01/10/2016
Case Study 42: Jane the hair stylist. Client feedback following treatment 3.
So, before I share with you the results of Jane's third treatment, I was pleasantly surprised when Jane reported this Tuesday that she is currently free of pain in her cervical spine and is aware she has a greater range of movement (ROM). Hoorah!
Jane requested that I repeated the same treatment as before concentrating on her back, shoulders, neck and upper chest which enabled a more thorough and deeper treatment due to the ground work previously done at a superficial level.
The small powerful muscles around shoulder blades are below those of the larger back and shoulder muscles, so if these are tight they can severely restrict and impair movement in the upper body. Where Jane requires complete freedom of movement in her shoulders I targeted these deep muscles, together with the Pectoralis muscles of the upper chest to release any tension.
Any deep tissue massage has to be done with great care on my part and can result in a little muscle soreness for the client during, and following treatment. If I can encourage my client to fully relax, the muscles respond better to manipulation and muscle soreness can be significantly reduced if not totally eliminated.
With any form of manual therapy treatment, some muscle soreness must be expected and is part of the normal healing process of the body as the blood cells get to work to repair muscle tissues and recycles the debris removed from the soft tissues. Your muscle fibres should feel like perfectly cooked pasta. If your muscles feel like over cook pasta, then you are likely to have reduced mobility. What you won't be aware of is that your muscle power will be significantly reduced.
Looking forward to Jane's fourth treatment:
Jane's treatment plan was to include treatment to her legs and pelvis as her work entails standing for many hours and not always in an upright position. If the client presents with any tension or muscle imbalance in the anterior muscles of the thigh (Quadriceps) and posterior muscles of the thigh (Hamstrings) can contribute and exacerbate existing lower back pain. Let me explain...
The very powerful Quadricep and Hamstring muscles attach onto the pelvic girdle, so if for example, the Quadriceps are more stronger or tighter than the Hamstrings the front of the pelvis could be pulled down in the front (Anterior tilt) which, in turn, increases the normal curvature of the lumbar spine = cause of lower back pain. However, this is not conclusive, as there are numerous other causes of lower back pain which can be determined through postural assessment.
Thank you for your interest today and for being my virtual audience.
My log may not be action packed as Star Trek's "Captains Log", but I do get exterminate Klingon's of the soft tissue 'kind' and boldly go into the deeper recesses of the Pectoralis minor! :)