Guest guest Posted October 8, 2003 Report Share Posted October 8, 2003 This adhesions article scared the shit out of me..if its not one thing its another..Some surgeons are trained to minimize adhesions when doing surgery..I went over this with my Dr before the surgery and i stressed to him the less the better..after all i am trying to preserve my fertility.. Oh boy! sbstraus@... wrote: How many women who have had successful myo's here have had adhesions ? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 4, 2004 Report Share Posted January 4, 2004 > Clear DayI have HEDS and had a TKR two months ago and have had trouble obtaining flexion beyond 30 degrees. > > My Ortho did an MUA on 18th December with no improvement at all so now I need an Open Reduction later this month. > > I develop Adhesion very quickly and I'm wondering if this is common with EDS ? > > Thanks > Vee (1) I assume TKR means total knee replacement but have no clue what MUA means. Have you been checked for the posibility that your limited range of motion might be soft tissue related? I am going to go through a little anatomy/joint function write-up down below to explain what I mean by that. (2) There are seven muscles that either actively perform flexion of the knee or assist in flexion of the knee: biceps femoris, semintendinosus, semimembranosus, gracilis, sartorius, popliteus, and gastrocnemius. There are four muscles that either actively perform extension of the knee or assist in extension of the knee: rectus femoris, vastus lateralis, vastus medialis and vastus lateralis. (3) Muscles act in three basic ways: They are either a primary performer of an action, they assist in that action (are synergistic) or they perform in opposition to that action (are antagonistic). (4) Joints, whether natural bone or man made out of metal, are just mechanical devices that do nothing of and by themselves. They may be hinge joints like the knee and elbow or ball and socket like the hip and shoulder (and other types as well). The type of joint determines the kind of action or movement that each joint can do, but the joint itself does not create the movement. The actual movement is caused by a muscle contraction (or a wire/cable/pulley in a mechanical sense). (5) Given all of the above, if a joint is not able to move through its full range of motion, the questions are " why can't it move through that full ROM? " What is preventing it? And there are two primary reasons. One is that there is some type of obstruction that blocks movement at a certain point. The other is that a muscle is not performing as it should. (6) With a natural joint, one of the main types of obstruction is a bone spur or calcium deposit build-up. It simply just gets in the way and prevents further movement. (7) When range of motion testing is done, they look for what is known as an " end-feel. " There are two types: hard and soft. Hard is where the motion stops because it can't go any farther because bone is meeting bone. There is only ONE natural hard end-feel in the body and that is the elbow. For all other joints, it should be a soft end-feel. If a hard end-feel is present for other joints, it is SUGGESTIVE of an obstruction, like a bone spur or calcium deposit. (8) If there is a soft end-feel but motion is restricted, you look for another cause. And there are three distinct possibilities that immediately come to mind: Inflammation or swelling of the bursa (a bag/sack/pouch that is within the joint capsule and contains what is called the synovial fluid which lubricates the joint, a fascial restriciton, or a contracted muscle that is not allowing the full movement. (9) You have heard of Bursitis. All that is is an inflammation or swelling of the bursa. This can reduce range of motion because the swollen bursa gets in the way. Movement usually stops because it hurts to move any further. Conventional treatments include ice, rest, and anti-inflammatory drugs. A far superior alternative is lymphatic drainage. (10) For a contracted muscle, the conventional treatment is basically the same as the above. There are a number of different massage/bodywork alternatives. (11) Fascial restrictions are generally not even considered or addressed by conventional medicine. They just simply ignore that the fascia even exists and plays a critical role in the body. There is an excellent modality called Myofascial Release that can very easily free up fascial restrictions. But the thing about fascia is that, since it is one continuous sheet throughout the entire body, literally wrapping and enclosing everything, the " restriction " may not be where the noticeable problem or symptom is. The best example I can give is the story I have told in the past about Barb. Her symptom was laterally rotated and pronated feet. The fascial restriction was in her lower thoracic and upper lumbar back. (12) If you think that soft tissue issues might be a factor and want some guidance or suggestions on alternatives, let me know and I will see what I can do to assist. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 4, 2004 Report Share Posted January 4, 2004 Mike, MUA means manipulation under anesthesia. Sincerely, S. Re: Adhesions > Clear DayI have HEDS and had a TKR two months ago and have had trouble obtaining flexion beyond 30 degrees. > > My Ortho did an MUA on 18th December with no improvement at all so now I need an Open Reduction later this month. > > I develop Adhesion very quickly and I'm wondering if this is common with EDS ? > > Thanks > Vee (1) I assume TKR means total knee replacement but have no clue what MUA means. Have you been checked for the posibility that your limited range of motion might be soft tissue related? I am going to go through a little anatomy/joint function write-up down below to explain what I mean by that. (2) There are seven muscles that either actively perform flexion of the knee or assist in flexion of the knee: biceps femoris, semintendinosus, semimembranosus, gracilis, sartorius, popliteus, and gastrocnemius. There are four muscles that either actively perform extension of the knee or assist in extension of the knee: rectus femoris, vastus lateralis, vastus medialis and vastus lateralis. (3) Muscles act in three basic ways: They are either a primary performer of an action, they assist in that action (are synergistic) or they perform in opposition to that action (are antagonistic). (4) Joints, whether natural bone or man made out of metal, are just mechanical devices that do nothing of and by themselves. They may be hinge joints like the knee and elbow or ball and socket like the hip and shoulder (and other types as well). The type of joint determines the kind of action or movement that each joint can do, but the joint itself does not create the movement. The actual movement is caused by a muscle contraction (or a wire/cable/pulley in a mechanical sense). (5) Given all of the above, if a joint is not able to move through its full range of motion, the questions are " why can't it move through that full ROM? " What is preventing it? And there are two primary reasons. One is that there is some type of obstruction that blocks movement at a certain point. The other is that a muscle is not performing as it should. (6) With a natural joint, one of the main types of obstruction is a bone spur or calcium deposit build-up. It simply just gets in the way and prevents further movement. (7) When range of motion testing is done, they look for what is known as an " end-feel. " There are two types: hard and soft. Hard is where the motion stops because it can't go any farther because bone is meeting bone. There is only ONE natural hard end-feel in the body and that is the elbow. For all other joints, it should be a soft end-feel. If a hard end-feel is present for other joints, it is SUGGESTIVE of an obstruction, like a bone spur or calcium deposit. (8) If there is a soft end-feel but motion is restricted, you look for another cause. And there are three distinct possibilities that immediately come to mind: Inflammation or swelling of the bursa (a bag/sack/pouch that is within the joint capsule and contains what is called the synovial fluid which lubricates the joint, a fascial restriciton, or a contracted muscle that is not allowing the full movement. (9) You have heard of Bursitis. All that is is an inflammation or swelling of the bursa. This can reduce range of motion because the swollen bursa gets in the way. Movement usually stops because it hurts to move any further. Conventional treatments include ice, rest, and anti-inflammatory drugs. A far superior alternative is lymphatic drainage. (10) For a contracted muscle, the conventional treatment is basically the same as the above. There are a number of different massage/bodywork alternatives. (11) Fascial restrictions are generally not even considered or addressed by conventional medicine. They just simply ignore that the fascia even exists and plays a critical role in the body. There is an excellent modality called Myofascial Release that can very easily free up fascial restrictions. But the thing about fascia is that, since it is one continuous sheet throughout the entire body, literally wrapping and enclosing everything, the " restriction " may not be where the noticeable problem or symptom is. The best example I can give is the story I have told in the past about Barb. Her symptom was laterally rotated and pronated feet. The fascial restriction was in her lower thoracic and upper lumbar back. (12) If you think that soft tissue issues might be a factor and want some guidance or suggestions on alternatives, let me know and I will see what I can do to assist. To learn more about EDS, visit our website: http://www.ceda.ca ------------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 