COMPLETE PHYSIOTHERAPEUTIC CARE
I prepare physiotherapeutic care schedules for sports, private and recreational horses. I provide a thorough preparation of horses for competitions, including physiotherapeutic treatment in the horse and a horse rider training plan in order to achieve optimal results seen on the winner’s podium. I work with riding instructors according to biomechanics, veterinary physicians, farriers and equine nutritionists. I also provide physiotherapeutic care as part of post traumatic rehabilitation and following veterinary treatment. I also work with the rider’s body using the most effective methods, such as a deep medical technique and adjusting the type of therapy to the needs of each patient to achieve the best possible effect.
REHABILITATION & SPA
I provide horses which require rehabilitation or intense regeneration with a complete physiotherapeutic equine care, eg. following a starting season. If there’s a need for frequent treatment, it’s possible to give a horse to a friendly, cosy stable. Spacious, light boxes, daily thorough cleaning, possibility of round-the-clock paddocking, daily washing of legs before entering the box, indoor washing facility with tiles and hot water, unlimited amounts of hay, horse feeding up to 5 times a day and a reasonable price, these are some of the provided services. I have been cooperating with the stable for a long time as a children’s physiotherapist and a person performing treatment to training horses. I am permanently under impression of a great care for animals. We’ve got exactly the same philosophy of caring for equine wellbeing. Therefore, I am sure that all my physiotherapeutic recommendations will always be fulfilled accurately.
MASSAGE AND JOINT MOBILIZATION
I use various massage techniques, which are matched to each patient’s needs. I regard massage as a treatment whose aim is not only to relax a horse (relaxation is merely a side effect) but first and foremost to oxygenate and regenerate muscles, remove tension and sources of pain and improve muscular system effectiveness visibly, which is crucial to appear in sport, especially top one. Deep, medical massage is undoubtedly the basic method I use in my manual work with a horse, performed across muscle fibers. The same technique is applied to massage the best horses. During this treatment each muscle is caught in such a way as to affect the whole muscle at the whole length, width and thickness. The technique was created in Sweden as a reply to all imperfections of other techniques and it links elements of other forms of massage. Separating each groove acts on fasciae in the same way as myofascial massage. It includes elements used in classical technique such as: rubbing, lymphatic drainage and patting – used in sports, relaxing and stimulating massage. Deep massage stretches muscles, makes them more flexible as in stretching. Moreover, it releases tension as in Masterson or TTouch techniques. By creating microinjuries in muscles, the tension and fibrosis are removed. Therefore, this is the only technique which makes it possible to remove muscle related lameness. Usually only three treatments are enough to regain the optimal condition of muscles. Further procedures remove current tension and keep the horse in shape and comfort. It is a rule that if three deep massages do not result in visible effect, a veterinary examination reveals a problem rooted outside the muscular system. Most often it is situated in the skeletal system, joints or hooves. Horses of top contestants are massaged in this way, using medical, deep massage. Why? Because this is by far the most effective way. The effects of medical, deep massage are perfectly visible in thermovisual camera. The first thermogram shows horse’s back before the massage, the second one shows the condition after the massage. You can see clearly a raised back line and the increase in body temperature by several degrees. No other technique brings such spectacular effects. When you decide which massage technique to use, it is crucial to ask yourself what results you expect – temporary relaxation or removing sources of pain and achieve deep muscle regeneration. Another question is what the indications and contraindications are. The type of technique is in line with the answers to the above-mentioned questions. Partial massage is also possible. Massage is frequently accompanied by joint mobilization, which aims to regain full mobility. I also use the most effective methods when working with the body of a pet or a rider. First and foremost, I use medical, deep techniques, adjusting the method to individual needs of a patient in order to obtain the best result possible.
