Bone density is a key factor in bond fracture prevention. Bone is made of cells that die and regenerate. When this process is compromised, the risk of fracture arises. During the early stages of life, we can ensure that we intake and store calcium through food to build up our bones, but after a certain age (about 30), the body stops absorbing calcium, and the storage that we created is now our reserve for the rest of life. Cell Regeneration in Bone and Other Body’s Tissues The body’s cells, like muscle cells, skin cells, tendon cells, ligament cells and even bond cells, are in constant change via a process called cell regeneration. Old cells die off and they get replaced with new cells. In the case of bone, the cells that allow this process to happen are called osteoblasts. While we age, this process slows down, meaning that cells would still die, but they don’t get replaced. A typical example is a woman going through menopause. Estrogen, which is the hormone responsible for bond metabolism, allows the activity of osteoblasts. During menopause, indeed, women have a drop in Estrogen production, and osteoblasts are not as operative as they used to be. Strength Exercises and Cell Regeneration As this meta-analysis shows, strength exercises are a positive stress stimulus for the body and can help the osteoblast work harder and maintain bone cell regeneration. When the body perceives stress as physical resistance, it does its best to establish a reparation mechanism. So whenever we pick a weight against gravity, the body would implement a regeneration of the tissue that are used to complete this action. Who Is at Risk of Losing Bone Mass? There are several factors that can contribute to decreased bone mass: Age: Bone density typically peaks in early adulthood and declines with age. Gender: Women, especially postmenopausal, are at higher risk due to hormonal changes that accelerate bone loss. Family History: A family history of osteoporosis can increase risk. Body Size: Individuals with smaller body frames may have less bone mass to draw from as they age. Hormonal Levels: Thyroid imbalances and reduced sex hormones can lead to bone loss. Dietary Factors: Low calcium and vitamin D intake contribute to diminished bone density. Lifestyle Choices: A sedentary lifestyle, excessive alcohol consumption, and smoking are linked to weaker bones. I have included factors like dietary and hormonal levels in the above list. Bear in mind that taking supplements such as calcium and vitamin D (which helps retain calcium) could have severe contraindications. So, always talk to your doctor or specialist about the intake of supplements. How to determine Bone Density? To determine bone density, there is a diagnostic test called Dual-energy X-ray Absorptiometry (DEXA or DXA). This non-invasive procedure measures the mineral content in bones, usually in areas like the spine, hip, or wrist, to assess bone density and identify potential risks of osteoporosis or fractures. The results are given as a T-score, which compares your bone density to the average peak bone mass of a healthy young adult. A T-score of -1.0 or above is considered normal, while a score between -1.0 and -2.5 indicates low bone mass (osteopenia), and a score of -2.5 or lower suggests osteoporosis. Other methods, like ultrasound or quantitative computed tomography (QCT), can also assess bone density, but DEXA remains the gold standard for bone health evaluations. Mobility before strengthening So far, we have discussed how strength exercises are a good way to maintain bond density. Still, I would not recommend that anyone who is not into strength exercise and has bone density issues go and start lifting heavily. Why (?), you may ask. Well, before we start lifting heavy, we want to ensure that the body mechanics are optimal for it, so we better start looking into your mobility and then pass on to the strength part of things. Please be aware that mobility has nothing to do with elasticity or stretching. Those are different practices. How Can We Achieve Great Mobility For people who decide to take a journey to ensure an optimal level of mobility and then strengthen the body, the first step is to assess their joint mobility with active and passive range of motion. After that, we could use a combo of Myotherapy treatment and mobility exercises to ensure they can quickly pick up the best of their mobility capacity, given their subjective presentation. And here is a list of mobility exercises which we may look into at first: Hip Openers to improve range of motion in the pelvis and lower back. Ankle Drills to support proper weight distribution in weight-bearing exercises. Thoracic Spine Mobility Exercises to prevent excessive strain on the lower back. AC Joint External rotation to ensure we can build strong rotator cuff muscles, essential for shoulder