Manual therapy , osteopathy - Causes, Symptoms and Treatment .MF .

August 12, 2017 17:52 | Neurology

Osteopathy (from the Greek οστεον -. «Bone» and πάθεια (πάθος) - «illness, disease") - one of the methods of alternative non-drug medicine, comprising a manual action on the anatomical structure of the body for the purpose of exemption fromand recovery of functional blocks to create a fluid circulating human skeletal optimum condition leading to improved quality of life.


osteopathy Visceral osteopathy: Engaged in the treatment of mechanical disorders of the internal organs of the abdomen, pelvis, rib cage.

Craniosacral Therapy: Part osteopaths practice relating to dysfunction of brain and facial bones of the skull.

Craniosacral therapy - a set of theories and techniques, originally developed by W. Sutherland.It is based on the assertion that the skull bones make microscopic movements that occur in a certain rhythm.It is alleged that cranial osteopathy is based on the "primary respiratory mechanism" - the rhythm of pulsation of cerebrospinal fluid, which can be determined only at specia

lly developed doctor palpatsionnoy sensitivity.Some osteopaths believe that the correction of dysfunction of the cranial pulse rate exposure of hands on the bones of the skull, increasing the current liquor to the peripheral nerves, thereby enhancing metabolic processes.This technique is also proposed for use in the treatment of infants and children.

«The primary respiratory mechanism" is not mentioned in the classical medical literature, and at least one scientific study has confirmed the possibility of a consistent assessment of the different rhythm of osteopaths.Although there are studies carried out by hardware, confirming the existence of a rhythm, the ability to define and measure such a rhythm hands is doubtful, moreover any connection between the rhythm and extent of the disease or health-challenged.An extensive systematic review of scientific articles, conducted by the Department of Technology Assessment in Health (Office of Health Technology Assessment) at the State University of British Columbia (Canada), concluded: "There is evidence of the existence of the craniosacral rhythm, pulsation or" primary respiration "independent of other measured rhythmsbody ", however, there is pointed out that" these and other studies provide no scientific evidence that such a craniosacral "rhythm" can be reliably determined by a doctor [hand] "and that" the effect of the craniosacral rhythm on health or fordisease is absolutely unknown »

structural osteopathy part osteopaths practice concerning the treatment of bone and joint disorders - this part looks like a treatment at the chiropractors.

features and advantages of osteopathy

  • Reliable diagnostics
    Osteopathy locates and treats the cause of the disease, which can not be there where it hurts.
  • safe and painless treatment
    Osteopathy is safe, as the osteopath uses techniques that exclude the effects of rough, staying only in the physiological tissue barriers.
  • treatment without surgery
    Osteopathy is an alternative to surgery for diseases of the spine, flat feet, cholecystitis, nephrolithiasis, varicose veins and OE
  • substitution or reduction of medication
    Osteopathy is an alternative to hormone therapy in endocrine diseases, antibiotic therapy for diseases of the respiratorybodies and long gynecological inflammatory diseases.

  • short-term treatment course of treatment in osteopathy is from 4 to 8 sessions with an interval of one session per week (or two weeks).

Preparations for the first osteopathic session.

First of all, it should be clarified that come to the initial consultation, it is desirable with all your existing data from previous studies -. X-rays given ultrasound, computer and magnetic resonance tomography, general, biochemical analyzes of blood, urine, etc. By combining the information from these sourcesinformation on osteopathic manual tests, data inspection and palpation, the osteopath will be able to deliver a detailed clinical (classical neurological) and osteopathic diagnosis, to determine the leading defeat.Of course, osteopathic diagnosis is self-sufficient and does not require mandatory verification tool, but the presence of additional source data, objectively coincides with the data obtained arms, is beneficial to the osteopath and his confidence in the accuracy of the patient's diagnosis.In addition, the presence of changes in the composition of blood, ultrasound or X-ray data allows them to make a starting point for future monitoring of the osteopathic treatment.

