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[libribook.com] Traumatic Scar Tissue Management 1st Edition
Box 9.4Over-use/impairment example (Ryan 2013)When we are not able to change the scar itself, we still may be able tosignificantly impact the client’s pain and assist with improving function.At the Level I Fascial Manipulation (FM) training in Vancouver 2013, DrAntonio Stecco was asked about the effectiveness of FM in treatingscoliosis. Stecco’s approach to treating scoliosis is to address the over-usetype impairments that occur as a result of the spinal deviation, and is notspecifically aimed at correcting the deviation.Stecco shared one of his clinical cases and used an X-ray image toillustrate this. The X-ray showed a patient with a dramatic, 87° spinaldeviation. Prior to treatment by Stecco, the patient had experiencedsignificant neck, headache and low back pain, resulting in missed worktime and preventing her from engaging in recreational activities. FollowingFM treatment the patient was able to function (return to work and resumeactivities of daily living and sport/recreation) with significantly less pain.When asked about how much the actual curvature of her spine changedpost FM treatment, Stecco replied:There was no significant change in the degree of her scoliosisfollowing treatment. Scoliosis [spinal deviation] is not necessarilycorrelated with pain. With this patient, there are 3 importantcomponents to look at; the scoliosis, hyperkyphosis and hyperlordosis.The impact of the spinal deviations essentially present as ‘overuse’type syndromes in the paraspinal and other associated musculature’ssliding mechanism, which appears to be the predominant source of thepresenting musculoskeletal pain and dysfunction. This patient stillexperiences some low back pain but not at the debilitating degree sheexperienced prior to FM treatment (e.g. missing time at work,stopping all activity). Occasional use of paracetamol (mild analgesic)(2–3 times a month) manages her back pain well, while FM treatment
2–3 times a year effectively addresses her [compensatory] neck pain.Following treatment she experiences no neck pain between treatmentsand her episodes of neck pain are occurring less frequently and arequicker to resolve.
- Page 655 and 656: Effective Listening and Empathetic
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- Page 661 and 662: Interview exampleMary is a client w
- Page 663 and 664: SummarySeveral pieces of informatio
- Page 665 and 666: with traumatic scar tissue clients.
- Page 667 and 668: ‘Physicians’ perspective of mas
- Page 669 and 670: Referral exampleTonya, a 21-year-ol
- Page 671 and 672: Referral exampleJane experienced me
- Page 673 and 674: CHAPTER 9Assessment and treatmentHe
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- Page 679 and 680: Clinical ConsiderationReduction of
- Page 681 and 682: Clinical ConsiderationMT has been f
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- Page 685 and 686: Health History and InterviewA stand
- Page 687 and 688: surrounding muscle structures that
- Page 689 and 690: we are gathering information about
- Page 691 and 692: Keep in mind that the therapist’s
- Page 693 and 694: Continuous evaluation during the se
- Page 695 and 696: Pre-treatment assessment/evaluation
- Page 697 and 698: Scar scalesScar scales can be used
- Page 699 and 700: response to negative pressure. It h
- Page 701 and 702: • Client self-management strategi
- Page 703 and 704: BindOnce barrier is reached or surp
- Page 705: Table 9.1Comparative of normal and
- Page 709 and 710: Myofascial meridian exampleSuperfic
- Page 711: Clinical ConsiderationKnee and back
- Page 715 and 716: Clinical ConsiderationApplication t
- Page 717 and 718: Pathophysiological ConsiderationMec
- Page 719 and 720: Clinical ConsiderationStecco and co
- Page 721 and 722: Safety FirstMT appears to have few
- Page 723 and 724: Deep workThe deep techniques noted
- Page 725 and 726: Psychological considerationsIt is w
- Page 727 and 728: Clinical ConsiderationMT dosage and
- Page 729 and 730: Developing a sound treatment strate
- Page 731 and 732: Treatment outcomesEssentially, earl
- Page 733 and 734: Dosage considerationsThe presence o
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- Page 753 and 754: TechniquesCommonly employed techniq
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2–3 times a year effectively addresses her [compensatory] neck pain.
Following treatment she experiences no neck pain between treatments
and her episodes of neck pain are occurring less frequently and are
quicker to resolve.
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