health It Is Time To Strength. How Can We Do This? Once the minimum mobility is achieved, which may take 1 to 2 weeks of training, depending on each individual and their subjective history and effort, we can start looking into more strengthening exercises. So, here is a list of different exercises that can help with strengthening, written with the progressions to follow: Calf raises with double leg, single leg and weight Hamstring and Quads Curl that gets weight added as weeks go by Standing Adduction and Abduction at cable machine or with resistance bend Glut Muscles training at cable machine or with resistance bend Deadlift for back and posterior chain muscle strength Squat with weights and explosion variations Cuff rotator-specific strength is Ideal before stepping into more complex arm weight-lifting Cervical muscle strength to prevent cervical headache and sore neck All of those exercises, except the cervical one, can then be modified to achieve plyometric drills and combined movement. But this is a process that would take months, and there is no rush to get to it, as I want you to be safe through out the all journey. Integrating Exercise into Myotherapy Treatment At Melbourne Massage and Treatment, I […]
Tag Archives: treatment
Jun
A surgery, even the most minor cut, is a big deal for the body. And a robust Lymphatic System can help you recover faster from this type of intervention. The lymphatic system is a body system that collects, moves and cleans the excess water and substances, like bacteria, viruses, dirt, tattoos, ink and more, from below the skin and then passes it to the bloodstream. Lymphatic System and Surgery. 80% of the Lymphatic System seats below the skin, and 20% sits with the deep fascia. When going for surgery and the skin gets cut, the superficial layer of the lymphatic system gets interrupted and so damaged. Unless we intervene, the lymphatic system will have a hard time regenerating. Indeed the lymphatic system can regenerate if stimulated. The stimulation of the lymphatic system happens through the touch, like with MLD or through the movement of the body, like exercises, even as simple as muscle contraction. How MLD can help the pre and post-surgery. Indeed, before or after surgery, it is recommended to stay active. This would allow the Lymphatic System to stay active and robust and regenerate quickly. On the other hand, being active post-surgery is not always an option. In fact, during the post-surgery, being active in the area that got stitches can be a contraindication, as the stitches could brake. A cast may be present in other cases, and the muscle near the surgery can’t be moved. That’s where MLD can help the lymphatic system to be stimulated. By doing so, we can guarantee the circulation of liquids in the body. But not only that. Reducing the swell around the cutting area or below the area affected by the operation would guarantee a fast recovery. This is because the oxygen released from the blood capillary, which would initially be too far from the swollen skin, can now reach the wound and help recover the skin cut. But if the area is puffed or swollen, that oxygen can’t travel as far, and the healing will not be as fast. So MLD, by boosting the lymphatic system, reduces the swelling and allows the body’s natural healing process. What to do if I have to go for surgery then? If you are up for surgery soon and you have no contraindication to MLD, what you can do to guarantee a faster recovery is, keep moving as much as you can, stay active, and book yourself in for a few MLD treatments just for the days before your surgery is due. That would help with the Lymphatic System recovery, as a more robust and healthier Lymphatic System would recover faster. And as the risk of infection and post-surgery are under control, and your blood pressure is within the acceptable range (this depends on what type of surgery you did), get moving as possible and come back for a few more sessions of MLD. Whit, what type of intervention can MLD help with? C-section (preeclampsia) bone fracture liposuction carpal tunnel knee reconstruction hip replacement day hospital intervention I went for surgery, and I got Lymph Nodes removed. As often can happen for cancer surgery, lymph nodes get removed if they are contaminated by the cancerogenic cells. Lymph node removal prevents the cancer cell from spreading along the rest of the body. If that’s the case, I may not be the practitioner that does this for you, as my qualification for MLD are up to a level where I can work with a patient who has an entire lymphatic system. Said so, I can still refer you to a practitioner who would be able to look after yourself. Do you have any questions about this topic? Or would you like to book in now your next session? Get in touch now through the contact page or place a booking by clicking here.