Given that the first session, it is desirable to remove outer clothing (osteopath must be inspected, the symmetry of the body analysis, change shapes, contours, colors, as well as perform some manual tests with the tension of the muscles and fascia), wear comfortable underwear for you or(for women) a bikini.The need to examine the whole body, even if you are present only local complaints (eg pain in the head or neck), due to the fact that the leading osteopathic lesion (root, primary, causal dysfunction) may be located at a considerable distance from your discomfort space.Thus, pelvic misalignment will affect the position of the skull and the cervical vertebrae, and scar remaining after the removal of the appendix, can promote the displacement of the hip and, as a consequence - pain in his right knee.

beginning of the first osteopathic reception - is primarily a conversation.Osteopath discusses in detail with the patient, that he was concerned at the moment, as it manifests itself in the body when there was like going on, how often sharpened, which was undertaken treatment.No need to answer diagnoses.For example, the diagnosis - osteochondrosis of the lumbar spine - not the doctor say almost nothing, except, perhaps, indicate the area of ​​concern in the field of localization of the lower back.Much more important to him to hear what you have "pain in the sacral region, more on the right (you can simply show the hand), pain periodically arises after a long sitting at the wheel, sometimes gives in his right foot on the back surface of the knee, it can be accompanied by a sense of light numbness inright foot, first emerged five years ago, after lifting a heavy cabinet (to make repairs), responds poorly to treatment with analgesics (what) and massage, decreases in a certain position (shown in what). "

Such a response brings a lot of useful information and allows the osteopath has to assume the existence of certain local changes in ligaments, joints, drive the fifth lumbar vertebra, sacrum, pelvic bones.Additional information about past illnesses and surgical interventions - will also be useful.If the occurrence of complaints preceded or accompanied by psycho-emotional damage (stress, heavy events in his personal life) - it is desirable to touch them and to determine the role of mental and emotional component in muscle tension, fascias.

next stage - inspection.

The osteopathic diagnosis, there are many different test techniques.

This active tests when the osteopath asks the patient to bend in different directions, bend, unbend, curl, estimating with the hands or visually mobility of the spine, bone, muscle tension.

Passive Tests - when an osteopath he spends movement in the patient's joints when it is fully relaxed and non-involvement, assessing their volume, elasticity, plasticity, etc.

Axial load tests -. When the doctor with his hand on the patient's head with a small force pushes on the centralspinal axis, assessing the stability of the bodily system to an external load, its balance, opportunities to compensation weaknesses.Sometimes osteopath asks the patient during the test to take a breath and exhale, sometimes - examines in a prone position or when the load on the leg axis.

tests tension - the likely site of an important osteopathic - when an osteopath in order to determine the level of the spine flexibility, joints, muscles, fascia, mark the area of ​​maximum fabric tension, spasm of the position of the patient lying down, holding a light pull of the head or legs (and sometimes arms)damage.

One of the most important options - test is an indirect test of fascial tension, spasms (twists) and testing of cranio-sacral rhythm.

experienced osteopath with good sensitivity in the diagnosis can do without the amplitude of passive and active tests, but he would never do without test "fascial tension" and "craniosacral rhythm."

What kind of tests they conducted?

As for test fascial tension - osteopath puts his hands on the body in a certain diagnostically important sections of the selected diagnostic algorithm.It can start with the head, move to the neck, then to the chest, diaphragm, abdomen, pelvis, legs, and maybe get up to the area of ​​the head down.Applying hand, osteopath, controlling the pressing force, it is immersed in the different levels of the body's tissues.First pass (maximum fixed) skin, hereinafter - the subcutaneous tissue, superficial fascia, muscles, deep fascia, periosteum, and even bone.Separately, you can create the level of pressure to determine the state of deep lying vessels or nerve trunks.This is not mysticism, simply due to the different pressures we have an impact on a particular layer of the body, causing it to release from this external load.If tissues are in a healthy state, and the voltage within them (reduction, spasm) is not - in response to the pressure of the hands of an osteopath, they will simply move apart the sides and reaching the limit of elasticity, gently push the hand.They ate the same somewhere near underlying structures have defeated if there is displacement of the organ, bone or inflammatory focus, fibrosis - to this site, like a twist on the sheet, will rush the surrounding tissue.Depending on the depth of the damage or the nature of the affected tissue (nerves, vessels, bone) - osteopath hand will feel different tension in the direction of the pathological focus, at different levels of pressure on the body.If different parts of the body in the direction of the thrust is the exact same area - there is the main cause of the disease.Such an osteopathic diagnosis requires osteopath much experience and high sensitivity, but it is one of the most reliable sources of information about the primary lesion.

