Re: Post-op perineural scar treatment

[Guest guest]

,

would you post the times, locations of your classes again for those of us who want to send patients to you for this type of class.

Thanks,

Minga Guerrero DC

In a message dated 2/23/2010 1:28:46 P.M. Pacific Standard Time, dm.bones@... writes:

resultant low level inflammatory response. While that's the beginning of new soft tissue being laid down, it will likely be at the ends of the surgically scarred perineural tissue, not in the tonic tissue itself. Stretching against resistance will not likely relieve the radiculopathy.

Instead, going up to the end range motion of aligned resting postures, targeting the tension mentally, then willing it to relax from the inside out will reset the overall tension in the involved tissue. This non-stretching/relaxing approach allows the patient to address the chronic component, which is NS compensation.

As to manual therapy, microcurrent allows for scarification healing without the need for aggressive re-injury and inflammatory response.

Sears, DC, IAYT

1218 NW 21st Ave

Portland, Oregon 97209

v: 503-225-0255

f: 503-525-6902

www.docbones.com

On Feb 23, 2010, at 1:04 PM, Sharron Fuchs wrote:

What type of treatment can help post op lumbar discectomy perineural scar formation causing radiculopathy ? Somehow stretching seems like it would aggravate it.

s. fuchs dc

[Guest guest]

,

would you post the times, locations of your classes again for those of us who want to send patients to you for this type of class.

Thanks,

Minga Guerrero DC

In a message dated 2/23/2010 1:28:46 P.M. Pacific Standard Time, dm.bones@... writes:

resultant low level inflammatory response. While that's the beginning of new soft tissue being laid down, it will likely be at the ends of the surgically scarred perineural tissue, not in the tonic tissue itself. Stretching against resistance will not likely relieve the radiculopathy.

Instead, going up to the end range motion of aligned resting postures, targeting the tension mentally, then willing it to relax from the inside out will reset the overall tension in the involved tissue. This non-stretching/relaxing approach allows the patient to address the chronic component, which is NS compensation.

As to manual therapy, microcurrent allows for scarification healing without the need for aggressive re-injury and inflammatory response.

Sears, DC, IAYT

1218 NW 21st Ave

Portland, Oregon 97209

v: 503-225-0255

f: 503-525-6902

www.docbones.com

On Feb 23, 2010, at 1:04 PM, Sharron Fuchs wrote:

What type of treatment can help post op lumbar discectomy perineural scar formation causing radiculopathy ? Somehow stretching seems like it would aggravate it.

s. fuchs dc

[Guest guest]

,

would you post the times, locations of your classes again for those of us who want to send patients to you for this type of class.

Thanks,

Minga Guerrero DC

In a message dated 2/23/2010 1:28:46 P.M. Pacific Standard Time, dm.bones@... writes:

resultant low level inflammatory response. While that's the beginning of new soft tissue being laid down, it will likely be at the ends of the surgically scarred perineural tissue, not in the tonic tissue itself. Stretching against resistance will not likely relieve the radiculopathy.

Instead, going up to the end range motion of aligned resting postures, targeting the tension mentally, then willing it to relax from the inside out will reset the overall tension in the involved tissue. This non-stretching/relaxing approach allows the patient to address the chronic component, which is NS compensation.

As to manual therapy, microcurrent allows for scarification healing without the need for aggressive re-injury and inflammatory response.

Sears, DC, IAYT

1218 NW 21st Ave

Portland, Oregon 97209

v: 503-225-0255

f: 503-525-6902

www.docbones.com

On Feb 23, 2010, at 1:04 PM, Sharron Fuchs wrote:

What type of treatment can help post op lumbar discectomy perineural scar formation causing radiculopathy ? Somehow stretching seems like it would aggravate it.

s. fuchs dc

[Guest guest]

