Soft Tissue/Fascia Technique

Related Authors: Andrew Taylor Still MD/DO, Janet Travell MD, John F. Barnes PT

"Principles: The body’s individual anatomic structures are united to each other by fascias, made up of specialised connective tissue. The fascias respond to the involuntary movement of the cerebro-spinal fluid, to the autonomous movement of the viscuses, and to voluntary and involuntary movements of the locomotive system. Fascias contain nerves, blood vessels, lymphatic vessels, extra-cellular fluid, and various differentiated cells. Fascias have contractile and elastic properties and respond to the “spring – hydraulic cylinder” model of Robert W. Little Ph.D. quoted by Upledger, J.E. and Vredevoogd, J.D. Every action that obstructs the elasticity of the fascias, leads to the obstruction of correct circulation of the liquids and disturbs the activity of the nerve. The shortening and rigidity appearing in the fascia that has suffered a trauma, will cause further congestion and fibrosis. When the fascia becomes thicker through the effect of the trauma, the loss of elasticity causes further restriction of mobility.
Method: According to A.T. Still, the fascia is the point of the body from which the illnesse is propagated. He wrote: “It is through its action that we live, through its failure that our body wilts or swells, and dies”. According to William Garner Sutherland D.O., the intra-fascial space is even more important.
Indications: As the structures of the fascias is ever present, they must always be taken into consideration in osteopathic treatment. It is important to remember that the fascias contain our being and, from a certain aspect, express our essence."
Source

Trigger Point Technique

Related Authors: Janet G. Travelle MD David G. Simons

"Principles: There are hyper-irritable palpable points in the tissues. When these points are compressed, they are locally painful, causing remote referred pain, and may trigger autonomous referred phenomena. Trigger Points can be myofascial, cutaneous, fascial, ligamentary and periosteous.
Method: There are three methods for treating the Trigger Points. They are: manual ischemic compression, a dry puncture or an anaesthetic injection, and the "Stretch and Spray" method. We prefer using the latter method because the best results are obtained by stretching the affected muscle while applying a spray of ethyl chloride. This cools the tissue, reducing the contractures that compress the arteries and facilitates stretching.
Indications: All hyper-irritations of muscles, skin (scars), fascias, ligaments, periosteums, that cause local or remote pain accompanied by vasomotor or autonomous phenomena. Cephalea due to contractures of the masticator muscles."
Source

Tuesday, September 8, 2009

Summer 2009

Med Sport Sci. 2009;54:136-149. Epub 2009 Aug 17.
Genetic Risk Factors for Musculoskeletal Soft Tissue Injuries.
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Sunday, February 15, 2009

Spring 2009

Clin J Pain. 2009 Jan;25(1):80-9.
Reliability of physical examination for diagnosis of myofascial trigger points: a systematic review of the literature.
Agri. 2008 Jul;20(3):14-9.
Demographics features, clinical findings and functional status in a group of subjects with cervical myofascial pain syndrome.
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Monday, July 7, 2008

July 2008

Arch Phys Med Rehabil. 2008 Jul;89(7):1290-3.
A distinct pattern of myofascial findings in patients after whiplash injury.
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Wednesday, June 18, 2008

June 2008

J Manipulative Physiol Ther. 2008 Mar;31(3):217-23.
Effects of myofascial release after high-intensity exercise: a randomized clinical trial.
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Friday, May 2, 2008

May 2008

J Manipulative Physiol Ther. 2008 Mar;31(3):217-23.
Effects of myofascial release after high-intensity exercise: a randomized clinical trial.
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Thursday, April 3, 2008

April 2008

Anatomy Trains
Anatomy Trains - Fresh Tissue Dissection
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Monday, December 31, 2007

January 2008

J Manipulative Physiol Ther. 2007 Oct;30(8):584-92.
Importance of strain direction in regulating human fibroblast proliferation and cytokine secretion: a useful in vitro model for soft tissue injury and manual medicine treatments.
J Manipulative Physiol Ther. 2007 Oct;30(8):578-83.
Changes in pressure pain sensitivity in latent myofascial trigger points in the upper trapezius muscle after a cervical spine manipulation in pain-free subjects.
Arch Phys Med Rehabil. 2007 Dec;88(12):1658-61.
Identification and quantification of myofascial taut bands with magnetic resonance elastography. Acupunct Med. 2007 Dec;25(4):130-6.
Acupuncture needling versus lidocaine injection of trigger points in myofascial pain syndrome in elderly patients - a randomised trial.

Power Points - Osteopathic Health and Wellness Institute (OHWI)
Myofascial Release I (Cervical, Thorax & Ribcage)
Travel's Trigger Points
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