Guest guest Posted June 4, 2010 Report Share Posted June 4, 2010 Sounds like myofascial tightening ..... look to the aponeurosis and it's tightening. 1) calcium deficiency (go for the liquid /powdered forms with 10 gr/HCL at bedtime) 2) dehydration (minerals) 3) vibrocusser work/ rolfing/ deep tissue massage would be my t h oughts. sk Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com Oregondcs From: mochihchu@...Date: Fri, 4 Jun 2010 13:55:39 -0700Subject: Chronic Tight Legs I have a pt, 50 year old white male, who feels that if he doesn't stretch the backs of his legs for 10 or 15 minutes a day, that he can hardly walk. He has had to do this for at least 15 years. There are no other complications in this case that I am aware of. Does anyone have advice for this guy? He wants to be able to go through life without constantly stretching so much.Thanks,Matt Dr. Matt Freedman Chiropractic Physician Pure Life Chiropractic, LLC 1000 Willagillespie Road Suite 100 Eugene, Oregon 97401 (541) 343- 5633http://www.EugeneChiropractic.com/ http://www.EugeneHyperbaric.com/ The New Busy is not the old busy. Search, chat and e-mail from your inbox. Get started. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2010 Report Share Posted June 4, 2010 Has someone checked his hamstrings for trigger points or adhesions? This would be the first line of correction in my book. ART or good old fashioned trigger point muscle treatment would clear these issues up and no more need for daily stretches. Schneider DCPDXOn Fri, Jun 4, 2010 at 1:55 PM, Dr. Matt Freedman <mochihchu@...> wrote: I have a pt, 50 year old white male, who feels that if he doesn't stretch the backs of his legs for 10 or 15 minutes a day, that he can hardly walk. He has had to do this for at least 15 years. There are no other complications in this case that I am aware of. Does anyone have advice for this guy? He wants to be able to go through life without constantly stretching so much. Thanks,MattDr. Matt Freedman Chiropractic Physician Pure Life Chiropractic, LLC 1000 Willagillespie Road Suite 100 Eugene, Oregon 97401 (541) 343- 5633http://www.EugeneChiropractic.com/ http://www.EugeneHyperbaric.com/ -- Schneider DC PDX Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2010 Report Share Posted June 4, 2010 Hi Matt,Symptoms of chronic tightness and disability seems to increase with age. I'd hope that the TPs and myofascial tightening have been addressed in this patient, as it can really help. Loosening fascia is not difficult. Visualize the involved muscle. Bring it fully into flexion. Start at the distal end, traction your skin pull toward the heart with a firm but soft-fingered grip. Be aware of the underlying tension, felt broadly, in the fascia. Keep the firm grip on the tissue as you slowly lengthen the muscle into full extension. Move at the rate of about 4" per second. Don't let your fingers lose their grip on the fascia: maintain the lengthening achieved by the movement. Work your way up the involved muscle, full flexion to full extension. In this manner, you separate the fascia from the muscle: you hold the fascia while the muscle moves under it. Muscle inflammation will tack the fascia to it until it is mechanically loosened, which could be years.If this work has been done and the complaints persist, then you have a NS centralization problem. The tissue holds tension because of NS facilitation, probably secondary to earlier injury and compensated pain postures. It that case, doing resting aligned postures, not stretching, but willing relaxation at end ranges, all open-chain out-of-gravity, will inhibit chronic NS patterns and yield good results pretty quickly. IMHO Sears, DC, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.comOn Jun 4, 2010, at 1:55 PM, Dr. Matt Freedman wrote: I have a pt, 50 year old white male, who feels that if he doesn't stretch the backs of his legs for 10 or 15 minutes a day, that he can hardly walk. He has had to do this for at least 15 years. There are no other complications in this case that I am aware of. Does anyone have advice for this guy? He wants to be able to go through life without constantly stretching so much.Thanks,MattDr. Matt Freedman Chiropractic Physician Pure Life Chiropractic, LLC 1000 Willagillespie Road Suite 100 Eugene, Oregon 97401 (541) 343- 5633http://www.EugeneChiropractic.com/ http://www.EugeneHyperbaric.com/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2010 Report Share Posted June 4, 2010 Matt: He may have spinal stenosis. Lyndon McGill, D.C. Salem, Oregon www.SalemSpineClinic.com www.EvolvingDaily.com On 6/4/2010 