HORSE ASSESSMENT - THERMOVISION AND DIAGNOSTIC PALPATION
I assess the condition of a horse especially regarding muscles by means of palpation and thermovision. The test performed with an ultra-sensitive camera enables to trace the increase in tissue temperature by a fraction of a degree, otherwise imperceptible. This makes it possible to locate inflammatory states at the preclinical stage in hooves, joints or tendons. Palpation gives the opportunity to assess the condition of equine muscles, especially tension level and it makes it possible to locate the source of pain which is particularly helpful when diagnosing all sorts of lameness and mobility problems, such as bending difficulties or irregular gaits. A large number of these ailments have their source in the muscular system and they may be removed by physiotherapeutic treatment so that the horse could regain the comfort of work. The above mentioned examinations are not performed by a veterinary physician. While assessing the condition of equine health I also look at the equipment, especially at the saddle. Even a completely healthy horse with a perfectly fitted saddle and used by a rider with top technical skills should be regularly checked by a physiotherapist in order to monitor its performance and not to let muscular tension to cumulate.
HORSE PURCHASE ASSISTANCE
If you are planning to buy a horse, I will help you with the assessment of the exterior and muscles. There are indecent practices of sellers who inject painkillers or anesthetic drugs which may mislead the vet as to the real state of health of a horse. As a result of lameness, tissue inflammation or other disfunctions of locomotor system, muscles remain tense in spite of injected painkillers or anesthetic drugs. The inflammatory state of hooves or tendons, however serious they might be, will always be visible in a thermovision camera. These examinations are NOT performed by a veterinary physician when selling a horse. I cooperate with vets so we perform the purchase-sale examination together. I can obviously perform only physiotherapeutic check-up if you have your vet.
DIAGNOSTICS CARRIED OUT WITH A VETERINARY PHYSICIAN
At my work I cooperate closely with a veterinary surgeon who takes care of a horse. Moreover, particularly severe cases are consulted with other, acquainted vets. I also cooperate with a veterinary surgeon. We diagnose together severe cases, which are not obvious either for a vet or for a physiotherapist. Medical diagnosis confirmed with a palpation and thermovision examination performed by a physiotherapist results in a more accurate and thorough image of horse’s health, which is especially important at purchase-sale examinations. I also cooperate with veterinary physicians specializing in small animals.
I provide diet consultancy and I cooperate closely with equine nutrition specialists, who plan equine diets for horses who require special dietary care – especially those which are emaciated, obese, suffering from circulatory, urinary or respiratory diseases (mainly asthma and RAO), convalescents or horse’s with metabolic problems such as ulcers and laminitis. The diet is adapted to individual horses ideally and it is modified if necessary – taking into consideration its age, sex, breed, level of activity, current and target weight, health problems and even taste preferences.
OFFER FOR STABLES AND HORSE RIDING SCHOOLS
I invite sports stables, recreational and riding schools to cooperate with me as regular physiotherapy will result in much better results, horses won’t suffer injuries and they will enjoy working with people instead of feeling pain and strain. Sports stables are offered a complete physiotherapeutic equine care with particular consideration of practiced discipline and possibility of lump sum payment. I issue invoices. For riding schools and recreational stables there are instant treatments, which do not exclude a horse from work in season. I also offer affordable prices. Additionally, there are equine physiotherapy workshops for kids, especially during summer and winter holidays. They enable to provide horses with some time off work. I also run individual trainings and physiotherapy workshops for adults. I fit saddles for recreational horses in cooperation with the Saddle Clinic.
PHYSIOTHERAPY WORKSHOPS AND TRAININGS
During physiotherapy workshops for kids:
we learn what is the appropriate structure of a horse and which features are important
we work with multimedia 3D application, which enables to see the horse from the inside, we do not need a projector (I’ve got it in my tablet). We can do with a piece of wall!
we get to know the following systems: circular, digestive, breathing, lymphatic, urinary etc. and we can draw them
we evaluate the condition of a horse (BCS)
we draw muscles on the horse
we learn to assess equine muscle tension
we learn the rules of saddle fitting in theory and practice
we work with a thermovision camera
we learn how to perform an equine relaxing massage get to know equipment used in physiotherapy and equine rehabilitation and we test on ourselves!
