COLORADO CHRONIC NECK PAIN RELIEF
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MORE RESEARCH ON FASCIA
THE TEMPOROPARIETAL FASCIA
The authors, Dr. Carl Shermetaro, an EENT, and Dr. Colin Bohr, a plastic surgeon (both practice at McLaren Oakland Hospital in the Detroit area) kicked things off by talking about the temporoparietal fascia (the FASCIA that is associated with the temporalis muscle, which is housed in the cupped, bony region of the temple --- the area of the head just in front of the ears --- see pictures below). They say of this fascia.......
"It is continuous with thesuperficial musculoaponeurotic system that is inferior to the zygomatic arch. These 2 structures are continuous with the platysma muscle in the neck creating a unified fascia layer from the scalp to clavicle. The temporoparietal fascia joins the orbicularis oculi and frontalis muscles anteriorly and the occipitalis muscle posteriorly."
The fascia on your skull (from the frontalis muscle in your forehead to the occipitalis at the base of the rear of the skull) attaches to the round muscles surrounding your eyes, which attaches to the fascia on and around your cheek bones (as you'll notice in a moment, the temporalis tendon runs underneath the zygomatic arch / cheekbone), which attaches to the 'shaver's muscle" (THE PLATYSMA), which is anchored to your collar bones. Think for a moment about the implications not only for the people struggling with the problems mentioned in the first paragraph, but especially for those whose lives have been turned upside down by WHIPLASH INJURIES.
The authors go on to describe two layers of fascia (the temporoparietal fascia and the deep temporal fascia) that are separated by "a loose areolar and avascular layer... referred to as the innominate fascia." This layer allows people to put their hands on their head and move them around, feeling the more superficial tissue move over the skull and deep fascia (sort of like THIS). When these tissue layers become adhesed or "TETHERED" together, it not only becomes restricted (HERE), but has the potential to make the sounds --- sounds that many of my patients have described as CRINKLING OR RUSTLING LEAVES --- an almost crunchy sort of thing that reminds them of wadding up a piece of paper. These adhesions not only cause pain in and of themselves, but can ENTRAP CUTANEOUS NERVES.
CHRONIC NECK PAIN?
A SIMPLE SELF-TEST FOR HELPING DETERMINE
WHETHER CERVICAL FASCIA MIGHT BE THE CULPRIT
A perennial question facing the chiropractic profession is how far its members are willing to deviate from the joint component as emphasized in the majority of chiropractic colleges. Research has proven the value of the chiropractic adjustment, but research has also described most of the conditions chiropractors treat as having multifactorial causes. After the joint, most of the etiologies remaining for the majority of musculoskeletal problems relate to tissues such as muscles, ligaments, tendons, and fascia.
FASCIA. While an extremely common source of CHRONIC NECK PAIN, the fact that it is virtually impossible to image using standard tests can make visualizing the most common reasons for said pain likewise impossible (HERE). While I am certainly not against imaging, it's important to realize that in most cases it's unlikely to provide a diagnostic "ah ha" moment, and explains why so many of you have been through CT SCANS, MRI, and PLAIN FILM X-RAYS with nothing to show other than being told you aren't as young as you used to be. What do I do in my clinic? Beyond simple ranges of motion (HERE) and motion palpation, which checks both SEGMENTAL & SECTIONAL spinal motion, there is another simple test that I often use; particularly for people whose problems are at least somewhat localized. It's a "MYOFASCIAL SLING" test that people can do themselves.
First, while looking in a mirror to get a rough estimate of your ranges of motion, move your head and see where the pain localizes to. Next, grab the painful area and squeeze (you may need to use both hands and you may need to squeeze or "pinch" with a fair bit of force), while attempting the same ranges of motion. Did the pressure make the movement any easier, freer, or less painful? If so, it's likely there is a significant soft tissue component to your problem, probably the CERVICAL FASCIA. Considering what Dr. Warren Hammer said in the quote above, FASCIAL ADHESIONS in the cervical spine are not only common, they are dog common, with far too may practitioners trying to treat their patients without addressing the underlying FIBROSIS / SCAR TISSUE (HERE or HERE).
The really cool thing is that in most cases your DIY test is easy to confirm because a visit to my office is so simple. If you decide to come see me, you'll know AFTER YOUR FIRST VISIT whether this approach was helpful for your particular situation. How much better is this than a lifetime of "CHIROPRACTIC MAINTENANCE" that by definition, is in most cases anything but? Need more evidence? Be sure to take a look at some of our TESTIMONIALS as well as our FACEBOOK PAGE.
CHRONIC NECK PAIN SOLUTIONS
ADDRESSING THE CHEMICAL, MECHANICAL, AND STRUCTURAL CAUSES OF PAIN
- CHEMICAL: Inflammation is the name given to a group of chemical mediators that help cells and tissues communicate with each other (HERE). While needed for the HEALING PROCESS, too much inflammation can be a big problem. The biggest problem here is that inflammation always leads to the scar tissue that the medical community refers to as fibrosis (HERE, HERE, HERE, HERE, HERE, HERE, HERE, HERE, and HERE). In other words, if you are SYSTEMICALLY INFLAMED, you are essentially TETHERING YOURSELF. You'll see why that's such a big deal in just a moment.