Jan
Here is a list of services available at Melbourne Massage and Treatment: Myotherapy Exercises Rehabilitation Remedial Massage Thai Massage MLD Thai Yoga What are these services about? First, any of those services are holistic services, so they can’t be official diagnoses for medical conditions, and Giovanni can’t prescribe any medications. What to expect is guidance on how muscularscaletol conditions, such as plantar fasciitis, tight muscle, muscle tear and more…can be looked after and overcome with manual therapy and exercises. As Myotherapist, Giovanni can guide you on how possibly the pain manifests and how with massage and specific exercises, the pain can be placed at ease. Part of the process of pain management is the change in habits. This can include posture at the workstation, but not only, but other changes can also include your training program, which maybe is too intense for your body and needs to be adjusted. How is the massage delivered? Any massage is delivered in total respect of the patient and the therapist. No nudity or sensual massage are available. Only the body area that needs attention would be exposed. The rest of the body is covered in a towel. Undress level is down to bra and underwear when need it. If we are working on your shoulder, there is no need to remove the pants. Regarding individual massage sessions, like myotherapy treatment, remedial massage, and/or Thai massage, an assessment of the muscular scale of the system would be delivered before the treatment. This assessment included a series of ROM. These assessments would help Giovanni understand what muscle or groups of muscles needs more attention during the treatment. What should I do before the massage session? Treatments such as myotherapy, remedial massage, and MLD include exposing the body parts that need to be worked on. Said so, having a shower before the treatment would be much appreciated. You don’t need to wear any perfume, a deodorant is enough. Should I shave? No, you don’t need to shave. If rock tape needs to be used, the rock tape can be placed over body hair. When you have to remove it, make sure to roll it downwards. Do not pull it off like it is a wax treatment. That could lead to ripping hair and skin off. Where does Giovanni work? Melbourne Massage and Treatment services are available at the Fitzroy North studio on Holden St. Book now your next appointment. If this post didn’t answer all your questions, don’t hesitate to message Giovanni through the Contact Page.
Dec
Patellar tracking disorder is a condition that occurs when the patella, also known as the kneecap, moves out of its original place when the leg straightens or bends. What causes Patella Tracking Disorder? In most cases, the kneecap shifts towards the outside of your leg, called “Lateral Patella tracking”. Occasionally in some cases, it may shift toward the medial side too. Why this shift happens due to the force applied to the kneecap itself. It was said that the knee joint is a hinge joint, which connects the tibia and fibula of your leg with the femur. The kneecap is held in its natural position by ligaments on the medial and lateral sides and by tendons on the top side. Below the patella is a cartilage layer that helps the patella glide along the femur’s groove. When the cartilage below the patella does wear out, it can create pain and discomfort in the knee. The misalignment of the patella results from tendons, muscles or ligaments that are either too tight or too loose. Lateral patella tracking VS Medial patella Tracking In the case of Lateral Patella Tracking, the Vastus Lateralist is over-developed compared to the Vastus Medialis or the IT Band (Iliotibial Band) pulling too much. Vastus L. can overtake Vastus M’s strengthening due to the muscle size. Indeed the V.L. is visibly bigger than the V. M. On the other hand, tension along Gluteus Max and or tensions in the TFL can play a role in the pulling of the IT band. Are you in Pain, and you suspect to have a Patella Tracking disorder? Get in touch with Giovanni now. Risk factors for Patella Tracking Disorder Here is a list of reasons that can lead to Patella Tracking Disorder: Footwear Running Weakness in the quads muscle Unbalance of muscle between the inner and outer regions of your tight Sports that require excessive knee bending, jumping or squatting Improper form or techniques while working out or during sports activities Overweight Genetics (structural reasons) Incidents or trauma to the knees Malformation within the femur bond Damaged cartilage Symptoms Pain is the most symptom of Patella tracking disorder. The pain caused by this condition can occur during regular activity such as standing up, walking and or sitting down. Any knee movement can recreate the pain. In the case of arthritis, the pain can be more intense, and swelling is present at the knee joint. Treatment Options At Melbourne Massage and Treatment, the services available for Patella tracking are multiple. Depending on the severity of the condition, Myotherapy treatment and or MLD are the most recommended. Thanks to Dry Needling and/or Joint Mobilisation therapy, Myotherapy treatment can help rebalance the muscle forces surrounding the knee cap. On the other hand, MLD can help in reducing the inflammation and the swelling present eventually on the knee joint. What then Giovanni would look in, too, is also the mobility of ankles and hips. The correct mobility of these two joints would ensure that the knee is not compensating for the poor joint quality of movement, which can be part of why the patella tracking disorder is in the first place.