Workshops are an ideal break of every summer and winter holidays in a saddle, which enable horses to have a day off work and children learn how to provide an animal with comfort at work. We adjust the agenda together to an available budget, time and the number of children. I invite stables to cooperate with me – I issue invoices! Physiotherapeutic workshops for kids and adults as well as individual training are run throughout the year, not only during summer and winter holidays.
My trainings and services might be given as an elegant voucher with a beautiful bow!
If you need my help immediately or if there is something that makes you worry about your horse or pet, please do not hesitate to contact me! Just call me or write a private message on Facebook. You are warmly welcome any time!:)
PL: +48 570777320
UK: +44 07482900318
A relatively new therapy method to be extremely beneficial in physical rehabilitation is flossing therapy. It is also an effective way to maintain therapeutic results and progress. A flossing band, also known as a compression cuff, is worn around the affected tissue for one to three minutes during training or treatment which results in a positive impact on the autonomic nervous system. Stimulation of pressure receptors in the tissue leads to an inhibition of pain transmission and ultimately a reduction of pain, improved blood circulation, and decongestion of the tissue. The flossing method is a good complement to some of our therapy techniques to reduce pain and improve joint mobility.
The Kinesio Taping® Method is a definitive rehabilitative taping technique that is designed to facilitate the body’s natural healing process while providing support and stability to muscles and joints without restricting the body’s range of motion as well as providing extended soft tissue manipulation to prolong the benefits of manual therapy administered within the clinical setting. Latex-free and wearable for days at a time, Kinesio® Tex Tape is safe for populations ranging from pediatric to geriatric, and successfully treats a variety of orthopedic, neuromuscular, neurological and other medical conditions. The Kinesio® Taping Method is a therapeutic taping technique not only offering your patient the support they are looking for, but also rehabilitating the affected condition as well. By targeting different receptors within the somatosensory system, Kinesio® Tex Tape alleviates pain and facilitates lymphatic drainage by microscopically lifting the skin. This lifting affect forms convolutions in the skin thus increasing interstitial space and allowing for a decrease in inflammation of the affected areas. Based upon years of clinical use, Kinesio® Tex Tape is specifically applied to the patient based upon their needs after evaluation. The findings of the clinical evaluation or assessment dictate the specifics of the Kinesio® Tex Tape application and other possible treatments or modalities. Kinesio® Tex Tape can be applied in hundreds of ways and has the ability to re-educate the neuromuscular system, reduce pain and inflammation, optimize performance, prevent injury and promote good circulation and healing, and assist in returning the body to homeostasis. It has been proven to have positive physiological effects on the skin, lymphatic and circulatory system, fascia, muscles, ligaments, tendons, and joints. It can be used in conjunction with a multitude of other treatments and modalities within your clinic and is effective during the rehabilitative and chronic phases on an injury as well as being used for preventative measures. I use only original Kinesio® Tapes; for animals – only original Equine Kinesio® Tape.
Due to the fact that I have been invited to cooperate with a renowned brand – the Saddle Clinic, I participated in an intense, individual, professional saddle fitting training. I learned how to take horse’s measures in a professional way and how to fill in the chart. Each brand has its own chart so I learned how to take measures and fill in the charts according to valid standards. Together with the Saddle Clinic we are able to fit any saddle for your horse! I was also trained in saddle fillings and parameters which influence a perfect fitting of a saddle. Together with the Saddle Clinic we carry out saddle fitting and horse’s back physiotherapy trainings. The Saddle Clinic is the only company in Poland which is a member of Master Saddle Fitters International – a prestigious organization uniting master saddle fitters. I also cooperate with Mr. Ryszard Andersz that manufactures saddles for my Clients on the basis of my measurements.
