Over the weekend I had the opportunity to go to a continuing education seminar at Leverage Training Center in Wyckoff, NJ. The group of presenters were people I had never met, or people, I just recently met so I was really going out on a limb by spending my only day off over there. Overall, I was not dissappointed. The presenters all had vastly different topics, so I felt each presentation was fresh. Some of the topics made me think I had to go home to see how I could implement the information into my own practice. But, to me, the best topics are the ones that give you information you could implement imediately. This might be a different topic for every participant, depending on their background or needs. For me, the presentation by Dr. Perry Nickelston, DC, FMS, SFMA, of StopChaisingPain.com gave me information I could use right away.
He discussed movement and how dysfunctional movement could cause pain in certain areas of the body. For instance, knee pain usually is caused by dysfunction in either the hip or ankle, or both. Not the knee. Too many times we treat the pain, not the cause of pain. I’ve heard this before and typically prescribe to this train of thought. Many times, as I’ve written here on this site, I’ve used tools such as a foam roller or lacrosse ball to provide a self myofascial release to muscles I feel have too much spasm to allow normal movement in a joint or joints. What I learned was with each release of a facilitated or spasmed muscle, there is a coressponding muscle that is inhibited, that needs to be stimulated. Dr. Nickelston said this needs to occur within 60 seconds of releasing the faciliated muscle. Without doing this, the released facilitated muscle will just ball up again in time. The relationship is as follows:
Upper Trap (Facilitated)——>Lats (Inhibited)
Iliacus (f)——————->Tensor Fascia Latae (i)
Pec Minor (f)—————–>Mid Trap (i)
Piriformis (f)—————->Adductor Magnus (i)
Quadratus Lumborum (f)——–>Psoas (i)
Calves (f)——————–>Glutes (i)
Hamstring(f)——————>Glute Max (i)
Rectus Femoris (f)————>Tibialis Anterior (i)
The take home message I learned is massaging a faclitated muscle is not enough. I have to stimulate the inhibited muscles as well. And I have 60 seconds to do that. For more information about Dr. Nickelston, or his methods, go to www.stopchasingpain.com.