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Interesting Mike, I might go and look this up. Do you recommend any texts or references?? Henry*** >From: Mike Barthmann <[log in to unmask]> >Reply-To: [log in to unmask] >To: [log in to unmask] >Subject: Re: cold spray (about the disc) >Date: Sun, 08 Oct 2000 19:34:14 -0400 > > > >Linda Gillespie wrote: > > > > > > > Dear Henry, > > I've just read most of a week's worth of mail, so please excuse me if > > I'm asking question already answered. > > > > Firstly, regarding disc healing: I always assumed that diffusion of > > nutrients from the vertebral end plate allowed healing to occur, as > > long as the disc material was maintained in its normal position. I > > have no evidence to back this up, I just assumed this was the case. > > > > Secondly, regarding the patient you mentioned: you say 'From his > > presentation, I knew that he had psoas problems.' Do you mean that he > > had an overactive psoas, and if so, do you think that other structures > > than his psoas were implicated in his symptoms? By what mechanism is > > psoas likely to cause irritable bowel sydrome? And by what mechanism > > does the iliacus muscle 'give severe migraines through a chain of > > muscles up the back ending up in the sternocleidomastoid.' I was under > > the impression that migraines (as opposed to other forms of headache) > > were not due to mechanical factors (such as the upper cervical spine, > > and its associated muscles, ligaments and fascia) and therefore not > > amenable to physiotherapeutic intervention. > > > > My final question relates to psoas, the topic of much debate lately. > > I had been of the impression that psoas was more likely to be a > > stabiliser of the lumbar spine which becomes long and inhibited in > > cases of LBP. Is there any research to suggest that it may in fact > > become short and/or overactive? And finally, how do you perform a > > 'spray and stretch' technique on such a deep muscle? I personally > > don't do spray and stretch as I've only heard of it but not seen it > > demonstrated. > > > > I am glad that the patient's posture improved following treatment, but > > am still unsure of the precise reasoning behind your treatment. Do > > you expect the migraines and IBS to improve or change, and if so, by > > what mechanisms? > > > > Yours, > > Linda Gillespie > > Physiotherapist, London > > > > >The psoas fascia is in continuity with the fascias of the posterior >abdominal wall as well as the supporting fascias of the >ascending/descending colons (of Toldt) which are continuous with the >supporting structures of the cecum or sigmoid (R/L respectively) and the >pelvic fascia which finally terminates at the perineal raphe. The >continuity cranially centrally follows via the hepato-renal fascia to >the ligamentous apparatus of the liver, to the pericardium and the >mid-cervical aponeurosis-which in its laminations envelopes the >sternocleido-mastoid- and the pharygo-basilar fascia where the fascias >interface with the cranium passing through the spheno-basilar symphisis >and the thence to the 3rd ventricle and ending at the vertex. It is also >possible to trace a contiunity of fascial tensions laterally - but you >get the idea. Headaches can easily derive from strain anywhere along >this continuity. > >Mike > _________________________________________________________________________ Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com. Share information about yourself, create your own public profile at http://profiles.msn.com. %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%