...



Both are doing the same thing...leaning to the right.

Our tip this week is to be mindful of keeping your left ribs down when you are sitting so that the shoulders remain level.  We often notice patients lean to the right, causing the right shoulder to drop.  This problem is not from the shoulders, but from the ribcage due to a lack of recruitment of your left abdominals.  Turn them on to fix this postural problem!

Monday, January 13, 2014

Postural Tip of the Week - Can you feel your arch?

It's Monday - time for the postural tip of the week!

Whether you are standing, sitting, or walking, you should be able to feel the arch of your right foot supported by the ground/your shoe.  If you find yourself often rolling to the outside of that foot, attempt to bring your weight back through the arch.  When you are making this correction, make sure your knee doesn't fall in; by keeping it aligned correctly, you will be using your right glute muscle as well!

Monday, January 6, 2014

Postural Tip of the Week - Rotate!

Here's another postural tip of the week!

Try to keep your left hand on your right knee as you rotate your trunk to the right.  Feel your right shoulder blade pull back slightly.  Breathe in this position.