Trigger Point Therapy

January 17th, 2010

Another form of treatment that I provide is Trigger Point Therapy. Again, rarely is this treatment provided by itself but as part of a number of modalities provided depending on how the patient is presenting. Trigger Points are interesting as no one can really explain how they present the way they do.

Trigger Points are described as focused hyper-irritable points that can exists in muscle tissue. It is my belief that this section of muscle tissue is in a state of hyper contraction with a heavy CO2 (metabolic waste) presence. The Trigger Point will feel like a nodule. The issue with Trigger points is that it can affect the ability for the whole muscle to relax so it can cause the whole muscle to tighten. The most interesting part of trigger points is how they refer a vague dull ache away from the actual site of the trigger point. Often trigger points can mimic other conditions like a joint conditions, migraines, carpal tunnel and nerve entrapment conditions like Sciatica. For instance, the side of the neck has a set of muscles called the Scalenes, which help stabilize the neck and raise the top two ribs during inhalation. They have a dramatic  referral pattern as you can see.

The lateral low back muscles and Hip Stabilizer muscles have the ability to refer down the leg similar to pain encountered in Sciatica (compression of Sciatic Nerve) except that the pain is duller and more vague more like a dull toothache.

There are many muscles in the body that have these referral patterns so postural, muscle weakness and description of pain helps to identify if it is a Trigger Point and where it might be. The biggest presenters tend to be the muscles around the neck causing headaches. Each muscle will cause pain at different parts of the head whether it be the temple, top of the head, base of the skull. To simply release the trigger point would only be helpful for a short time as the cause is probably still present whether it be poor posture, stretched muscles, joint immobility or irritation ect. It all comes down to putting the body back in a position of good balance, joint mobility, strength and stability so no muscles are put under the constant strain that can cause the Trigger Points. Here are some Headache Trigger Points: The X is where the Trigger Point is and the red area is where the pain is referred to:

Massage Therapy and Fascial Release

December 29th, 2009

I wanted to discuss my Fascial Release treatment today as one of the most important modalities that I use. It is quite a deep subject and I could go on for hours about it but just the basics I think will do and how it ties in with my treatment philosophies and how it is helpful for my patients is what I will focus on. Fascial, essentially, is what helps to create the structures in our body (bones, tendons, muscles, nerves, organs ect.) but it also helps to hold these structures together and is the reason for the shape that we are.

I thought that Wikipedia had a good definition so I hope they don’t mind if I borrow from them.

Fascia (făsh’ē-ə), pl. fas·ci·ae (făsh’ē-ē), adj. fascial (făsh’ē-əl) (from latin: a band) is the soft tissue component of the connective tissue system that permeates the human body. It interpenetrates and surrounds musclesbones,organsnervesblood vessels and other structures. Fascia is an uninterrupted, three-dimensional web of tissue that extends from head to toe, from front to back, from interior to exterior. It is responsible for maintaining structural integrity; for providing support and protection; and acts as a shock absorber. Fascia has an essential role inhemodynamic and biochemical processes, and provides the medium that allows for intercellular communication. Fascia functions as the body’s second line of defense against pathogenic agents and infections after theskin. After injury, it is the fascia that creates an environment for tissue repair. So a fascial adhesion which occurs post injury, can affect the repair of that same tissue.

Where I come in to all of this is that if there is a discontinuity or change to the function of the fascia, it can effect the body in many ways, including the functions stated above. I concentrate more on structural fascial and myofascial (fascia that surrounds the muscle) in the way that they affect movement and posture and balance, which is what I see come into the clinic quite often.

Another groups of conditions that has begun to trickle into the clinic are conditions arising from disfunction to the fascia surrounding the organs. The organs that I traditionally deal with are the liver, gall bladder, stomach, lungs, large and small intestines, bladder, prostate, uterus. This form of treatment is very non-invasive (for those of you who saw the bladder/prostate and cringed). The bladder/prostate work can be accessed in the lower abdomen area just below the belly button. With their respective attachments, each organ has a movement is must be allowed to do during both it’s functions and during general body movements. Clients have come in with complaints attached to digestion such as reflux, gas, constipation, diarrhea, dry stool which can all be attributed to adhesions somewhere along the course of the digestive system. Constipation, for example can be a spasm causing the valve between the small and large intestine.  It’s a newer approach to adhesions causing trouble with the functions of organs.