Stretching, that is pulling against the tension at the end range of motion, will inevitably lead to a resultant low level inflammatory response. While that's the beginning of new soft tissue being laid down, it will likely be at the ends of the surgically scarred perineural tissue, not in the tonic tissue itself. Stretching against resistance will not likely relieve the radiculopathy.Instead, going up to the end range motion of aligned resting postures, targeting the tension mentally, then willing it to relax from the inside out will reset the overall tension in the involved tissue. This non-stretching/relaxing approach allows the patient to address the chronic component, which is NS compensation.As to manual therapy, microcurrent allows for scarification healing without the need for aggressive re-injury and inflammatory response. Sears, DC, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.comOn Feb 23, 2010, at 1:04 PM, Sharron Fuchs wrote: What type of treatment can help post op lumbar discectomy perineural scar formation causing radiculopathy ? Somehow stretching seems like it would aggravate it. s. fuchs dc

[Guest guest]

Stretching, that is pulling against the tension at the end range of motion, will inevitably lead to a resultant low level inflammatory response. While that's the beginning of new soft tissue being laid down, it will likely be at the ends of the surgically scarred perineural tissue, not in the tonic tissue itself. Stretching against resistance will not likely relieve the radiculopathy.Instead, going up to the end range motion of aligned resting postures, targeting the tension mentally, then willing it to relax from the inside out will reset the overall tension in the involved tissue. This non-stretching/relaxing approach allows the patient to address the chronic component, which is NS compensation.As to manual therapy, microcurrent allows for scarification healing without the need for aggressive re-injury and inflammatory response. Sears, DC, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.comOn Feb 23, 2010, at 1:04 PM, Sharron Fuchs wrote: What type of treatment can help post op lumbar discectomy perineural scar formation causing radiculopathy ? Somehow stretching seems like it would aggravate it. s. fuchs dc

[Guest guest]

First, isn't microcurrent electrotherapy, not manual therapy? Secondly, ultrasound may also help.

Lastly, i agree with michael, but, i'd be a bit more aggressive. Stretching eventually will be needed to be done to avoid contractures and postural changes. Begin a very light program to the patient tolerance. Get them to do some mild flexion/extension exercises like a "cat camel" to help "floss" the neuroforamina opening with the n. root etc. and gradually increase intensity. Patient gets inflammed, let off. A lot is dependent on how far they are post op.

ph Medlin D.C.Spine Tree Chiropractic1607 NE Alberta StPDX, OR 97211503-788-6800

Re: Post-op perineural scar treatment

Stretching, that is pulling against the tension at the end range of motion, will inevitably lead to a resultant low level inflammatory response. While that's the beginning of new soft tissue being laid down, it will likely be at the ends of the surgically scarred perineural tissue, not in the tonic tissue itself. Stretching against resistance will not likely relieve the radiculopathy.

Instead, going up to the end range motion of aligned resting postures, targeting the tension mentally, then willing it to relax from the inside out will reset the overall tension in the involved tissue. This non-stretching/relaxing approach allows the patient to address the chronic component, which is NS compensation.

As to manual therapy, microcurrent allows for scarification healing without the need for aggressive re-injury and inflammatory response.

Sears, DC, IAYT

1218 NW 21st Ave

Portland, Oregon 97209

v: 503-225-0255

f: 503-525-6902

www.docbones.com

On Feb 23, 2010, at 1:04 PM, Sharron Fuchs wrote:

What type of treatment can help post op lumbar discectomy perineural scar formation causing radiculopathy ? Somehow stretching seems like it would aggravate it.

s. fuchs dc

[Guest guest]

First, isn't microcurrent electrotherapy, not manual therapy? Secondly, ultrasound may also help.

Lastly, i agree with michael, but, i'd be a bit more aggressive. Stretching eventually will be needed to be done to avoid contractures and postural changes. Begin a very light program to the patient tolerance. Get them to do some mild flexion/extension exercises like a "cat camel" to help "floss" the neuroforamina opening with the n. root etc. and gradually increase intensity. Patient gets inflammed, let off. A lot is dependent on how far they are post op.

ph Medlin D.C.Spine Tree Chiropractic1607 NE Alberta StPDX, OR 97211503-788-6800

Re: Post-op perineural scar treatment

Stretching, that is pulling against the tension at the end range of motion, will inevitably lead to a resultant low level inflammatory response. While that's the beginning of new soft tissue being laid down, it will likely be at the ends of the surgically scarred perineural tissue, not in the tonic tissue itself. Stretching against resistance will not likely relieve the radiculopathy.

