MultiDimensional AWARENESS IN PATIENT TREATMENT
Restrictions tend to appear in the body in layers. Laid down over time or all at once, they frequently have to be removed one layer at a time. Consider the example of a 50 year old patient who experienced a rollerskating accident at age 5 and broke her left leg. Various compensation patterns were laid down while that injury healed - perhaps a limp or uneven leg growth ensued, leaving restrictions in the fascia throughout her body. Then at age 12 she had acute appendicitis and an appendectomy was performed, puckering the fascia in the right lower quadrant of her body. A scary hospital experience or infected incision added some emotional overlay to this experience. The birth of her baby was by Cesarean section and pelvic asymmetries worsened as a result of carrying her baby exclusively on the right hip while the incision healed. Endometriosis complicated her female organ history in her late thirties, remedied by hysterectomy. A forward bent posture from her job over a desk and holding her phone between her shoulder and her left ear began to give her symptoms of neck and shoulder pain. Working out at the gym to increase her strength to overcome her pain problems only gave her more pain in her right shoulder.
On evaluation, this patient presented with her right pelvis high, right shoulder low, with hyper lumbar lordosis posture and limited range of motion in both shoulders and shoulder blades. Where to begin? With the most recent symptoms first, but not last! Assessing her fascial system through the cranial base, and noticing where releases occur often leads to the thoracic inlet. Unwinding techniques for the thoracic inlet improves the cervical and shoulder range of motion and lateral tilt of the shoulder girdle. On assessment at the next treatment, the shoulder girdle is asymmetrical again, but not quite as severe, and not stuck there as it was before. As further influences on the shoulder girdle are explored, the unwinding of the pelvic floor transverse plane leads to a tight right quadratus lumborum muscle and the appendectomy scar. The next treatment, the pelvis and shoulders are much more level, but a distinct torque appears with the left pelvis forward and an increased lumbar lordosis. Assessing hip range of motion leads to techniques to release both psoas muscles. Scar release of the Cesarean incision scar tissue allows for a more effective contraction of the abdominal muscles and resumption of abdominal strengthenening. Upper body toning are initiated to decrease her postural strain. She is now comfortable maintaining a symmetrical posture between treatments.
Next she appears to have strain into her left knee with the exercise program, and upon evaluation you discover the compensation patterns in her legs from carrying her pelvis crooked over the years. You begin by releasing the fascia of the leg musculature, lengthening the outside of the left leg and the inside of the right leg, and restructuring and retraining the antagonist muscles so all work in synchrony. Finally, you balance the legs one to the other with a bilateral leg pull, and finish with an unwinding of the pelvic floor. This helps the knee pain. However, now she has headache symptoms. Balancing the diaphragm, the thoracic inlet, and the cranial base to the new symmetrical body posture should eliminate the headache. If it does not, re-assessment of the cranium may be in order with a final re-alignment of the cranial bones and synchronizing of the cranial sacral rhythm.