Dry Needling is a treatment technique whereby a sterile, single-use, fine filament needle (acupuncture needle) is inserted into the muscle to assist with decreasing pain and improving function through the release of myofascial trigger points (knots in the muscle). Dry Needling is a not the same as acupuncture, although there are similarities between the two techniques. The main difference between Dry Needling and acupuncture is the theory behind why the techniques work. Dry Needling is primarily focused on the reduction of pain and restoration of function through the release of myofascial trigger points in muscle. In comparison, acupuncture focuses on the treatment of medical conditions by restoring the flow of energy (Qi) through key points in the body (meridians) to restore balance. A myofascial trigger point, also known as a knot in the muscle, is a group of muscle fibres which have shortened when activated but have not been able to lengthen back to a relaxed state after use. A myofascial trigger point is characterised by the development of a sensitive nodule in the muscle. This occurs as the muscle fibres become so tight that they compress the capillaries and nerves that supply them. As a result, the muscle is unable to move normally, obtain a fresh blood supply containing oxygen and nutrients, or flush out additional acidic chemicals. In addition to this nodule, the remainder of the muscle also tightens to compensate. The presence of a myofascial trigger point in a muscle can lead to discomfort with touch, movement and stretching; to decreased movement at a joint; and even a temporary loss of coordination.
A myofascial trigger point develops as part of the body’s protective response following:
injury – the muscle will tighten in an attempt to reduce the severity of an injury;
unexpected movements e.g. descending a step that is lower than originally anticipated;
quick movements e.g. looking over your shoulder while driving;
change in regular activity or muscle loading e.g. an increase in the number or intensity of training sessions for sport;
sustained postures e.g. prolonged sitting for work or study;
nerve impingement – the muscle will tighten to protect the nerve;
illness (bacterial or viral);
nutritional deficiencies, or;
metabolic and endocrine conditions.
Dry Needling assists with decreasing local muscular pain and improving function through the restoration of a muscle’s ability to lengthen and shorten normally by releasing myofascial trigger points.
When a fine filament needle is inserted into the center of a myofascial trigger point, blood pools around the needle triggering the contracted muscle fibers to relax by providing those fibers with fresh oxygen and nutrients, as well as by flushing away any additional acidic chemicals. This, in turn, leads to the decompression of the local blood and nerve supply.
Dry Needling can be used in treatment:
to help release myofascial trigger points (muscle knots);
to assist with pain management, and;
to restore movement at a joint if inhibited by myofascial trigger points.
A brief muscle twitch can also be experienced during a Dry Needling treatment. This may occur during treatment when the needle is inserted into a myofascial trigger point. Dry Needling is often used in combination with other techniques including massage, manual therapy, and exercise prescription. I attended the first international training course in English in Europe (Germany) – Dry Needling Schachinger Method and has studied from the founder of the method – first MVD that started dry needling animals.
Today, leeches are mostly used in plastic surgery and other microsurgery. This is because leeches secrete peptides and proteins that work to prevent blood clots. These secretions are also known as anticoagulants. This keeps blood flowing to wounds to help them heal. Currently, leech therapy is seeing a revival due to its simple and inexpensive means of preventing complications. Medicinal leeches have three jaws with tiny rows of teeth. They pierce a patient’s skin with their teeth and insert anticoagulants through their saliva. The leeches are then allowed to extract blood, for 20 to 45 minutes at a time, from the patient undergoing treatment. This equates to a relatively small amount of blood, up to 15 milliliters per leech. During a session, live leeches attach themselves to the target area and draw blood. They release the proteins and peptides that thin blood and prevent clotting. This improves circulation and prevents tissue death. The leeches leave behind small, Y-shaped wounds that usually heal without leaving a scar. Leeches are effective at increasing blood circulation and breaking up blood clots. It should be no surprise that they can be used to treat circulatory disorders and cardiovascular disease. Chemicals derived from leech saliva have been made into pharmaceutical drugs that can treat: hypertension, varicose veins, skin problems, arthritis. Clinical trials suggest that leech therapy is an appropriate treatment for the common joint disease osterarthritis. The anti-inflammatory and anesthetic properties in the leech’s saliva reduce pain and tenderness at the site of the affected joint. People with heart disease use leech therapy because of its potential to improve inflammation and blood flow. In the past few years, leech therapy has become an acceptable alternative therapy for people with vascular disease and