Instead, going up to the end range motion of aligned resting postures, targeting the tension mentally, then willing it to relax from the inside out will reset the overall tension in the involved tissue. This non-stretching/relaxing approach allows the patient to address the chronic component, which is NS compensation.

As to manual therapy, microcurrent allows for scarification healing without the need for aggressive re-injury and inflammatory response.

Sears, DC, IAYT

1218 NW 21st Ave

Portland, Oregon 97209

v: 503-225-0255

f: 503-525-6902

www.docbones.com

On Feb 23, 2010, at 1:04 PM, Sharron Fuchs wrote:

What type of treatment can help post op lumbar discectomy perineural scar formation causing radiculopathy ? Somehow stretching seems like it would aggravate it.

s. fuchs dc

[Guest guest]

"Stretching" in the context of neuromobilization, does not provoke the nerve root. Both and Joe rightly mention the importance of avoiding the stretching of sensitive neural structures. To respond to the direct question re: "post-operative perineural scarring", in the technique, the nerve is placed under slight tension, and then "flossed" back and forth with prescribed simultaneous flexion and extension of the leg and spine soon after the surgery. Therapeutic objective is to keep the nerve root mobile so that post operative scarring doesn't result in "failed back" syndrome. The technique is well supported in the literature, has been taught in chiro colleges for several years, and is well described in 's book, Mobilization of the Nervous System.

[Guest guest]

"Stretching" in the context of neuromobilization, does not provoke the nerve root. Both and Joe rightly mention the importance of avoiding the stretching of sensitive neural structures. To respond to the direct question re: "post-operative perineural scarring", in the technique, the nerve is placed under slight tension, and then "flossed" back and forth with prescribed simultaneous flexion and extension of the leg and spine soon after the surgery. Therapeutic objective is to keep the nerve root mobile so that post operative scarring doesn't result in "failed back" syndrome. The technique is well supported in the literature, has been taught in chiro colleges for several years, and is well described in 's book, Mobilization of the Nervous System.

[Guest guest]

"Stretching" in the context of neuromobilization, does not provoke the nerve root. Both and Joe rightly mention the importance of avoiding the stretching of sensitive neural structures. To respond to the direct question re: "post-operative perineural scarring", in the technique, the nerve is placed under slight tension, and then "flossed" back and forth with prescribed simultaneous flexion and extension of the leg and spine soon after the surgery. Therapeutic objective is to keep the nerve root mobile so that post operative scarring doesn't result in "failed back" syndrome. The technique is well supported in the literature, has been taught in chiro colleges for several years, and is well described in 's book, Mobilization of the Nervous System.

[Guest guest]

Thank you, Minga. I'm taking a break after nine years with the classes, but still see PI patients for rehab sessions, one-on-one, to get these primary skills (breathing attention, deep relaxation by willful intent, around resting aligned postures,) started. "The Resting Postures," a practical teaching DVD for learning these skills is also available for $20 plus shipping. Patients can learn basic rehab skills for working with the body to maximize self-healing potentials, by opening the aligned spine while practicing intentional deep relaxation. Highly accessible and dependently reliable for reducing acute and chronic pain patterns by bringing the locus of control for healing into the patient. I'm offering 10 DVDs for $100 to chiros for retail at $20 to patients. Contact me thru michael@... if interested. Sears, DC, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.comOn Feb 23, 2010, at 5:02 PM, AboWoman@... wrote: , would you post the times, locations of your classes again for those of us who want to send patients to you for this type of class. Thanks, Minga Guerrero DC In a message dated 2/23/2010 1:28:46 P.M. Pacific Standard Time, dm.bones@... writes: resultant low level inflammatory response. While that's the beginning of new soft tissue being laid down, it will likely be at the ends of the surgically scarred perineural tissue, not in the tonic tissue itself. Stretching against resistance will not likely relieve the radiculopathy. Instead, going up to the end range motion of aligned resting postures, targeting the tension mentally, then willing it to relax from the inside out will reset the overall tension in the involved tissue. This non-stretching/relaxing approach allows the patient to address the chronic component, which is NS compensation. As to manual therapy, microcurrent allows for scarification healing without the need for aggressive re-injury and inflammatory response. Sears, DC, IAYT 1218 NW 21st Ave Portland, Oregon 97209 v: 503-225-0255 f: 503-525-6902 www.docbones.com On Feb 23, 2010, at 1:04 PM, Sharron Fuchs wrote: What type of treatment can help post op lumbar discectomy perineural scar formation causing radiculopathy ? Somehow stretching seems like it would aggravate it.s. fuchs dc

