Join Now!      Login

Whole Person Wellness Program
 
healthy.net Wellness Model
Skip Navigation Links
 
 
FREE NEWSLETTER
   
   
   
 
Health Centers
Key Services
 
Walking?
Which of the following in NOT a direct benefit of a regular walking regimen?
Reduce Stress
Improved immune function
Achieving ideal weight.
Improved sugar metabolism

 
 
 Bodywork Masterclass: Bodywork Masterclass Series-8 - Integrated Neuromuscular Inhibition Technique (INIT) - In Treatment of Pain and Trigger Points - An Introduction 
 

Hypothesis
The author hypothesises that partial contraction (using no more than 20 to 30% of patient strength, as is the norm in MET procedures) may sometimes fail to achieve activation of the fibres housing the trigger point being treated since light contractions of this sort fail to recruit more than a small percentage of the muscle's potential.

Subsequent stretching of the muscle may therefore not directly involve any of the critical tissues surrounding and enveloping the myofascial trigger point. Failure to actively stretch the muscle fibres in which the trigger is housed may account for the not infrequent rapid recurrence of trigger point activity in the same site.

Repetition of the same stress factors which produced it in the first place could also be a factor in such recurrence of course.

A method which achieved precise targeting of these tissues (in terms of tonus release and subsequent stretching) would be advantageous.

Selye’s Concepts
Selye has described the progression of changes in tissue which is being locally stressed. There is an initial alarm (acute inflammatory) stage followed by a stage of adaptation or resistance when stress factors are continuous or repetitive.

In the stage of adaptation muscular tissue becomes progressively fibrotic, and if this change is taking place in muscle which has a postural rather than a phasic function the entire muscle structure will shorten.

Clearly such fibrotic tissue, lying in altered (shortened) muscle, cannot simply ‘release’ itself in order to allow the muscle to achieve its normal resting length (as we have seen, this is a prerequisite of normalisation of trigger point activity). This is not simply a case of altered tone, but of altered tone and structural change to the muscle fibres.

Normalisation requires ‘something’ to be done which effectively releases and stretches the tight fibrotic tissue housing the trigger point(s).

Along with various forms of stretch (passive, active, MET, PNF etc) it has been noted above that inhibitory pressure is commonly employed in treatment of trigger points.

Such pressure technique methods (analogous to acupressure or shiatsu methodology) are often successful in achieving at least short-term reduction in trigger point activity and are variously dubbed ‘neuromuscular techniques’.

Application of inhibitory pressure may involve elbow, thumb, finger or mechanical pressure (a wooden rubber tipped T-bar is commonly employed in the US) or cross-fibre friction.

All of these methods induce a degree of local trauma to the tissues when applied during treatment - although when the pressure is applied for a short period only or intermittently rather than constantly this tendency is minimised.

INIT Hypothesis
Is there another way of targeting precisely the tissues in which the trigger is housed so that when stretching is introduced, using Muscle energy or passive stretching, the offending fibrotic musculature is indeed treated?

Clinical experience indicates that by combining the methods of direct inhibition (pressure mildly applied, continuously or in a make and break pattern) along with the concept of strain/ counterstrain and MET just such a specific targeting can indeed be achieved.

Strain/Counterstrain (SCS) briefly explained.
Jones has shown that particular painful ‘points’ relating to joint or muscular strain, chronic or acute, can be used as ‘monitors’ - pressure being applied to them as the body or body part is carefully positioned in such a way as to remove or reduce the pain felt in the palpated point.

CONTINUED      Previous   1  2  3  4  5  Next   
 Comments Add your comment 

 About The Author
Leon Chaitow ND, DO, MROA practicing naturopath, osteopath, and acupuncturist in the United Kingdom, with over forty years clinical experience, Chaitow is Editor-in-Chief, of the ...more
 
 From Our Friends
 
 
 
Popular & Related Products
 
Popular & Featured Events
Wellness Inventory Certification Training
     September 16-December 16, 2014
     Teleclass, CA USA
 
Additional Calendar Links
 
Stevia Products & Info
 
Dimensions of Wellness
Wellness, Feeling, dimension!

Home       Wellness       Health A-Z       Alternative Therapies       Find a Practitioner       Healthy Products       Bookstore       Wellness Inventory
Healthy Kitchen       Healthy Woman       Healthy Man       Healthy Child       Healthy Aging       Wellness Center       Nutrition Center       Fitness Center
Free Newsletter      What Doctor's Don't Tell You      Stevia.com      Discount Lab Tests      First Aid      Global Health Calendar      Privacy Policy     Contact Us
Disclaimer: The information provided on HealthWorld Online is for educational purposes only and IS NOT intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek professional medical advice from your physician or other qualified healthcare provider with any questions you may have regarding a medical condition.
Are you ready to embark on a personal wellness journey with our whole person approach?
Learn More/Subscribe
Are you looking to create or enhance a culture of wellness in your organization?
Learn More
Do you want to become a wellness coach?
Learn More
Free Webinar