Another informative and complex method of diagnosis - definition of craniosacral rhythm on the skull, and the different parts of the body.

craniosacral rhythm - a phenomenon known osteopathic science with 40s of the twentieth century, when the disciple of the founder of osteopathy, Andrew Still - Dr. William Sutherland showed that cranial sutures in adults not undergo complete imperforate, and the skull bone micromotion remain throughout a person's life.With this Sutherland discovered that the cerebral ventricles at a certain rhythm is released intracerebral fluid (CSF) and its absorption.With each release of the CSF is an expansion of the skull, and vibration wave consistently distributed throughout the body.This process involves not only the spinal cord, brain and nerve sheath, and intercellular fluid.That is why the craniosacral rhythm as a small swing can be recorded from any part of the body.Normally, in response to the release of cerebrospinal fluid and the expansion of the skull, and the fascia of the body takes place.When the suction of liquor - compressed.If there osteopathic lesion, bone displacement or spasm of any tissue in this region, the craniosacral rhythm is recorded distorted.Changing its amplitude, the deployment of the vector.These data and allows the osteopath to assume a significant location for the functioning of the body disorders.With regard to the objectification of this diagnosis, over the past twenty years, the official medical science, there have been many experiments to prove the existence of the craniosacral rhythm.Audiodatchiki fixing the pulse wave rate, and pressure-strain sensors were given the same information as the hands of an osteopath.That's why this method is reliable and accurate diagnosis, despite its nedramatichnost to the outside observer.With time passing osteopathic treatment, many patients learn to identify their own kranioskralny rhythm and can discuss with your doctor the changes taking place during the session.

After tests and to identify the most important, the key areas that need correction, the doctor proceeds to osteopathic treatment.

Osteopathic treatment

Usually, treatment is started from the position of the patient sitting or supine.

number of osteopathic techniques is huge, so different sessions for different patients and different osteopaths may be quite dissimilar.

Choice osteopath method of exposure influences:

a) characteristics of the lesion, especially of body tissues in the lesion (some dysfunction and offset require careful, slow effects, other - rhythmic techniques, in some cases, the need of quick manipulation or influence indirectly throughmuscles)

b) the presence or absence of accompanying compensatory lesions, injuries, diseases (presence of injuries, operational scars and adhesions requires mandatory registration of their location, and additional local action)

c) the patient's age (young children and elderly patients require a special softness treatment)

g) the individual characteristics of the body, the image of the patient's life, his preferences (athletes sometimes need a more intense effect, young women - balancing and tactful myagkotkanevoe treatment)

e) personal preferences osteopath (some osteopaths are focused primarily on the work of the skull and nervoussystem, the other - on the muscle-ligament-tendon-bone machine, and others - on the fascial approaches, the fourth - on biodynamic techniques, the fifth - in the psycho-somatic component - it does not mean that they will not use other equipment when necessary, but mostof the tricks will carry the imprint of the "favorite" areas)

used primarily myagkotkanevye, fascial, articulation and biodynamic correction technology.This means that carrying out the treatment, your osteopath will lay hands on different parts of the body, to achieve relaxation lying under the fingers of fabrics, soft thrusts to move the physiological "rightful" place of bones, organs and joints.Sometimes the impact will be more profound and dynamic, with a clear sense of "veins" of muscular tension, but always soft, pleasant, painless.The goal of fascial techniques of osteopathic treatment - to determine the direction of spasm and special manual techniques to remove the spasm, restoring tissues, joints, organs, normal position and mobility.

As a medical phenomenon, marking the lifting of spasm, and normalization of blood flow, the patient may feel under the hands of the doctor - bursting, the selection of a strong heat (improving blood flow!), Pulsation, softening, "spreading" of muscles, increased local sensitivity, mild skin redness.There will also be accompanied by the treatment of relief of motion in the joints, the disappearance of pain, heaviness, discomfort, general state of tranquility, relaxation, comfort, light drowsiness.

usual place of correction - it joints of the spine, hip and shoulder joint, foot, pelvis, ribs, cranial and facial bones, abdominal and thoracic cavities.

If necessary, an osteopath can make the amplitude of motion in the joints of the pelvis and spine, using as a lever arm and a leg, may ask to strain certain muscles, or hold your breath.Some osteopathic techniques will remind massage movements, some will be accompanied by a vibration or mild tremors.

osteopath will stop periodically and check the effectiveness of their manipulation, appreciate symmetry, muscle tone, fascial traction.