disorders. Cancer treatments using leech therapy are being explored because of the platelet inhibitors and special enzymes contained in leech saliva. While people with certain blood cancers are not advised to use leech therapy, it has been shown to slow the effects of lung cancer. Animal testing also shows that directly injecting leech saliva into micehelps prevent the colonization of cancer cells. The progression of diabetes can cause numerous problems. These problems can lead to vessel diseases that limit or prevent blood from reaching the toes, fingers, hands, and feet. When blood flow becomes severely restricted, the affected tissue can die. The most effective way to stop this process is to increase circulation to the affected tissues without the risk of blood clots. Research as shown that leech therapy can play a role. The Hirudin substance in leech saliva thins the blood and keeps it from clotting. Since people with diabetes tend to have thicker blood, Hirudin can help relieve the pressure on the heart and cardiovascular system by thinning the blood. Researchers have observedpositive outcomes in cases where Hirudin has been used for treat diabetes. A recent case study showed how traditional Unani medicine, which includes leech therapy, was able to help save the foot of a 60-year-old woman with diabetes. Synthetic forms of leech saliva now exist, but researchers have discovered that using as few as four leeches in one session can help reduce the risk of amputation. Leeches have become popular for preserving soft tissue and promoting healing after facial reconstructive surgery. In both oldand new case studies, leech therapy has been shown to increase the chance of positive outcomes in reconstructions affecting the: nose, forehead, breast, cheek, digits (fingers and toes) Leech therapy’s effect on blood clotting during and after these surgeries helps the body to heal more naturally and completely. Leech therapy’s benefits for blood circulation has also led some people use leech therapy to treat baldness and hair loss on the scalp. Leech therapy is both easy and has a lower risk of side effects than other therapies. However, there are some risks. For this reason, people who are immunocompromised by autoimmune disease and environmental factors are not good candidates for leech therapy. It makes some people squeamish to imagine leeches being used as a modern medical treatment. But more and more research is showing that there’s a reason why leeches were relied upon for centuries as an essential part of medical care. As we continue to find out more about the special properties in leech saliva, it may very well be that the treatment has even more practical use than we would have ever thought possible. I also use maggots for curing serious wounds that are resistant to antibiotics.
Electrotherapy uses electrical signals to interfere with the transmission of neural pain signals into the brain. It effectively slows down or distracts the message from the nerve to the brain. From a physiotherapy point of view, affecting one’s ‘Pain Gate’, whether in an acute or chronic pain episode, is crucial area of treatment and electrotherapy is a very useful resource where conventional medicines are not as affective. Electrotherapy can also involve the use of this electric current to speed tissue healing where tissue damage has also occurred. I’m going to discuss two different forms of it today, TENS (transcutaneous electrical nerve stimulation) and Interferential therapy. TENS is used for a variety of painful conditions such as: arthritis, nerve and muscle related pain. An electrical device delivers electrical impulses across the skin. The device is connected by wires to sticky pad electrodes, which are placed on the skin in the area of the pain. This allows a small, low-intensity electric charge to be passed across the area. TENS can work in two ways: on a high frequency, by selectively stimulating certain ‘non-pain’ nerve fibres to send signals to the brain that block other nervesignals carrying pain messages. High frequency stimulation, sometimes called “conventional”, is tolerable for hours, but the resultant pain relief lasts for a shorter period of time. Lower frequencies stimulate the production of endorphins, natural pain-relieving hormones – your own built-in pain management system. Low-frequency stimulation, sometimes called “acupuncture-like”, is more uncomfortable and tolerable for around 20-30 minutes, but the resultant pain relief lasts longer. Unlike many pain-relieving drugs, TENS isn’t addictive and has few side-effects. Interferential therapy is essentially a deeper form of TENS. It utilises two high frequency currents which are slightly out of phase, and are passed through the skin at the same time where they are set up so that their paths cross and simply interfere with each other. This interference gives way to a beat frequency which has the characteristics of low frequency stimulation deep under the skin. Manipulation of the current allows the physiotherapist to target the correct structure and to treat. There are 4 main clinical applications for which IFT has been found to be effective: pain relief (in a similar fashion to TENS), muscle stimulation – prevent muscle wastage, re-education, maintain range of motion, increased local blood flow, reduction of oedema. Electrotherapy is used as an adjunct to traditional physiotherapy treatments.
