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When you have a lot to get done, people relying upon you, demanding work, a busy social life, family expectations and the mundane of the everyday tasks that ‘need’ doing one can paraphrase this experience as stressful. Stress as a word has so many meanings it may as well be equivalent to no content. When we are running the health gauntlet of life with so much on, it is easy to forget how to be one’s self, the nervous system up regulates to help meet the psychosocial demands of life. Meeting the demands of life like increasing the heat from a fire by placing paper on it our nervous system turns up the sympathetic drive. Not as in something approaching empathy a part of the nervous system so called because of its anatomical placement adjacent to the spine. How much we are using our sympathetic nervous system or in other words how stressed or in another way how much we have on in our life can have a bearing on how stiff we notice our body to be. A fascially astute chiropractor can help with this.
Fascial Tension can be regulated by the sympathetic nervous system through the activation of smooth muscles causing a contraction of fascia. Another more confusing scenario is when smooth muscles go into spasm which is a flaccid situation and thus not hold tension in the fascia at a certain place displacing tension to another ‘normal’ area. A note to body workers: do not presume that the pain stiffness or restriction is a primary in need of intervention until you are sure what you have found is not a compensation. Furthermore adrenergic nerve fibres cause a vasoconstriction reducing blood supply to the area facilitating the steady incremental ‘drying up’ and degeneration of fascia.
Bringing to the fore the question; is a virtuous busy life, without chiropractic care, attributing to your stiffness? The likely answer it seems is yes and without a fascially astute chiropractor in your corner you may well be heading toward a stiffer experience of your body.
Tozzi P (2015) Journal of Bodywork and Movement Therapy 19 310-326.
Tom Myers is well known to have disseminated knowledge of human anatomy whilst attempting to tie into his Rolfing practice the felt experience of having a human body. Myers has been touted as the Father of Fascia, quoted by a Canadian Masseur come science writer as being ‘over it'(1).
The architecture of the cell is remarkable for many reasons, the one of importance here is that when a cell is under tension from its environment as opposed to tension within its inner environment a change in genetic expression occurs. Yes! The nucleus of a cell alters the expression of its available genes from external tension placed upon the cell. If my body to some degree is a collection of cells that exist within the medium of my connective tissue. Then differences in connective tissue tensions have a genetic difference in how my cells within my body express the 23,000 (ish) genes I possess.
Allowing for markedly different function(s) to occur in adjacent areas of the body. Undoubtedly in my mind having an effect upon the mechanics of the area and the felt sense of the area and of the inner experience of the area; not to mention a different physiology of the area. A different genetic expression may give rise to a strength, or a vulnerability, altering ones health.
Is the falling rate of male fertility in modern society a result of immune system dysfunction? eg leukocytospermia. The dysfunction of white blood cells has been linked to MMP signalling proteins which also interact with c fibres of the nervous system (a route to give a pain signal). To summarise genetic expression, immune function and pain levels are all linked by science to connective tissue tension (aka fascia).
Are the rising levels of immune dysfunction (demonstrated by an over reliance upon antibiotics), the rise in autoimmunity disease rates and the rise in medically unexplained symptoms all a function of a change in the tensions placed upon our body tissues, because we just do not move as much as we did?
Fascia is one view of the body and in itself is not representative of the entire conglomerate of the human body and tells us nothing of the human (interoceptive) experience of having a body. A professional body worker (dancer yogi Qi Gong instructor included) would be well advised to have an adaptable view of the human body and not become any one tissue centric about their approach. After all as a teacher, instructor, therapist, chiropractor, osteopath or physiotherapist the outcome of a patient is not a function of how right you are!
Keep going science you have a long way from which to ‘catch up’!
(1) Ingraham P Does Fascia Matter? A Science Review of Fascia
The best things to do for a bad back pain episode has challenged people and medical doctors for generations. In the 1980’s bed rest and even a hospital stay was the best option in the USA. In England traction was thought to be the answer to a tight contracted back, that was to gradually stretch it out. Some people had two weeks of traction as the best medical care. Today in England the main medical approach is to provide anti inflammatories and mild over the counter pain killers, with a physiotherapy referral (within a few months). The physiotherapy approach to back pain is to provide reassurance at first. Typically an episode is bad for 3-5 days and can be felt to some degree for 4-6 weeks. People’s episodes are normally over by the time a hands on approach from the NHS is provided. The way the first back pain episode is cared for can have a knock on effect to future pain episodes. If you don’t get fixed at first it just keeps on coming back until you either get fixed or get used to having back pain episodes. 1-3% of back pains will have a sinister aspect eg a red flag such as a collapse fracture
It has been known for 15 years that anti inflammatories are enzyme inhibitors that alter the natural balance between cyclooxygenase (COX) and lipooxygenase (LOX) enzymes. Altering any natural balance creates a drive to re-balance leading to more COX enzyme increasing inflammation after 2 hours. Yes there is a decrease in inflammation in the first 30-60 minutes, then a rebound increase in inflammation begins to develop surpassing previous inflammation levels at about 2 hours after taking the NSAID (Ibuprofen). The marketing of anti inflammatories is highly suggestive having a strong impact on a lot of people.
Recommendations are now recognising that for acute low back pain the best approach is to rest for the first day, then allow yourself to move around as normally as possible, light duties and slow. Consider Chiropractic Care to help (not only this episode but also future episodes – having chiropractic care for your first episode can actually prevent the next episode form occurring).
According to advise from Harvard University medical Doctors, Chiropractic Care is a very good idea. See for yourself at http://www.health.harvard.edu/blog/heres-something-completely-different-for-low-back-pain-2017070611962