Dear Sophie.
I have noticed a relationship between headaches and endo (I can neither say
or spell it). It is usually when performing a CTM assessment and treatment.
This has certainly been noted by Maria Ebner 1985 and Liz Holey in her 2
articles in Physiotherapy 1995 gives a good biological explanation.
CTM has both mechanical and reflexive effects and it should not be
surprising that a condition which gives adhesions to internal viscera might
also have a similar effect to the more superficial tissues.
I recently treat a nasty right RSD and associated severe unremitting
headaches. Treatment of the basic section (area around sacrum and Lx)
temporarily cleared all the symptoms. As I progressed up the spine the
beneficial effects got more profound. When I used the treatment into her arm
it stirred up her symptoms and gave her abdominal pain which was identical
to her endo pain last present 20 years previously. Needless to say I stayed
out of her arm and got a longterm benefical effect by treating her spine.
I feel this is either that the process of endo adhesions go on to progess
into other soft tissues. Is the hormonal explanation already given or a
visceral referral of symptoms. Some of my colleagues are unconvinced by the
latter, but still do not apply TNS to the left shoulder of someone with a
heart condition. A similar process of an unrelated body part having an
autonomic shared nerve supply, to an organ.
Certainly Sato' s work in 1977 showed how a cats lumbar soft tissue, under
GA can be mechanically stimulated to produce visceral responses; ie empty
the urinary bladder. Gillette 1993 also showed the reverse where a rats
uterous was inflammed with a dye which showed in trophic changes to the skin
of the spine.
I am therefore convinced of the odd autonomic referral patterns the viscera
can give and realise our knowledge in this area is sketchy. It makes the
orthopaedic dermatome/myotome explanation look like a 13th century map of
the universe.
Warm Regards and sorry to babble Kevin
-----Original Message-----
From: sophie dhenin <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 09 August 1999 23:26
Subject: Classes
>
>Dear Kevin
>Hope you have recovered from the whisky spree.
>When I worked at Kingston hospital a few years ago we had a system for
>treating lower limb problems which seemed to work and which certainly gave
>me as the therapist plenty of job satisfaction. I was the only physio in a
>large gym and all the knees / ankles / feet whether post-op or sent down
>from A&E or chronic were sent down to me. I used to assess them and start
>them on an exercise regime. They would be given regular appointments and
>would turn up and get on with their exs unless there was a specific issue
>they needed to discuss with me before starting. I would then pick them out
>one at a time and re-assess them and do some manual therapy on them. At any
>one time there used to be about ten people in the room, plus music. They
all
>egged each other on and felt part of a group. I was able to keep an eye on
>them all and get through a large number each day - more ++ than if they
were
>on 20' appointments. Each felt they were given time for themselves, each
>had manual therapy at every visit. Those I had to hurt got lots of
>encouragement from their fellow-patients.
>It seemed to work well. i did it for 6 months - but I must admit I was
>completely exhausted by the end and welcomed the rotation onto the
>orthopaedic ward.
>Since leaving the NHS it's one of the things I've really missed.
>
>
>Sophie Dhenin
>
>
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