A Pebble in the Shoe

Discussion of Myofascial Release techniques, both generic and modality specific.

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A Pebble in the Shoe

Postby WaltFritz on Fri Jul 09, 2010 6:00 pm

As a follow up to "Leveling the Landscape", a previous post that I made, I want to present an analogy for scapular region pain. A situation presented itself again today that brought this to mind.

“Knots” in the rhomboid and scapular region seem to get all sorts of interventions. Massage, trigger point therapy, injections, stretching, heat, ice, etc are all common. My least favorite thing to hear is that a patient’s physical therapist is trying to strengthen this area, as if weakness is the cause of pain. With any of these interventions, the pain will lessen or go away, but usually not for long.

What happens when you get a pebble in your shoe? The answer should be pretty obvious; remove the pebble or the pain will continue. What happens if something under the shoulder blade rises to irritate the soft tissue? Spasm and pain will result. That something is usually a rib(s). Cause of such an occurrence can vary, and can be acute or chronic in nature. In my experience, unless you intervene to change the landscape of the ribcage/spine, the pebble will continue to irritate.

In my Foundations in Myofascial Release I Seminar, I introduce techniques to “Level the Landscape” of the ribcage. Myofascial Release holds a wealth of potential for making permanent changes to the thorax and beyond. Check out my upcoming Foundations I Seminar in Rochester, NY on my website. Integrating soft tissue release to the myofascial elements of the trunk are only part of the solution. The therapist must go deeper into engaging the ribs and spine. The gentle, sustained pressures allow the holding of the muscle and fascia to lengthen and the ribs to return to position and to their normal flexibility. Usually, far reaching treatment must be done at the pelvis and elsewhere.

The pebble in the shoe is an annoyance. You only need learn how to remove it.
Walt Fritz, PT Pain Relief Center, Rochester, NY
http://www.myofascialresource.com
For therapists: MFRmail Newsletter (patient focused newsletter also available)
Foundations in Myofascial Release Seminars
Myofascial Release Mentoring Program
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Re: A Pebble in the Shoe

Postby JLWmassage on Fri Jul 09, 2010 6:34 pm

You have peaked my interest. This is a common problem I see with my clients & myself included
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Re: A Pebble in the Shoe

Postby WaltFritz on Sun Jul 11, 2010 4:45 am

Jennifer,

I think this problem is exceedingly common. You may have noticed that receiving an adjustment from your chiropractor diminishes this pain for a time, but the "knot" returns. The adjustment to the rib head/ transverse process moves the landscape back into neutral for a time, but if the underlying soft tissue forces are not addressed, the rib head will be forced out of position once again, and the noxious stimuli will be re-asserted.
Walt Fritz, PT Pain Relief Center, Rochester, NY
http://www.myofascialresource.com
For therapists: MFRmail Newsletter (patient focused newsletter also available)
Foundations in Myofascial Release Seminars
Myofascial Release Mentoring Program
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Re: A Pebble in the Shoe

Postby JLWmassage on Sun Jul 11, 2010 4:54 am

For me personally and adjustment only takes care of me short term. Plus an adjustment does not take care of the conjestion I feel in my upper back. The best releaf I have felt by far was when I took a yoga work shop on spinal twists and detox. My body felt awsome for at least a month after that.

I have also had some good results with the MFR work I am learning, but it has been a challange connecting with the other therapists that I took the class with so that I can get some bodywork
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Re: A Pebble in the Shoe

Postby WaltFritz on Sun Jul 11, 2010 8:35 am

You have a few very experienced MFR therapists in your general area. Give me a shout in PM and I'll give you their info, if you are interested.
Walt Fritz, PT Pain Relief Center, Rochester, NY
http://www.myofascialresource.com
For therapists: MFRmail Newsletter (patient focused newsletter also available)
Foundations in Myofascial Release Seminars
Myofascial Release Mentoring Program
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