1:55 PM, Dr. Matt Freedman wrote: I have a pt, 50 year old white male, who feels that if he doesn't stretch the backs of his legs for 10 or 15 minutes a day, that he can hardly walk. He has had to do this for at least 15 years. There are no other complications in this case that I am aware of. Does anyone have advice for this guy? He wants to be able to go through life without constantly stretching so much. Thanks, Matt Dr. Matt Freedman Chiropractic Physician Pure Life Chiropractic, LLC 1000 Willagillespie Road Suite 100 Eugene, Oregon 97401 (541) 343- 5633 http://www.EugeneChiropractic.com/ http://www.EugeneHyperbaric.com/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2010 Report Share Posted June 4, 2010 Maybe consider a ddx to include the myofascial etiologies discussed vs. nerve tension of the sciatic nerve. Seated slump test would help discriminate between the 2. ( Seated pt, extend leg, slump but chin up until tension felt in the ham, drop chin to chest. If tension in the leg inc., nerve tension is suggested).The resultant muscles respond temporarily to stretching and feel good, but the provocation of the nerve tension causes a tightness to return later. If he's stretching passively for 15 minutes daily and it ain't getting better, the passive elements are less likely to be involved in my experience. W. Snell, D.C. Director, Solutions Sports & Spine, Inc at Hawthorne Wellness Center 3942 SE Hawthorne Blvd. Portland, OR 97214 Ph. 503-235-5484 Fax 503-235-3956 drpsnell.chiroweb.comwww.fixyourownback.comMember, American College of Sports MedicineAssoc. Member, International Society of Clinical Rehabilitation Specialistsmochihchu@...; From: skrndc1@...Date: Fri, 4 Jun 2010 14:21:12 -0700Subject: RE: Chronic Tight Legs Sounds like myofascial tightening ..... look to the aponeurosis and it's tightening. 1) calcium deficiency (go for the liquid /powdered forms with 10 gr/HCL at bedtime) 2) dehydration (minerals) 3) vibrocusser work/ rolfing/ deep tissue massage would be my t h oughts. sk Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com Oregondcs From: mochihchu Date: Fri, 4 Jun 2010 13:55:39 -0700Subject: Chronic Tight Legs I have a pt, 50 year old white male, who feels that if he doesn't stretch the backs of his legs for 10 or 15 minutes a day, that he can hardly walk. He has had to do this for at least 15 years. There are no other complications in this case that I am aware of. Does anyone have advice for this guy? He wants to be able to go through life without constantly stretching so much.Thanks,Matt Dr. Matt Freedman Chiropractic Physician Pure Life Chiropractic, LLC 1000 Willagillespie Road Suite 100 Eugene, Oregon 97401 (541) 343- 5633http://www.EugeneChiropractic.com/ http://www.EugeneHyperbaric.com/ The New Busy is not the old busy. Search, chat and e-mail from your inbox. Get started. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2010 Report Share Posted June 5, 2010 This is an important distinction to make regarding stretching. If the problem has been centralized to the NS, then the work of rehab is more properly addressed to the NS inhibition of the response rather than the involved tissue directly. That is to say, that stretching tissue, or pulling against tissue resistance at the end range of motion, will not be helpful to the compensated NS facilitation. The problem's in the NS, and secondarily in the tissue, as Phil rightly states. Moreover, pulling against tissue resistance will inevitably result in a low level inflammatory response in the tissue, yielding continuing sensation of tightness. While this transient inflammation is the start of laying down new healthier tissue, a larger focus much address the NS itself if the problem is to be resolved finally.Instead, intentional relaxation at the end range of aligned resting/open-chain postures allows the patient to resist the compensated response of chronic tightening in the target tissue. That is, at the end range of the aligned postures, tensions are felt. These tensions become the "target" of our willful relaxation. As we "target" the tension mentally, we can "will" it to relax, from the top down. This intentional willing to relax tension is working on the NS, to constantly inhibit the conditioned over-facilitation of the earlier injuries, instead of the tissue directly. As we get better at "targeting" willful relaxation in chronic tissue, the compensated postures (relationships to weight-bearing in gravity) begin to resolve.The art of willing relaxation improves immensely as we bring breath control into the rehab mix. We "potentiate" our willful