>>
>>This post concerns a post from Jim Meadows (a looooong time ago about
>>"Phasic Eye Exercises as an Adjunctive Treatment for Posttraumatic Long
>>Term Musculoskeletal pain")....
>>
Dear David and list
I, too think your observations and thoughts are interesting. I think also it
is dangerous to jump to conclusions as to causes and effects. Most clients I
see with cervical spine problems also have what would appear to be SIJ
dysfunction. What is more when this is treated, there is an immediate
improvement in their pain and cervical spine movements. Results of cervical
treatment seem to be quicker and longer lasting if SIJ (and lumbar spine,
and neural, and fascial, and thoracic spine...) 'dysfunctions' are addressed
in each treatment session. Patients with sprained ankles, knee problems,
and fractured wrists also have SIJ dysfunction as I suspect a large portion
of the assymptomatic population do.
We have been educated with a certain framework which states that certain
relationships exist between structures and symptoms. We assume that if
treating something results in change that that structure is at least a cause
if not the cause. This leads to reflexologists looking only at feet, many
chiropractors looking only at vertebral allignment,others looking at
vertebral movement from a theoretical biomechanical viewpoint, many masseurs
looking only at muscles, many psychologists or social workers looking only
at intellectual or emotional factors, many physios looking at one, two, or
some combination of realms.
The kind of seemingly strange relationships that you describe occur and by
using a very scientific method in treatment of forming a hypothesis, testing
it with treatment, reassessing, revising the hypothesis,... patterns emerge.
The hypotheses of cause and effect are based on assumptions which are
usually unquestioned such as what structures and what functions are capable
of causing symptoms through what mechanisms. I think the risk is getting
stuck in one interpretation. There are hundreds of systems around for
treatment, many of which are based on 'I had this problem and this fixed it
and so I investigated further and found...'. All have some merit, but I
suspect none is 42.
In short, I know much less about treating patients than I did 25 years ago.
I never know when a patient and I begin, what course the treatment or even a
particular treatment session will take. I scratch my head much more, my jaw
drops much more often, I ask more questions verbally and physically,and
overall work is more interesting and much more fun. I know a lot more
systems and theories and find more and more things that none of them explain.
I guess this is not exactly a response to your questions, but a rambling set
off by your observations. I, too will be interested in the directions your
observations lead you.
Best wishes
PS repy to Maggie
SIJ dysfunctions seem to me to occur much more often on the left, but have
been unable to relate it to handedness>
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