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Foundation & Philosophy -
Integrated Soft Tissue Treatment Program

Our Body's Soft Tissues:
The human body does not divide itself up into “systems” like we often see in medical textbooks or anatomy books. The body is one integrated matrix of tissues that communicates and balances the body with regards to both structure and function. The soft tissues of our body create our shape, support our structure, communicate information, move nutrients and waste. Every cell and tissue in our body is linked to each other, and therefore affects each and every cell. We are much more connected than we ever imagined. The source of the problem is often not where the symptom is perceived.

Pain, Dysfunction, Illness:
Pain and dysfunction result from the body’s inability to release the energy trapped in these restricted tissues. At some point, the restrictive load becomes too much and there is no “buffer” left to accommodate the stress on the body. This is when chronic or acute pain is expressed by the body or significant injuries happen. It is the body’s way of saying “pay attention… this is too much”. At this juncture, the body has run out of options to compensate any longer, and the body or performance suffers. (See Who Benefits)

What is often attributed to “aging” is really nothing more than restrictive patterns that can be fully released, regaining the body you had in youth.

Treatment and Health:
To assist the body towards full health, we “listen” to the body to determine where restrictions are located and we assist the body in releasing those restrictions. The release is performed in a manner that the body seeks to release, at the pace and timing the body needs to make the release. The restrictions can be held by the fascia (connective tissue), viscera (organs), vascular (arteries and veins), or neural (nerves and associated tissues). Each of these tissues can be precisely identified and manipulated. See Typical Treatment Session.

Structural Medicine:
Structural Medicine, performed by certified Structural Medicine Specialists (SMS), is an advanced form of structural integration, using a variety of treatment modalities to help each client obtain and maintain optimum function. This often results in reduction or elimination of pain. Unlike other classical structural integration programs, Structural Medicine is pathology-based, whereby the treatment program is custom developed for each client. Certified Structural Medicine Practitioners (SMS) have completed a 2,000-hour training program from the Institute of Structural Medicine. Structural Medicine is just one of the components of the integrated soft tissue treatment program.



Tensegrity Structure


Tom Meyer's
Anatomy Trains
Superficial Back Line


Fascia Fibers


Collagen Fibers


In Vivo Fascia
Under Electron Microscope
Dr. Guimberteau
French Hand Surgeon

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Visceral Manipulation

 

 


Neural Manipulation

 

 

 

 

 

 

 

 

 


Vascular Manipulation

Structural Integration:
Our body structure is determined by the “web” of myofascial tissue that surrounds our muscles and bones and every organ in our body. Skilled manual manipulation of this tissue corrects structural compensations, increases range of motion, and relieves sources of pain. Fascia is a dynamic, complex tissue that self-organizes on the principle of tensegrity.

All of us live in gravity, a force that our body has evolved with over time to create a being that moves in an efficient, coordinated manner, distributing physical forces (vectors) evenly to support structures such as our skeleton and dynamic movement components, such as our muscles, ligaments, and tendons. Structural integration is the study of the relationship of these forces to the human body and how to best facilitate the most efficient myofascial web of connective tissue for each person.

This is what drives the structure of the human body, be it functional or dysfunctional. The body is always adapting and compensating to its environment. Forces of stress and gravity are distributed throughout the body, each point absorbing or transferring energy to the other. It is always in balance, but not necessarily to our functional well-being.

Fascia is composed primarily of collagen fibers, elastin fibers, and ground substance, the liquid biochemical solution that bathes the matrix of fibers. Manual structural integration therapy highly influences the relationship of the ground substance with the matrix of fibers, changing the biochemistry of the fascia and the other systems that communicate and integrate with the fascia. Often, this has one of the greatest effects on the client's structure, well being, and energy levels, especially for clients with fibromyalgia, neuropathy, MS, chemotherapy, or restless leg syndrome.

General Principles of Structural Integration Therapy:

Fascia has the tensile strength of steel, so one of its natural properties is to resist stretching. That is how it is able to build a balanced structure in your body and transfer and dissipate stress and force through your body.

With manual myofascial structural integration therapy, your therapist is able to move and manipulate your fascia in a systematic manner to create a more functional balance within your body. It is not only the movement of the fascia, but the knowledge of where to move the fascia and in what sequence.

There are five main reasons why fascia needs to be manually manipulated, and its benefits:

  • fascia is in the wrong place (cannot function as intended)
  • fascia is too short (tight and compression)
  • fascia is too long (tight and jams)
  • fascia has formed scar tissue (binding structures or tissues)
  • fascia is biochemically dysfunctional (ischemic tissue)

Your therapist will evaluate your fascial structure and determine what is going on with your fascia in different parts of you body.

Treatment will include releasing fascia that is short, providing more room for the joints, bones, muscles or organs to move. It will also reduce compressive loads on joints and vertebrae and potential compression or entrapment of nerves. For some clients, it may provide more room for normal organ mobility and motility..