Dec
The Nervous System (NS) controls the voluntary and automatic functions of the body. It is made up of: brain spinal cord nerves Subdivision of the Nervous System The nervous system, initially, can be divided into the Central Nervous system (CNS), which is made of the Brain and Spinal Cord and the Perhiperic Nervous System (PNS), which consists of nerves that connect the CNS to the rest of the body. In more detail, the PNS can be divided into Sensory Neurons and Motor Neurons, the Motor Neurons can be divided into Somatic Neurons and Autonomic Neurons, and finally, this last is divided into the Sympathetic and Parasympathetic Nervous Systems. The function of the Nervous System The nervous system can also be defined by its functionality. For this subdivision, we have three categories: Sensory Affarent function Integrative function Motor Efferent Function The afferent function is characterised by a signal that travels to the brain from the PNS. The integrative part analyses the sensory information, stores some aspects, and makes decisions regarding appropriate behaviours. The Motor does respond to the stimulus by initiating an action. The Nervous System is made of Neurons. Neurons carry messages to and from different parts of the body. To be functional, neurons need three components: Oxygen Stimulation Food Neurons can start within the brain and travel down to the spine or can begin with the peripheric portion of the body and travel to the spine and brain next. Either way, the information can travel in one direction only. For afferent neurons, the direction is from the peripheric body portion to the brain, and the efferent is from the CNS or Brain to the peripheric part. Synapses connect neurons. The Synapse is the space where information is exchanged between two neurons. For a signal to be transmitted along a neuron, a chemical reaction has to happen within the neuron cell. This chemical reaction is better known as Action Potential. Once an Action Potential is started, an electric signal, within the order of mV would be transmitted from the Neuron cell to the opposite end, called Axon Terminal. At The Axon Terminal, the neurotransmitter would be passed and sent to the next neuron, receiving those substances through the receptors on its cell membrane. This is just a simplification of how communication between two neurons happens. In reality, there are variations to this communication methodology, and not always does the communication succeed. The NS is responsible for the following: memory, learning and intelligence movement controls the organs’ functions: – heart beating – breathing – digestion – sweating the senses: – sight – hear – taste – touch – smell The Sympathetic and Para-Sympathetic NS. The Autonomic NS controls the body parts we don’t have to think about it, like breathing, sweating or shivering, indeed the main organs. The SNS controls how we respond to emergencies. It makes our heart beat faster and causes the release of adrenaline. Where the parasympathetic nervous system prepares the body for rest (for example, when we go to sleep). The PSNS and the SNS work together to manage the body’s responses to our changing environment and needs. Massage and Nervous System As massage or manual therapy is a direct stimulus of the body, it plays a role in the response of the NS. What can happen is due to genetic factors, muscle tensions, and bulge disk nerves can get trapped along the way. Using the different testing approaches, such as Myotome and Dermatome, Giovanni can guide you through understanding where the nerve got entrapped or pinched. But this type of work is mainly for conditions where physically the nerve is involved in pour functionality. An example can be when someone has poor strength, on one hand, compared to the other, or when the sensitivity of a patch of skin is not so accurate. MLD and Nervous System Another technique, such as MLD (Manual Lymphatic Drainage), plays a role in the Parasympathetic Nervous System. An MLD treatment is profoundly relaxing, as it calms the nervous system, reduces pain and restores balance. This happens because of the mechanic repetitive movement used during the technique. There for, no pain has to be replicated during the treatment, or the SNS gets activated, as per pain response, and the body goes into “alarm” mode. Physical or mental pathologies can play a crucial role in the functionality of the nervous system, and techniques like MLD or Massage therapy generally can help in reducing symptoms and assisting in overcoming pain and body dysfunctions. Along the mental conditions, we find Anxiety or Depression too. In conclusion, any Massage Therapy or Manual Therapy, including Thai Massage, Remedial Massage, MLD and or Myotherapy, are great tools to release the tension in the body and improve the status of the nervous system. On the other hand, breathing, as per already disgust in the breathing wave blogs (Blog 1, Blog 2) plays a vital role in the well-being of the body, mind and nervous system. Feel stressed and need to release some tension? Book now your next massage at Melbourne Massage and Treatment.
