Macon Physical Therapy - The Wellness Center - Pain After Injury


MYOFASCIA PAIN


EVERY MUSCLE OF THE BODY IS SURROUNDED BY A SMOOTH FASCIAL SHEATH. EVERY MUSCULAR FASCICLE IS SURROUNDED BY FASCIA. EVERY FIBRIL IS SURROUNDED BY FASCIA. AND EVERY MICROFIBRIL DOWN TO THE CELLULAR LEVEL IS SURROUNDED BY FASCIA. THEREFORE, IT IS THE FASCIA THAT ULTIMATELY DETERMINES THE LENGTH AND THE FUNCTION OF ITS MUSCULAR COMPONENT.


WHAT IS THE FASCIA?


THE FASCIA IS A TOUGH CONNECTIVE TISSUE THAT SPREADS THROUGH OUT THE BODY IN A THREE DIMENSIONAL WEB FROM HEAD TO FOOT FUNCTIONALLY WITHOUT INTERRUPTION; FASCIA COVERS THE MUSCLES, BONES, NERVES, ORGANS, AND VESSELS DOWN TO THE CELLULAR LEVEL.


WHAT IS THE FUNCTION OF THE FASCIA?


- IT PERMITS THE BODY TO RETAIN ITS NORMAL SHAPE AND THUS MAINTAIN THE VITAL ORGANS IN THEIR CORRECT POSITIONS. - ALLOWS THE BODY TO RESIST MECHANICAL STRESSES,BOTH INTERNALLY AND EXTERNALLY.


MOLECULAR STRUCTURE OF THE FASCIA:
THE CONNECTIVE TISSUE IS COMPOSED OF:
1- COLLAGEN
2- ELASTIN
3- POLYSACCHARIDE


COLLAGEN: IS A PROTEIN CONSISTING OF THREE POLYPEPTIDE CHAINS TO FORM FIBRILS, WHICH CONTRIBUTE STRENGTH TO FASCIAL TISSUE AND GUARD AGAINST OVER EXTENSION.


ELASTIN: IS RUBBER LIKE PROTEIN, ITS FIBERS ARE LAID DOWN IN PARALLEL WITH COLLAGEN FIBERS IN PLACES WHERE ELASTICITY IS REQUIRED SUCH AS SKIN,ARTERIES AND TENDONS.


THE POLYSACCHARIDE GEL COMPLEX FILLS THE SPACES BETWEEN FIBERS; ITS MAIN COMPONENTS ARE:

* HYALURONIC ACID: VISCOUS SUBSTANCE TO LUBRICATE THE MUSCLE FIBERS.
* PROTEOGLYCANS: ARE PEPTIDE CHAINS THAT FORM THE GEL OF THE GROUND SUBSTANCE, THE GEL IS HYDRO-PHILIC, FOR SHOCH ABSORBSION (CARTILAGE).


WHAT IS THE EFFECT OF THE MALFUNCTION OF THE FASCIA?
MALFUNCTION OF THE SYSTEM DUE TO TRAUMA, POOR POSTURE, OR INFLAMATION CAN CAUSE FASCIAL RESTRICTION, THIS RESTRICTION CAN BE THE REASON FOR MANY OF THE POOR OR TEMPORARY RESULTS ACHIEVED BY CONVENTIONAL MEDICAL, DENTAL, AND HERAPEUTIC TREATMENTS.

MALFUNCTION OF THE FASCIA CAN SET UP THE ENVIRONMENT FOR POOR CELLULAR EFFICIENCY, NECROSIS, DISEASE, PAIN, AND DYSFUNCTION THROUGH OUT THE BODY DUE TO THE RESTRICTED LYMPHATIC FLOW. THIS WILL EXPLAIN THE SPORTS AND POOR PERFORMANCE INJURIES THAT REOCCURE DESPITE EXTENSIVE THERAPY AND STRENGTHENING PROGRAMS .

EXAMPLE: THE MICROTRAUMA OF HAVING DISCREPANCIES OF LEG LENGTH DUE TO A TORSIONED PELVIS EACH STEP SENDS IMBALANCED FORCES THROUGHOUT THE BODY, THE BODY MUST COMPENSATE THROUGH MUSCULAR SPASM AND FASCIAL RESTRICTIONS.


DIAGNOSIS OF FASCIAL RESTRICTION:
FASCIA CAN NOT BE DIAGNOSED BY THE STANDARD TESTS, SUCH AS RADIOGRAPHS, MYELOGRAMS, COMPUTARIZED TOMOGRAPHIC SCANS, AND ELECTROMYOGRAMS.

DIAGNOSIS OF THE FASCIAL RESTRICTION CAN BE DONE THROUGH:

1- PALPATION ,TO THE SKIN, THE MUSCLE AND THE CRANIO-OCCIPITAL .

2- OBSERVATION ,TO THE THREE DIMENTIONS MUSCLE SPASM ,BODY POSTURE AND RANGE OF MOTION .

3- MEASURMENTS , LEG LENGTH






















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