Therapeutic ultrasound is a modality that has been used by physiotherapists since the 1940s. Ultrasound is applied using the head of an ultrasound probe that is placed in direct contact with your skin via a transmission coupling gel. Therapeutic ultrasound has been shown to cause increases in: healing rates, tissue relaxation, tissue heating, local blood flow, scar tissue breakdown. The effect of ultrasound via an increase in local blood flow can be used to help reduce local swelling and chronic inflammation, and, according to some studies, promote bone fracture healing. The intensity or power density of the ultrasound can be adjusted depending on the desired effect. A greater power density (measured in watt/cm2)is often used in cases where scar tissue breakdown is the goal. Ultrasound can also be used to achieve phonophoresis. This is a non-invasive way of administering medications to tissues below the skin; perfect for patients who are uncomfortable with injections. With this technique, the ultrasonic energy forces the medication through the skin. Cortisone, used to reduce inflammation, is one of the more commonly used substances delivered in this way. The most common conditions treated with ultrasound include soft tissue injuries such as tendonitis (or tendinitis if you prefer), non-acute joint swelling and muscle spasm. Most muscle and ligament injuries can benefit from therapeutic ultrasound. I have got the most modern equipment used in ultrasound therapy.
Laser therapy is the non-invasive use of laser energy to generate a photochemical response in damaged or dysfunctional tissue. Laser therapy can alleviate pain, reduce inflammation and accelerate recovery from a wide range of acute and chronic clinical conditions. As rehabilitation specialists know, the main goal of treatment for many when treating painful, debilitating conditions is to facilitate improved function and mobility. Laser therapy is a drug-free, surgery-free technique to help make that goal a reality. Cleared by the FDA in 2003, Class IV Laser therapy (the laser type I owe) has become standard of care for many musculoskeletal injuries. Many clinicians are confidently incorporating laser therapy programs into their practices due to the growing body of literature supporting the efficacy of laser therapy as a modality to reduce inflammation and accelerate recovery. Laser therapy technology has been recently endorsed by professional organizations such as the APTA, WHO and IASP. Laser therapy shows strong evidence of effectiveness for pain relief. Other clinical benefits of laser therapy: effective for difficult conditions; alternative to surgery; fast treatment times; easy, non-invasive and scientifically proven treatment.
Magnetotherapy is a form of physical therapy that uses a pulsing magnetic field to generate electromagnetic energy. Magnetic fields are produced normally in nature, but for therapeutic use they are produced artificially to promote different therapeutic effects. Magnetotherapy is indicated for treating pain, for reducing inflammation and oedema. Clinical studies, in addition, have shown that it can be used for treating osteoporosis and regenerating both superficial tissues and fractured bones. It is used in orthopaedics, sports medicine, physiotherapy and by professionals who use this instrumental physical therapy in different specialist branches. Given its therapeutic effects, it can be used alone or in combination with other therapy techniques. The therapeutic expectations can be briefly indicated as follows: non-abrasive and painless treatment, contracture relieving and relaxing effect on the muscles, antalgic, anti-inflammatory and draining effect, tissue repair, even deep. I have got the most modern equipment used in magnetic therapy.
INFRARED RAYS THERAPY
Infrared rays are a form of electromagnetic radiation that is invisible to the naked eye. Our body receives and also emits infrared waves, which penetrate organic substances and water heating them evenly as a result. A Japanese clinic carried out medical research successfully using infrared radiation. The results have shown how these waves have the ability to rid the body of toxins. These toxins are generally acidic and if they accumulate, they can also block blood circulation. The capillaries can be expanded and the toxins dissolved using infrared waves; the toxins are then expelled through the urine and perspiration. These rays are absorbed selectively by tissues needing an energy boost. This phenomenon is known as “Resonance Absorption”. Infrared rays improve the level of oxygen in our body, heat our blood and purge it of fat, chemical components and toxins, thereby increasing its flow rate. They eliminate other body waste, thereby reducing the acid level of our body, improve the perspiration system, relieve pain, improve muscle function, accelerate body healing, maintain heat and improve sleep and improve the microcirculation.
