When things go wrong for muscles, they become uncoordinated or go out of synergy with each other. This can lead to joint wear or over repair . Essentially disturbing the sequencing of muscles.
During exercise, one tends to use the same (faulty) sequencing of muscles. Practically you’ll know you have a muscular sequencing issue, when you find yourself being comfortable to exercise but only for a few weeks, then exercise seems to break you rather than build you… A sequencing issue can seem like a weakness; i.e. something that seems to respond to strengthening strategies, but only initially. Leaving you with the idea that you are past it or broken or defective. Inevitably leading you to give up on exercises as they aren’t working.
Even rehabilitative exercise doesn’t change muscle sequencing (1). Meaning one has a functional problem to solve and not a structural condition to protect.
In research where people with reoccurring muscle issues complete a rehabilitation programme, and felt better, had muscles that were not more relaxed than they were before their rehabilitation. And when isometrically contracted their muscles fatigued quicker (1) than before. Meaning faulty sequencing was not improved.
We also know at a population level when deciding policy that manual therapy is cost saving to the healthcare service whereas exercise is only cost neutral. Research shows that outcomes are best with manual therapy alone, even for OA of the knee and or Hip (2).
Moving society away from a reliance of pain awareness and structural defect detection toward trust in muscle sequencing and interoception (my self), to attain and maintain their healthy, is a cultural tanker that will take a few more decades to turn….
In the mean-time Lee will continue to concentrate upon muscular sequence correction and then encouraging exercise to improve confidence in one’s own body. The first step in interoceptive awareness. This is possible because Lee works to the science available and doesn’t get stuck in or with ‘a plan of care’ imposed upon him. A luxury of private practise.
Luckily for you there is no need to wait decades, book your appointment today.
- Lewis S et al (2014) Changes in Muscle Activity and Stature Recovery after Active Rehabilitation for Chronic Low Back Pain. Manual Therapy 19 178
- Pinto D et al (2013) Manual Therapy, Exercise Therapy, or Both, in Addition to Usual Care, for Osteoarthritis of the Hip or Knee. 2: Economic Evaluation Alongside a Randomised Controlled Trial. Osteoarthritis Cartilage 21(10) 1504