- STRUCTURAL: When most people think of chiropractic, they think of alignment. Are my bones in place or out of place? Furthermore, they tend to think of alignment in an A-P view. In other words, is the spine straight when looking at it from the front or back? While I don't want to minimize the importance of this sort of alignment (scoliosis, various sorts of distortions, and pelvic torque), what's far more common is loss of the normal lordotic curve of the neck (loss of the curve seen via a lateral view --- HERE & HERE are a bunch of pics).
- MECHANICAL: When I talk about mechanical dysfunction, I am talking about loss of motion. What's critical for people to understand is that spinal motion comes in two distinct flavors --- sectional and segmental (HERE). It is critical to address both of them. Loss of structural and mechanical integrity (especially loss of motion) of the spine causes a loss of proprioception (HERE). While that might not seem like a big deal to the uninitiated, loss of proprioceptive ability of joints (particularly the spine, and most particularly the cervical spine) is being touted as the primary cause of all sickness and disease (HERE).
Understanding these points will help you grasp the differences between PHASE I and PHASE II of solving chronic neck pain (not just living the rest of your life on a CHIROPRACTIC "MAINTENANCE" PROGRAM). If you want to see how it all works together, take a look at a few of our VIDEO TESTIMONIALS. My goal is always to make as much change as possible as quickly as possible, while giving you the tools to do as much as you can on your own (HERE and HERE). If this concept resonates with you, be sure to spread the wealth by giving us some props on FACEBOOK.
IS IT "MAINTENANCE" OR SOMETHING ELSE?
The hope with any kind of maintenance is that it makes the useful life of whatever you are maintaining both longer and better (more functional). As a CHIROPRACTOR, I am a big fan of maintaining proper function in the spine and other joints. Joints wear out when they don't work properly, and with your neurological function being intimately tied to spinal function via something called PROPRIOCEPTION, it's easy to understand why mainstream scientists and physicians are increasingly touting joint function as the single most important factor in overall health (HERE). In terms of chiropractic, I've seen this phenomenon in action over and over again, at times with almost unbelievable results. Restore proper ALIGNMENT and movement to the spine, and watch what can happen (HERE). Thus, chiropractic adjustments should be a valid part of "maintaining" your body to prevent pain, preserve joint function, and maintain overall health.
I've recently been treating a person, whom for the last 45 years has struggled with CHRONIC NECK PAIN thanks to a severe (emphasis on severe) physical trauma that took place in childhood. This person has not only had years and years of chiropractic adjustments (along with various forms of massage and other bodywork), but for a significant number of years has been getting adjusted 3-4 times a week in the name of "maintenance". In other words, by the time this individual saw me, they had been adjusted hundreds upon hundreds upon hundreds of times, with no appreciable long-term (more than a day or so) reduction in their CHRONIC PAIN. To put it differently, it was a steady stream of neck adjustment, after neck adjustment, after neck adjustment, because neck adjustments were the only thing that brought any relief, it just wouldn't last or hold very long (and this person was not interested in TAKING THESE DRUGS).
Since the end of last year, I've seen this person 3 or 4 times, doing TISSUE REMODELING with an adjustment on each occasion (along with a DAKOTA TRACTION DEVICE for use at home). What's cool is that not only has this individual's pain diminished by 80% or better, but their RANGE OF MOTION IN THEIR NECK has doubled (maybe tripled) to the point of approaching normal (nope; hundreds of adjustments did not solve the crappy ROM). What's doubly cool is that this happens with surprising regularity (HERE). In fact, if you take a look at some of our VIDEO TESTIMONIALS you'll see that it's actually a rather common theme in our clinic.
My goal is to get you off the MEDICAL MERRY-GO-ROUND, and away from reliance on health care providers (self included). It's not that I'm against a certain degree of "maintenance," but let's be honest with each other for a moment; since when is a reliance on REPEATED ADJUSTMENTS just to get through the day considered maintenance? If your vehicle was up on the mechanic's rack three times a week, always for the same problem, you certainly wouldn't call that maintenance would you? Why would you call it maintenance just because it's your neck or back (HERE)?
To address the underlying inflammation that always leads to the scar tissue that the medical community refers to as fibrosis, THIS PROTOCOL might be right up your alley. And if you know people who could benefit from this information, be sure to like, share, or follow on FACEBOOK as it's an easy way to reach those you love and care about most.
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).
Brain Based Therapy
Can You Help
Cardio Or Strength
Cold Laser Therapy
Death By Medicine
Degenerative Joint Disease
D's Of Chronic Pain
Evidence Based Medicine
Gluten Cross Reactivity
Ice Or Heat
Jacks Fork River
Leaky Gut Syndrome
Number One Health Problem
Platelet Rich Therapy
Post Surgical Scarring
Re Invent Yourself
Rib And Chest Pain
Scar Tissue Removal
Sleeping Pills Kill
Stay Or Go
Stretching Post Treatment
Tensegrity And Fascia
The Big Four
Thoracic Outlet Syndrome
Whole Body Vibration