intention to relax by using the breath, particularly the exhalation phase, during which the NS globally relaxes all nerve endings firing into muscles. Yogis have long utilized this ability for deep relaxation during the exhalation phase to influence deep healing, as the majority of health concerns involve inner rigidity and immobility. As we soften these inner rigidities and bring greater relaxation to them, healing arises from the inside-out. If we maintain the breath exclusively through the nostrils, we drag nitric oxide (found in greatest concentrations in the para-nasal sinuses in each nostril) and it's smooth muscle relaxation capacity into the blood stream. The effect opens blood vessels globally, as well as in the targeted areas of tension.These subtleties are the key to enhancing much deeper levels of self-healing, of using our minds to heal our bodies, of working with the body to trigger innate healing. Simply stated, healing from NS centralization results from deep inner relaxation, not from prolonged pulling against resistive tissue, IMHO. Sears, DC, IAYT1218 NW 21st AvePortland, Oregon 97209v: 503-225-0255f: 503-525-6902www.docbones.comOn Jun 4, 2010, at 7:21 PM, Snell wrote: Maybe consider a ddx to include the myofascial etiologies discussed vs. nerve tension of the sciatic nerve. Seated slump test would help discriminate between the 2. ( Seated pt, extend leg, slump but chin up until tension felt in the ham, drop chin to chest. If tension in the leg inc., nerve tension is suggested).The resultant muscles respond temporarily to stretching and feel good, but the provocation of the nerve tension causes a tightness to return later. If he's stretching passively for 15 minutes daily and it ain't getting better, the passive elements are less likely to be involved in my experience. W. Snell, D.C. Director, Solutions Sports & Spine, Inc at Hawthorne Wellness Center 3942 SE Hawthorne Blvd. Portland, OR 97214 Ph. 503-235-5484 Fax 503-235-3956 drpsnell.chiroweb.comwww.fixyourownback.comMember, American College of Sports MedicineAssoc. Member, International Society of Clinical Rehabilitation Specialistsmochihchu ; From: skrndc1msnDate: Fri, 4 Jun 2010 14:21:12 -0700Subject: RE: Chronic Tight Legs Sounds like myofascial tightening ..... look to the aponeurosis and it's tightening. 1) calcium deficiency (go for the liquid /powdered forms with 10 gr/HCL at bedtime) 2) dehydration (minerals) 3) vibrocusser work/ rolfing/ deep tissue massage would be my t h oughts. sk Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com Oregondcs From: mochihchu Date: Fri, 4 Jun 2010 13:55:39 -0700Subject: Chronic Tight Legs I have a pt, 50 year old white male, who feels that if he doesn't stretch the backs of his legs for 10 or 15 minutes a day, that he can hardly walk. He has had to do this for at least 15 years. There are no other complications in this case that I am aware of. Does anyone have advice for this guy? He wants to be able to go through life without constantly stretching so much.Thanks,Matt Dr. Matt Freedman Chiropractic Physician Pure Life Chiropractic, LLC 1000 Willagillespie Road Suite 100 Eugene, Oregon 97401 (541) 343- 5633http://www.EugeneChiropractic.com/ http://www.EugeneHyperbaric.com/ The New Busy is not the old busy. Search, chat and e-mail from your inbox. Get started. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2010 Report Share Posted June 8, 2010 Thank you to all of the doctors who sent me recommendations. I will keep you updated if we can find the answer to his problem.ADIO,MattDr. Matt Freedman Chiropractic Physician Pure Life Chiropractic, LLC 1000 Willagillespie Road Suite 100 Eugene, Oregon 97401 (541) 343- 5633http://www.EugeneChiropractic.com/ http://www.EugeneHyperbaric.com/ Maybe consider a ddx to include the myofascial etiologies discussed vs. nerve tension of the sciatic nerve. Seated slump test would help discriminate between the 2. ( Seated pt, extend leg, slump but chin up until tension felt in the ham, drop chin to chest. If tension in the leg inc., nerve tension is suggested). The resultant muscles respond temporarily to stretching and feel good, but the provocation of the nerve tension causes a tightness to return later. If he's stretching passively for 15 minutes daily and it ain't getting better, the passive elements a re less likely to be involved in my experience. W. Snell, D.C. Director, Solutions Sports & Spine, Inc at Hawthorne Wellness Center 3942 SE Hawthorne Blvd. Portland, OR 97214 Ph. 503-235-5484 Fax 503-235-3956 drpsnell.chiroweb. com www.fixyourownback. com Member, American College of Sports Medicine Assoc. Member, International Society of Clinical Rehabilitation Specialists mochihchu (DOT) com; @grou ps.com From: skrndc1msn (DOT) com Date: Fri, 4 Jun 2010 14:21:12 -0700 Subject: RE: Chronic Tight Legs S ounds like myofascial tightening ..... look to the aponeurosis and it's tightening. 