4, 2004 Report Share Posted January 4, 2004 MUA is Manipulation Under Anasthetic. Sharon > > Clear DayI have HEDS and had a TKR two months ago and have had > trouble obtaining flexion beyond 30 degrees. > > > > My Ortho did an MUA on 18th December with no improvement at all so > now I need an Open Reduction later this month. > > > > I develop Adhesion very quickly and I'm wondering if this is > common with EDS ? > > > > Thanks > > Vee > > > (1) I assume TKR means total knee replacement but have no clue what > MUA means. Have you been checked for the posibility that your > limited range of motion might be soft tissue related? I am going to > go through a little anatomy/joint function write-up down below to > explain what I mean by that. > > (2) There are seven muscles that either actively perform flexion of > the knee or assist in flexion of the knee: biceps femoris, > semintendinosus, semimembranosus, gracilis, sartorius, popliteus, > and gastrocnemius. There are four muscles that either actively > perform extension of the knee or assist in extension of the knee: > rectus femoris, vastus lateralis, vastus medialis and vastus > lateralis. > > (3) Muscles act in three basic ways: They are either a primary > performer of an action, they assist in that action (are synergistic) > or they perform in opposition to that action (are antagonistic). > > (4) Joints, whether natural bone or man made out of metal, are just > mechanical devices that do nothing of and by themselves. They may be > hinge joints like the knee and elbow or ball and socket like the hip > and shoulder (and other types as well). The type of joint determines > the kind of action or movement that each joint can do, but the joint > itself does not create the movement. The actual movement is caused > by a muscle contraction (or a wire/cable/pulley in a mechanical > sense). > > (5) Given all of the above, if a joint is not able to move through > its full range of motion, the questions are " why can't it move > through that full ROM? " What is preventing it? And there are two > primary reasons. One is that there is some type of obstruction that > blocks movement at a certain point. The other is that a muscle is > not performing as it should. > > (6) With a natural joint, one of the main types of obstruction is a > bone spur or calcium deposit build-up. It simply just gets in the > way and prevents further movement. > > (7) When range of motion testing is done, they look for what is > known as an " end-feel. " There are two types: hard and soft. Hard > is where the motion stops because it can't go any farther because > bone is meeting bone. There is only ONE natural hard end-feel in > the body and that is the elbow. For all other joints, it should be > a soft end-feel. If a hard end-feel is present for other joints, it > is SUGGESTIVE of an obstruction, like a bone spur or calcium deposit. > > (8) If there is a soft end-feel but motion is restricted, you look > for another cause. And there are three distinct possibilities that > immediately come to mind: Inflammation or swelling of the bursa (a > bag/sack/pouch that is within the joint capsule and contains what is > called the synovial fluid which lubricates the joint, a fascial > restriciton, or a contracted muscle that is not allowing the full > movement. > > (9) You have heard of Bursitis. All that is is an inflammation or > swelling of the bursa. This can reduce range of motion because the > swollen bursa gets in the way. Movement usually stops because it > hurts to move any further. Conventional treatments include ice, > rest, and anti-inflammatory drugs. A far superior alternative is > lymphatic drainage. > > (10) For a contracted muscle, the conventional treatment is > basically the same as the above. There are a number of different > massage/bodywork alternatives. > > (11) Fascial restrictions are generally not even considered or > addressed by conventional medicine. They just simply ignore that > the fascia even exists and plays a critical role in the body. There > is an excellent modality called Myofascial Release that can very > easily free up fascial restrictions. But the thing about fascia is > that, since it is one continuous sheet throughout the entire body, > literally wrapping and enclosing everything, the " restriction " may > not be where the noticeable problem or symptom is. The best example > I can give is the story I have told in the past about Barb. Her > symptom was laterally rotated and pronated feet. The fascial > restriction was in her lower thoracic and upper lumbar back. > > (12) If you think that soft tissue issues might be a factor and want > some guidance or suggestions on alternatives, let me know and I will > see what I can do to assist. Quote Link to comment Share on other sites More sharing options...
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