Hi: Henry Tsao wrote" I actually palpate, and stretch and spray the psoas
muscle from the
abdomine" What is the physiologic basis for the coolant effect on the Psoas?
Is it the innervations level? The Abdominal wall is not L2-3(Check the
anatomy books). Is it via reducing "C" fiber sensitivity? Changes in
referred pain patterns? Counter irritation? Reduced Secondary hyper
aesthesia? Placebo ? All of the above? Why not diathermy which, when not
contraindicated, is at least likely to penetrate deep enough.
>I'm glad to hear that palpation is still an honorable practice. However,
while techniques work in mysterious ways, they are not applicable to all
patients. (Bobath technique, for instance, may help a given individual, but
the theory is all but, or should, be abandoned.) It is wonderful to listen
in to the exchanges re therapeutic intervention but the simplicity is
disturbing.
Joe
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