[Guest guest]

Thank you, Minga. I'm taking a break after nine years with the classes, but still see PI patients for rehab sessions, one-on-one, to get these primary skills (breathing attention, deep relaxation by willful intent, around resting aligned postures,) started. "The Resting Postures," a practical teaching DVD for learning these skills is also available for $20 plus shipping. Patients can learn basic rehab skills for working with the body to maximize self-healing potentials, by opening the aligned spine while practicing intentional deep relaxation. Highly accessible and dependently reliable for reducing acute and chronic pain patterns by bringing the locus of control for healing into the patient. I'm offering 10 DVDs for $100 to chiros for retail at $20 to patients. Contact me thru michael@... if interested. Sears, DC, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.comOn Feb 23, 2010, at 5:02 PM, AboWoman@... wrote: , would you post the times, locations of your classes again for those of us who want to send patients to you for this type of class. Thanks, Minga Guerrero DC In a message dated 2/23/2010 1:28:46 P.M. Pacific Standard Time, dm.bones@... writes: resultant low level inflammatory response. While that's the beginning of new soft tissue being laid down, it will likely be at the ends of the surgically scarred perineural tissue, not in the tonic tissue itself. Stretching against resistance will not likely relieve the radiculopathy. Instead, going up to the end range motion of aligned resting postures, targeting the tension mentally, then willing it to relax from the inside out will reset the overall tension in the involved tissue. This non-stretching/relaxing approach allows the patient to address the chronic component, which is NS compensation. As to manual therapy, microcurrent allows for scarification healing without the need for aggressive re-injury and inflammatory response. Sears, DC, IAYT 1218 NW 21st Ave Portland, Oregon 97209 v: 503-225-0255 f: 503-525-6902 www.docbones.com On Feb 23, 2010, at 1:04 PM, Sharron Fuchs wrote: What type of treatment can help post op lumbar discectomy perineural scar formation causing radiculopathy ? Somehow stretching seems like it would aggravate it.s. fuchs dc

[Guest guest]

Thank you, Minga. I'm taking a break after nine years with the classes, but still see PI patients for rehab sessions, one-on-one, to get these primary skills (breathing attention, deep relaxation by willful intent, around resting aligned postures,) started. "The Resting Postures," a practical teaching DVD for learning these skills is also available for $20 plus shipping. Patients can learn basic rehab skills for working with the body to maximize self-healing potentials, by opening the aligned spine while practicing intentional deep relaxation. Highly accessible and dependently reliable for reducing acute and chronic pain patterns by bringing the locus of control for healing into the patient. I'm offering 10 DVDs for $100 to chiros for retail at $20 to patients. Contact me thru michael@... if interested. Sears, DC, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.comOn Feb 23, 2010, at 5:02 PM, AboWoman@... wrote: , would you post the times, locations of your classes again for those of us who want to send patients to you for this type of class. Thanks, Minga Guerrero DC In a message dated 2/23/2010 1:28:46 P.M. Pacific Standard Time, dm.bones@... writes: resultant low level inflammatory response. While that's the beginning of new soft tissue being laid down, it will likely be at the ends of the surgically scarred perineural tissue, not in the tonic tissue itself. Stretching against resistance will not likely relieve the radiculopathy. Instead, going up to the end range motion of aligned resting postures, targeting the tension mentally, then willing it to relax from the inside out will reset the overall tension in the involved tissue. This non-stretching/relaxing approach allows the patient to address the chronic component, which is NS compensation. As to manual therapy, microcurrent allows for scarification healing without the need for aggressive re-injury and inflammatory response. Sears, DC, IAYT 1218 NW 21st Ave Portland, Oregon 97209 v: 503-225-0255 f: 503-525-6902 www.docbones.com On Feb 23, 2010, at 1:04 PM, Sharron Fuchs wrote: What type of treatment can help post op lumbar discectomy perineural scar formation causing radiculopathy ? Somehow stretching seems like it would aggravate it.s. fuchs dc