Arthritis can be described as the swelling and tenderness of one or more joints. Arthritis symptoms and types Symptoms include: joint pain stiffness reduce Range of Motion (ROM) Major Types: Osteoarthritis Rheumatoid-Arthritis Said so, Arthritis can be a consequence of another type of disease, like: Ankylosing spondylitis Gout Juvenile idiopathic Psoriatic A. Reactive A. Septic A. Thumb A. Those types of Arthritis manifest in different body areas and can display simultaneously. Symptoms can worsen with the ageing process. What is Osteoarthritis, and what causes it? We refer to osteoarthritis when the cartilage between the bonds that form a joint does wear out. Cartilage is a hard, slippery tissue that sits between 2 bonds, like the knee cap and femur, or between the bond of your fingers and toes. When this protective layer that keeps the two bonds separate does work out, the joint starts swelling due to an inflammatory process, and pain is consequently reproduced. The cause can be joint overloading due to chronic injuries or imbalance within the musculoskeletal system. For example, wearing high heels, or having a high foot arch, can lead to wear in the cartilage of the big toes. There is no cure for this type of arthritis, and pain management, through manual therapy and or medications is what so far can be done. What is Rheumatoid Arthritis, and what causes it? Rheumatoid A. is a disease type where the immune system attacks the joints. For rheumatoid arthritis, there are fewer known reasons why it can happen, but there are some factors that can play a role, such as: Family history Gender Obesity Joint injury Age Diagnoses To diagnose arthritis, you would have to see your GP and go for further investigations such as an X-ray, blood test or other medical investigations process. Massage and Treatment for Arthritis. For this type of condition, massage can be a useful therapeutic tool to reduce the pain sensation and manage the presentation. No massage technique can cure the presentation itself, but techniques like MLD are probably the most effective in pain management and symptom relief. Thanks to the direct stimulation of the Lymphatic System, MLD can inhibit the pain signal and relieve the person. As arthritis is often present in older people, we must check for any other condition or presentation that is an absolute contraindication to this type of treatment before commencing treatment. If this post is talking to you, and you need a massage, book your next session by clicking here.
Aug
The carpal tunnel is a narrow passageway in the wrist that opens into the hand. The median nerve runs through the carpal tunnel and gives feeling to the 2nd through the 4th finger (the medial half of it). Carpal tunnel is a condition that affects any gender, and the prevalent of people affected by this condition, are people who do repetitive movements with their hands and arm. Carpal tunnel Symptoms Numbness Pins and needles in the hand Pain, particularly at night Darting pains from the wrist Radiated or referred pain in the arm and shoulder Weakness of the hand The little finger and half of the ring finger are unaffected. Causes of Carpal Tunnel Presentation Occasionally there is no clear cause for Carpal Tunnel. Said so, sometimes there is a combination of factors such as: Arthritis – C.T. is a consequence of inflammation and swelling Pregnancy – During the pregnancy period, given the increase of hormones, the body tends to retain more fluid, which can compress the median nerve and replicate CT symptoms. Genetics – some people can have smaller carpal tunnel Overuse injury – as previously mentioned, repetitive movement and overload of the wrist can lead to CT syndrome Treatment options Along with different treatment options, massage is the first non-invasive approach someone can try for carpal tunnel. As soon as the symptoms show up, it would be wise to go and see a massage therapist. Techniques such as Remedial Massage, Myotherapy can easily address the problem and alleviate the pain. Depending on the presentation and the cause of the carpobual tunnel, even Applied MLD (manual lymphatic drainage) can be an ideal treatment option. Along the physical therapy, rest is highly recommended, and exercises, as often happen, play the main role. To prevent pain from wrist movement, a splint can help. Other treatment options. Surgery is a standard alternative option for Carpal Tunnel. It is a common intervention and can be done on both hands simultaneously. The patient can choose to go for local or general anaesthesia. Surgery for Carpal Tunnel involves a cut along the palm and the wrist. The surgeon then cuts the ligament to reduce pressure on the underlying median nerve. Once the skin gets stitched back, the ligaments heal themselves, and the new scar would not put so much pressure on the median nerve. Even though the surgery is easy, it can have some complications, like swelling and damage to the median or ulnar nerve. Also, if the ligament was not cut completely, it would still apply pressure on the Median Nerve, and a second surgery would be needed.