Treatment will include releasing fascia that is "locked long" to remove compensation patterns that cause jamming of joints, movement of limbs, impingement of nerves, or interference with normal organ mobility and motility.

Movement of the fascia in a systematic manner from dysfunctional patterns to normal functional patterns will enable efficient range of motion of joints, provide appropriate and efficient neuromuscular proprioreception (full muscle action and strength), a more balanced integrated structure (good support and posture), create the most efficient distribution of forces through your body (less chance of injury to specific areas of your body), and remove fascial blocks that prevent flow of energy (chi) in your body.

Treatment enhances and helps bring back normal biochemical function of the fascial tissue, including removing ischemic regions (restricted oxygenation of the tissue), increased lymphatic function of the interstitial spaces in the tissue, a greater sense of lightness and energy (quality of tissue), less pain and aching (enhances lymph system to remove toxic metabolic byproducts), and a softer more pliable tissue.

Treatment addresses scar tissue in two ways: helping to reduce unwanted scar tissue and restructuring existing scar tissue. Scar tissue is the process of laying down collagen fibers from the inflammation process, an essential natural part of the healing process.

Visceral Manipulation:
The web of fascia of our musculoskeletal system is connected to, and fully integrated with the visceral fascia of our organs. Each system of fascia influences the other, including creating fascial holding, organ motility dysfunction, and structural dysfunction. Emotional holding in the viscera can often be a key element in chronic pain, tension or dysfunction, both internally in the gastrointestinal system, and the musculoskeletal system.

The body will protect organs and viscera at the expense of musculoskeletal function. Therefore, the body may create fascial patterns that cause the body to move around the internal visceral dysfunction. By releasing the visceral dysfunction, either through mobility or motility, the musculoskeletal system is affected.

There are significant connections between the musculoskeletal system and the visceral system. Our integrated soft tissue treatment program addresses both in an integrated manner.

Neural Manipulation:
The nervous system is one continuous network of nerves that originates in the brain and inervates and branches into every tissue. Even nerves have have a system of nerves that monitor their condition. Every nerve needs a blood supply to function normally. The nerves and their supporting vascular system all are embedded in connective tissue that supports and protects the nerves.

If the connective tissue is compromised through restrictions, adhesions, or entanglements with other connective tissues, the result is not only dysfunction within the nervous system, but it also has the capability of significantly, if not severely restricting or contorting the musculoskeletal system. Many issues are incorrectly attributed to the musculoskeletal system or fascia that are actually attributable to the nerves themselves or the fascial tracts that surround them.

Neuromanipulation provides a means to very specifically, within a millimeter at times, identify the location of the restrictions, the severity, and a means to release and integrate the tissues. Neuromanipulation is often very effective in releasing pain or a structural integration problem when other means are not effective, including standard structural integration therapy.

Vascular Manipulation:
The vascular system includes the heart, arteries that supply the blood to all tissues, the veins that return the blood to the heart, the capillaries and associate lymph system that scavenges intercellular spaces as part of the immune system.

Each vessel is supported and protected by connective tissue. In addition, the walls of the vessels have physical properties that change the rigidity, tension, and torque within the body. The amount of blood flow and blood pressure are critical to the health and function of the supplied tissues and organs. Veinous backflow pressure is one of the most critical control aspects of blood supply to specific tissues.

Vascular manipulation provides a means to monitor pressure differentials, blood supply, tension and torque in specific vessels, and balance the flow of blood, remove restrictions and integrate the soft tissues with the rest of the body.


Soft Tissue Integration, Restructuring and Release:
Tissue is manipulated with very specific, precise, manual, hands-on therapy, working with muscle, fascia, and other connective tissues, including visceral manipulation of the abdomen and connective tissue of the internal organs, neuromanipulation of the nerves and supportive connective tissues, and vascular manipulation of the connective tissues of the arteries and veins.

 


Objective Measurements:
Specific objective tests are conducted to provide before and after benchmarks for range of motion, function, and to accurately focus your treatment program. This evaluation process provides more detailed information about myofascial restrictions in specific areas of your body.

  • Myofascial length testing
  • Osteopathic listening techniques
  • Palpation
  • Manual thermal evaluation techniques

Movement:
Post-treatment movement guidance is provided to facilitate the integration process and neuromuscular re-education. Movement education taps into the wisdom of your body and brings that wisdom back into consciousness, often lost due to injury, trauma, or habitual posture or emotional holding patterns.


Somato-Emotional Release: The energetics of emotional or experiential holding patterns are addressed through somatic integration using dialogue in the manual treatment process. Tissues "hold memory" and potentially create holding or compensation patterns. Current medical models in the field of physical therapy are now recognizing the significance of the emotional element in dysfunctional patterns.
 

Team Approach:
We strive to partner with your medical practitioners. Treatment is coordinated with your medical referring professionals. With the clients permission, we coordinate treatment programs, exercise programs, physical therapy, and keep them updated on your progress.