Daily Maestroism

DM #541

Wednesday, November 15th, 2017

DM #541: After I posted last night's DM I got lots of questions about restrictions, releasing, adhesions, scar tissue, what is actually happening when we do manual work. So let's chat real quickly.
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For starters, you're likely never releasing anything or breaking any adhesions when you do manual treatment. Why do people still use the word release then? Because old habits die hard. Are we having a mechanical effect at all? Yes, but likely a whole lot more to do with fascial glide, fascial interfaces, hyaluronic acid concentrations, fascial decompression, and fluid dynamics, than fascial distortion. Going to do an Instagram live on this so I'll save the rest of that discussion for another time.
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But as it relates to tonight's DM, movement, volitional, active movement places a ton of force through tissues. Enough that you can tear tendons, tear muscles, tear ligaments, break bones. Enough that you could blow through mechanical restrictions in the tissue? I think so. CARs and many of the other concepts from @drandreospina's FRC system speak to this.
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I am by no means an aggressive therapist, but I can say with fair certainty that I would never be able to put enough force to a patient's tissues to be able to tear their Achilles tendon. And yet, is an injury that happens quite often.
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As Spina says, “Force is the language of cells. Movement is what we say.” Meaning, you want to see a structural change? You gotta move. Want to see a long-lasting change (regardless of whether that change is occurring neurologically or mechanically)? You. Must. MOVE.
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So, tonight's take home: You likely don't have the strength required to impart enough force to mechanically change your patients' tissues. But, they do. Get them moving.
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