As example as what can happen with tight abdominal fascia, think what would happen if you had some of those full body pajamas on and you’re sitting in a chair. You spill some sticky glue on your front but you stay there for a while, until the glue hardens. When you go to sit up, the now inelastic fibers of the front of your pajamas  will make it difficult to stand up straight because they won’t stretch. It also affects the way that the rest of the pajamas pull to compensate. This is an extreme example, but shows how restricted fascia can affect a local area and also affects the chain of fascia around the rest of the body.

Again, I could go on for a long time about different effects of dysfunctional/adhered fascia, but in a nutshell, Fascial adhesions don’t let things happen that need to happen and puts the body into a state of imbalance and dysfunction. My job is to locate the adhesions and release them so that the normal function and movement occurs and allows the body’s natural balanced position occur easier. It is an interesting process as often the best approach is a much more gentle approach. I hold the pressure to release the adhesion and often it won’t move for at least a minute, then slowly, the adhesion begins to unwind, producing a significant release allowing movement of the structures surrounding it. Often I combine other modalities with fascial release including trigger point release, muscle energy techniques, joint play to name a few. With fascial release, toxins are always released so I always flush out the area to return the venous circulation to the heart to be expelled.

Breast Cancer and Bra Straps

December 29th, 2009

I found some interesting information regarding the connection to tighter bra straps, reduction of movement of lymph and cancer. Have a look at this write up. Please google as much as you can to gather more information but I think it it is something that is worthy of your time. Movement of lymph from the breast tissues is very important.

http://www.healingcancernaturally.com/breast-cancer-bras-lymph-nodes.html

About my Treatment Philosophies

December 7th, 2009

I wanted to spend the next little while discussing some of the types of treatments that I use. As every client is different with what they come in with, it is important to have as many types of treatment modalities as possible in your tool box. You can have patients that come in that are under a lot of stress that may need to just bring themselves down again with relaxation in mind, to athletes in the off-season/during season training/pre-post competition to client that are suffering acute or longer term chronic injury. With therapy, I want the client to understand exactly what it happening with them so 1)they understand how what they are doing can be contributing to the injury 2) to understand the treatment I give and why I’m going what I’m doing 3)they understand why I am giving the exercises and how it will help. I am a firm believer that my treatment will only be 50% of their success and the more they are involved, the longer term the effects will be.

Clients may come in with varying degrees of a type of injury so there is not one approach to helping them. My approach is I focus on mobility, support and balance. When the body is balanced, the joint range of motion is better and the muscles are in a neutral position and will be stronger (not stretched or shortened).  Many times the body is pulled out of it’s ideal balanced position for long enough that the unbalanced position is what seems to be normal and that is why it often ends up being a chronic condition that ends up surfacing seemingly out of nowhere.

The types of modalities I use include Deep Fascial (connective tissue) Release, PRT (passive release technique), Muscle Energy, Joint Mobilizations, Standard Stretching, demo of the exercises to be done at home, Postural and Range of Motion Assessment. Over the next little bit I will cover each of these modalities and explain how they can be helpful in achieving a well supported strong balanced body.

The Physiology of Oxygen / Carbon Dioxide

November 11th, 2009

Carbon dioxide is the waste product of the respiritory system, and of several other chemical reactions in the body, such as the creation of ATP. Pure carbon cannot be transported in the body, so CO2 is one form it takes that is water soluble. Levels of CO2 also tell the body when it needs more oxygen.

In the human body, the oxygen is absorbed by the blood stream in the lungs, being then transported to the cells where an elaborated change process takes place.

