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ADHESED FASCIA, FIBROSIS, STRETCHING, AND CHRONIC PAIN

7/17/2015

3 Comments

 

STRETCHING ADHESED FASCIA
CAN BE A TRIGGER FOR PAIN

Stretch Causes Pain
Gordon Johnson - USA - Pixabay
Harmful Stretches
Gordon Johnson - USA - Pixabay
We always think of stretching as beneficial, and in most cases it is.  For instance, I cannot begin to tell you the numbers of my patients who start doing yoga stretches or similar, that have improved.  However, there have been lots of recent studies (the past five years) showing that stretching prior to exercise not only provides no real benefit, but can actually be harmful.  This is not what we are covering today, as the internet is absolutely chocked full of those sorts of articles for you to read.  Today we are going to cover stretching as it pertains to Chronic Pain and Tissue Remodeling.

I deal with lots of people from AROUND THE COUNTRY, and even AROUND THE WORLD that are struggling with some degree of CHRONIC PAIN that limits their ability to live life normally.  The standard medical fare for these people is, of course, drugs --- PAIN MEDS, NSAIDS, MUSCLE RELAXERS, CORTICOSTEROID INJECTIONS, ANTIDEPRESSANTS, and who-knows-what else.  And if these individuals end up in therapy, they will undoubtedly go through intensive stretching and exercise protocols.  While this is certainly fine for the average person, for the person dealing with severe FASCIAL ADHESIONS and MICROSCOPIC SCAR TISSUE, it can prove devastating --- particularly when it comes to stretches of the pelvic girdle (i.e. for problems such as PIRIFORMIS SYNDROME).  The three pictures below will help you understand why.

Harmful Stretches
Chris Huh
Painful Stretches
Stina
Tissue (in this case, we are talking about FASCIA) is represented by the ropes above, right, and left.  Good, healthy tissue is going to line up in a parallel fashion that not only provides strength, but flexibility as well (left pic).  INJURED, ADHESED, FIBROTIC, or DENSIFIED Fascia, tends to be MORE TANGLED microscopically (pic on right and top).  Stretching unhealthy Fascia can sometimes be likened to pulling on the ends of the loosely knotted rope above.  You might gain a bit of ROM, but ultimately you are not only not getting rid of the adhesion, you could actually be making it worse by tightening it. 

Sometimes, it takes some 'umph' to break fouled up tissue (HERE).  Our goal is to BREAK UP THE PROBLEMATIC TISSUE, then give you a stretching protocol to pull the tissue apart (make it more like the pic on the left) before it can re-heal in its previous state (clump / wad / tangle).  For things like SHOULDER PROBLEMS, NECK PAIN, etc, overstretching is rarely a problem.  However, when it comes to problems of the pelvic girdle area (I mentioned BUTT PAIN / PS earlier) the stretching can, in some people, fire up the SCIATIC NERVE or bony attachment points (most commonly the Ischial Tuberosities or "sits" bones --- the knobs of bone underneath your gluteal muscles).   This is why we want you to do your stretches often for the first few days, but not with any real intensity. 

Make sure to come back and read the next post as it will be something along the lines of Scar Tissue Remodeling and its relationship to CENTRAL SENSITIZATION.
3 Comments
cecilia cox
1/4/2018 02:43:10 pm

How i wish i could visit you one day from ireland when i read your writings i think i am reading about my self i have been this way for 50 odd years is there hope for me now

Reply
Dr. Russell Schierling
1/7/2018 05:05:14 am

Hey Cecilia, if I'm ever in Ireland, I'll be sure to look you up and see if I could help!

Reply
Leigh
2/14/2018 11:14:51 pm

Oh doctor, you are confirming everything my intuition has been telling me. Everything you’ve written applies to me! I am a Yoga and Pilates teacher. With each yoga class I teach, my all over, intense body pain gets worse. I have fascial adhesions and cellulite from ankles to neck, despite being ideal weight and quite active. I’ve been living on the elimination diet for close to two years, with no real benefit, I also keep a very “clean” lifestyle, with no slip-ups, yet I feel inflamed, always. All blood & stool tests are negative for illness and imbalance (and I really have had them all through a wonderful functional med doc), imaging does show cervical stenosis, rooting from a teenage whiplash probably...which is when my pain started 25 years ago. I’ve tried every commercial fascia device, MFR, OMT, PT, cupping, chiro, acupuncture, and almost everything else. Allopathic care providers have never named fascia as the culprit, but it is, I can feel it, very easily. What do I do? Do I need to move from Oregon so I can be near your care? Is there something I’m missing that I can be doing at home? I’m in my 40s and seriously considering starting a new career, I hurt so bad. it’s humbling, to say the least, being the least flexible and most pain filled person in my classes. I’m particularly in pain through the neck, shoulders, ribs, but the the worse my shoulder area gets, the more I feel it in my hips...the fascia line from left shoulder to right hip & other side, are chronically on fire. I’m so desperate! Just tonight I was thinking that a wheelchair would do me just fine. I’ve never taken pain relief pills beyond a very desperate ibuprofen, and I don’t want to. What can I do? Thank you so much for all of your amazing information, it is a real blessing to feel validated in my understanding of what’s going on with my body!

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    Russell Schierling

    Dr. Schierling completed four years of Kansas State University's five-year Nutrition / Exercise Physiology Program before deciding on a career in Chiropractic.  He graduated from Logan Chiropractic College in 1991, and has run a busy clinic in Mountain View, Missouri ever since.  He and his wife Amy have four children (three daughters and a son).

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