EQUI-RELEASE PRO THERAPY
The Equi-Release Pro is designed to create a deep penetrating pulse to the nerves in an action designed to release nerve/muscle contraction and thereby cause a softening and relaxation of the muscles in the surrounding area. The tool was designed and patented in Australia. I use it during the massage or independently. It gives great results and only 1 day to rest is needed after the treatment that is essential especially for sports horses.
I also use such therapies as e.g.:
IASTM – Instrument Assisted Soft Tissue Manipulation is a treatment for myofascial restriction. IASTM uses specially designed instruments to provide a mobilizing effect to scar tissue and myofascial adhesions. IASTM is a highly effective treatment for common musculoskeletal pathology.
PINOTHERAPY (PINOPRESSURE) is an attempt to combine alternative andconventional therapies. It has many elements of reflexive therapy, visceral therapy, IASTM, manual therapy, massage reflexotherapy, acupressure and TCM (Traditional Chinese Medicine).This therapy is based on excitation of nerve conduction.Therapeutic effect is connected to electric properties of fascia. Wide range of techniques used in pinotherapy widen its therapeutic capabilities. It not only helps to quickly liquidate pain following incresase muscle tone, injury or discopathy, but also tension of the central and peripheral nervous system.
VACUUM THERAPY is a noninvasive technique that helps to lift the skin via a mechanical device. It boosts blood circulation, improves blood flow in the layers of the hypodermis, dermis and epidermis and releases myofascial restrictions.
TRIGGER POINTS are discrete, focal, hyperirritable spots located in a taut band of skeletal muscle. They produce pain locally and in a referred pattern and often accompany chronic musculoskeletal disorders. Acute trauma or repetitive microtrauma may lead to the development of stress on muscle fibers and the formation of trigger points. Patients may have regional, persistent pain resulting in a decreased range of motion in the affected muscles. These include muscles used to maintain body posture, such as those in the neck, shoulders, and pelvic girdle. Trigger points may also manifest as tension headache, tinnitus, temporomandibular joint pain, decreased range of motion in the legs, and low back pain. Palpation of a hypersensitive bundle or nodule of muscle fiber of harder than normal consistency is the physical finding typically associated with a trigger point. Palpation of the trigger point will elicit pain directly over the affected area and/or cause radiation of pain toward a zone of reference and a local twitch response. Various modalities, such as the Spray and Stretch technique, ultrasonography, manipulative therapy and injection, are used to inactivate trigger points. Trigger-point injection has been shown to be one of the most effective treatment modalities to inactivate trigger points and provide prompt relief of symptoms.
GUA SHA is a natural, alternative therapy that involves scraping skin with a massage tool to improve circulation. This ancient Chinese healing technique may offer a unique approach to better health, addressing issues like chronic pain. The skin is scraped with short or long strokes to stimulate microcirculation of the soft tissue, which increases blood flow. These strokes are made with a smooth-edged instrument known as a gua massage tool that causes inflammation. By creating microinjuries in muscles, the tension and fibrosis are removed.
MAGGOT THERAPY is a type of biotherapy involving the introduction of live, disinfected maggots (fly larvae) into the non-healing skin and soft tissue wounds of a human or animal for the purpose of cleaning out the necrotic (dead) tissue within a wound debridement and disinfection. There is evidence that maggot therapy may help with wound and improves healing in chronic ulcers. In 2004, the FDA cleared maggots for use as a medical device in the United States for the purpose of treatment: non-healing necrotic skin and soft tissue wounds, pressure ulcers, venous statis ulcers, neuropathic foot ulcers, non-healing traumatic or post-surgical wounds.