Oxygen plays a vital role in the breathing processes and in the metabolism of the living organisms.

Probably, the only living cells that do not need oxygen are some anaerobic bacteria that obtain energy from other metabolic processes.

Here is an really good link to a page that discusses how the body brings in Oxygen and rids itself of Carbon Dioxide:
http://people.eku.edu/ritchisong/301notes6.htm

Cycling and Calf pain

October 13th, 2009

Occasionally I may treat a cyclist and generally, if the training is heavy, the complaint will be the quadriceps muscle or the calves being sore and overworked. Naturally, the quads are very active during the whole upstroke and downstroke of cycling and most of the power comes from there but there are things you can do to reduce the amount of stress on the calves. One big one is to move your cleats back and make sure that they aren’t too far forward. When they are too forward, the calves may be working too hard. Bring the cleats back a little and there will be a better balance between the quads and calves contraction during the downstroke in cycling. You can give it a try by placing the cleats back, go for a ride and just feel how much the calves are working. Generally, they aren’t supposed to be dominant movers but just to stabilize during cycling and then to kick in a little more during climbs or sprints.

Move the cleats around and you can find a position that is best for you.

‘A Vuchella

October 5th, 2009

This is another song that I recorded with Kim Cousineau here in Victoria at the Music Conservatory.

The translation is: (this is heavy-duty mushy stuff with a PG13 Rating) Please be advised.

Yes, like a little flower,
You have got a sweet mouth
A little bit
withered.

Please give it to me
it's like a little rose
Give me a little kiss,
give, Cannetella!

Give one and take one,
a kiss as little
as your mouth

which looks like a little rose
a little bit
withered.


Click here and have a listen.

Thinking that your Green tea is becoming a little bland?

October 5th, 2009

This is awesome green tea. The difference is the roasted rice that adds a great flavour to it.

IMG_0182

Me and the Ginger Tea

October 1st, 2009

I’ve wanted to write about this for a while. It’s never fun when you first feel a cold coming on and you wonder what you should take, so I thought I would pass on what seems to have always worked for me. It is pretty simple too. When I feel it coming on I take a couple of grams of Vitamin C (2000 mg), chop up some fresh ginger root and put as much in hot water as I can and just drink ginger tea with honey all day. Since I have done that, I have never felt anything settle in. Maybe it’s just the Vit C, but Ginger also has very potent anti viral properties that are good for colds and flus.

Click here for more infomation on ginger. It’s really good stuff.

One for my baby…..

September 29th, 2009

I finally got a recording done of some music that I’ve been meaning to do. It’s a song that I loved when I first heard it. The version that I heard was by Frank Sinatra and when I heard it, I thought “man, I need to do this”. The piano accompaniment was exactly as I heard it so I was thrilled about that.

So here it is with Kim Cousineau, piano player extraordinaire. Enjoy.

My New Old Phone Number 250 – 818 – 1640

September 28th, 2009

As I might have mentioned recently, I got a new phone and unfortunately with a different provider, got a new #. I recently have discovered that I’m able to transfer my old number from my old provider to my new phone. I have now done this so I am now back to my regular number as above.

Cross Country Mountain Bike at meetup.com

September 20th, 2009

I have found a great website called meetup.com. Essentially, it is a site that is good for people to meet up with others that have similar interests. For example, I have joined up to meet people that are into photography, kayaking, adventures in general and hiking. It is easy and free to join a group.

I wanted to announce that I have started my own group called Cross Country Mountain Bikers for those that are between road biking and crazy downhill mountain biking, and like to find longer off road rides and would like to do it with others. If you like to do this, please join up. Rides are announced as they come up, either planned in advance or maybe the day before. I’m not totally sure how the whole thing works but I’ll learn as it goes. I wanted to keep it as low profile and spontaneous as I can. It’s supposed to be simple and fun. Announce a ride, go for a ride with friends, hang out after. All that good stuff. Have a look at:

http://www.meetup.com/Cross-Country-Mountain-Bikers/calendar/11422298/