Do you work out? Are you strong? Do you hammer away at adhesions, tender or trigger points to release them?
I hope you like making 1% changes (that are also transient). Thanks to The Awesome PT for his new series on Crazy Things in PT for the below slide.
To put it in perspective for you US readers, 9075 N is roughly 2040 pounds of force. To make ONE PERCENT DEFORMATION. I've shared it before and I'll share it again for those of you who continue to use movement based techniques, painful rolling, or CFM.
Why do painful manual therapy techniques work?
- patient expectation of positive benefit (provider explanation, and/or previous experience)
- the nervous system eventually realizes all that mashing is not a threat
- yes, it literally gets tired of you or someone else mashing away at a certain area
- I explain it to patients the same way accommodation was explained in school
- keep tapping yourself on the arm at the same rate, eventually you do not feel the tapping
- this is the same reason why TENS needs to modulate frequencies in order for you to be aware of the tingling
- in other words, as long as the stimulation is rather constant, with little variance, you will no longer perceive it
You can still do you movement based releases, IASTM etc, but there is no need to go to town on your patients, or yourself to increase mobility.
Keeping it Eclectic...
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