1) calcium deficiency (go for the liquid /powdered forms with 10 gr/HCL at bedtime) 2) dehydration (minerals) 3) vibrocusser work/ rolfing/ deep tissue massage would be my t h oughts. sk Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7C Eugene, Oregon, 97401 541- 654-0850; Fx; 541- 654-0834 www.drsunnykierstyn .com Oregondcs@grou ps.com From: mochihchu (DOT) com Date: Fri, 4 Jun 2010 13:55:39 -0700 Subject: Chronic Tight Legs I have a pt, 50 year old white male, who feels that if he doesn't stretch the backs of his legs for 10 or 15 minutes a day, that he can hardly walk. He has had to do this for at least 15 years. There are no other complications in this case that I am aware of. Does anyone have advice for this guy? He wants to be able to go through life without constantly stretching so much. Thanks, Matt Dr. Matt Freedman Chiropractic Physician Pure Life Chiropractic, LLC 1000 Willagillespie Road Suite 100 Eugene, Oregon 97401 (541) 343- 5633 http://www.EugeneCh iropractic. com/ http://www.EugeneHy perbaric. com/ The New Busy is not the old busy. Search, chat and e-mail from your inbox. Get started. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2010 Report Share Posted June 8, 2010 Hi Matt: To add one more idea to the mix, have you considered myotonia?http://www.neuroweb.us/Chapters/Myotonia/text.htmAlanEugene Sports and Auto Injury Chiropractic Clinic From: mochihchu@...Date: Tue, 8 Jun 2010 07:12:30 -0700Subject: Re: Chronic Tight Legs Thank you to all of the doctors who sent me recommendations. I will keep you updated if we can find the answer to his problem.ADIO,MattDr. Matt Freedman Chiropractic Physician Pure Life Chiropractic, LLC 1000 Willagillespie Road Suite 100 Eugene, Oregon 97401 (541) 343- 5633http://www.EugeneChiropractic.com/ http://www.EugeneHyperbaric.com/ Maybe consider a ddx to include the myofascial etiologies discussed vs. nerve tension of the sciatic nerve. Seated slump test would help discriminate between the 2. ( Seated pt, extend leg, slump but chin up until tension felt in the ham, drop chin to chest. If tension in the leg inc., nerve tension is suggested). The resultant muscles respond temporarily to stretching and feel good, but the provocation of the nerve tension causes a tightness to return later. If he's stretching passively for 15 minutes daily and it ain't getting better, the passive elements a re less likely to be involved in my experience. W. Snell, D.C. Director, Solutions Sports & Spine, Inc at Hawthorne Wellness Center 3942 SE Hawthorne Blvd. Portland, OR 97214 Ph. 503-235-5484 Fax 503-235-3956 drpsnell.chiroweb. com www.fixyourownback. com Member, American College of Sports Medicine Assoc. Member, International Society of Clinical Rehabilitation Specialists mochihchu (DOT) com; @grou ps.com From: skrndc1msn (DOT) com Date: Fri, 4 Jun 2010 14:21:12 -0700 Subject: RE: Chronic Tight Legs S ounds like myofascial tightening ..... look to the aponeurosis and it's tightening. 1) calcium deficiency (go for the liquid /powdered forms with 10 gr/HCL at bedtime) 2) dehydration (minerals) 3) vibrocusser work/ rolfing/ deep tissue massage would be my t h oughts. sk Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7C Eugene, Oregon, 97401 541- 654-0850; Fx; 541- 654-0834 www.drsunnykierstyn .com Oregondcs@grou ps.com From: mochihchu (DOT) com Date: Fri, 4 Jun 2010 13:55:39 -0700 Subject: Chronic Tight Legs I have a pt, 50 year old white male, who feels that if he doesn't stretch the backs of his legs for 10 or 15 minutes a day, that he can hardly walk. He has had to do this for at least 15 years. There are no other complications in this case that I am aware of. Does anyone have advice for this guy? He wants to be able to go through life without constantly stretching so much. Thanks, Matt Dr. Matt Freedman Chiropractic Physician Pure Life Chiropractic, LLC 1000 Willagillespie Road Suite 100 Eugene, Oregon 97401 (541) 343- 5633 http://www.EugeneCh iropractic. com/ http://www.EugeneHy perbaric. com/ The New Busy is not the old busy. Search, chat and e-mail from your inbox. Get started. The New Busy think 9 to 5 is a cute idea. Combine multiple calendars with Hotmail. Get busy. Quote Link to comment Share on other sites More sharing options...
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