Jul
A muscle tear is an acute injury caused by a laceration of the muscle cells/fibres and or tendon to which the muscle is attached to. How can happen a muscle tear? A muscle tear happens when a muscle is weak and don’t activate at the right time. Weak muscles are common in repetitive movement or when a muscle overcompensates due to a fragile pattern. For example, tearing a hamstring is expected when the Gluteal Firing pattern is incorrect. This type of injury is common in sports activities. Still, it can also happen within a home environment by lifting a box incorrectly or during garden activities. The three grades of muscle tear. Grade 1 muscle tear is the mildest one. As per this case, only a few muscle cells have been torn. Symptoms are like: mild pain, moderate swelling, none or light bruising. In grade 2, a moderate amount of muscle cells have been damaged. Symptoms are like: Bruising is now more evident as per the swelling You must luckily hear a sound as the tear happens More severe pain, especially when trying to use that muscle. Grade 3 is the worst-case scenario. In grade 3 muscle tear, the muscle has fully torn. Still, a pop or a sound would happen as the tear happens. On the opposite side of where the muscle did lacerate, you will notice a bulge as the muscle coiled up after tearing. Weakness in using the limb where the muscle got torn. In case of a Grade 3 muscle tear, surgery is needed to reattach the muscle. How to treat a muscle tear? The immediate appliance of heat or cold packs is highly debated. A cold pack would numb the area and help with the pain symptoms. As mentioned in the “Ice Pack” blog post, that is actually recommended. On the other hand, a heat pack would help stimulate blood circulation in the affected area, reduce swelling, and boost recovery. It’s important to note that applying a heat pack too soon after an injury can actually make things worse. It’s best to wait until the acute phase has passed, which typically takes around 48 hours. At that point, heat therapy can be a helpful way to alleviate pain and promote healing. Regarding massage treatments, MLD can be the only technique used as soon as the tear happens. Indeed MLD would be highly recommended for boosting the recovery, especially in case of a tear in 3rd grade, where operation is needed. In case of a 3rd-grade muscle tear, the first thing to do is see a doctor. Other massage techniques, such as Myotherapy, Remedial Massage and Thai Massage, are still valuable for muscle tears. On the other hand, either Myotherapy, Remedial or Thai Massage can only be practised after 48 hours of rest are passed after the incidents. Indeed that 48 h is considered the acute phase of the muscle tear. How to prevent a muscle tear? More the body moves, the less the chance of injury. Making sure to do simple exercises involving basic body movement can help in muscle tear prevention. but not only. Keeping the joint moving is another essential aspect of injury prevention. How can massage help? Along with a massage treatment, the area of focus will be the torn muscle and surrounding area. Initially, the technique used with a massage treatment, especially for the injured area, would be MFTT and passive movement/mobilisation. That would help muscle recovery and facilitate joint mobility, reducing the muscle’s load. Going ahead with the treatments, techniques such as MET, a resisted muscle force technique, can be used. This would allow the muscle to gain elasticity. Book your next session by clicking here if you are suspicious of a muscle tear and need treatment.
Jun
Lymph nodes (or lymph glands) are small lumps of tissue containing white blood cells that fight infection. They are part of the body’s immune system and filter lymph fluid, composed of water and waste products from body tissues. Introduction to Lymph Nodes Lymph nodes are located in different body areas. On average, we have approx 600 LN. In the neck area only, we find 160 LN itself. LN can vary in size and go from 2 to 30 mm. Lymph Nodes are connected by vessels, better known as afferent and efferent vessels. The afferent vessels carry the lymph to the lymph node, and the efferent vessels take the lymph away from the lymph nodes. So, the lymph nodes are also connected directly to the blood system, veins, and arteria. What is a lymph node made of? Despite the structures that enter and leave the lymph node, these cleaning stations are made of: Connective tissue capsule Supporting strands of connective tissue inside Below the marginal sinus, there are clusters of lymphocytes lymphoid follicles Artery, vein and nerve As for the filtering station, the lymph node is essential to ensure that no bacteria, viruses or dirt can access the blood system. Where we find no lymph nodes in the brain. Indeed, the lymph fluid around this area gets drained by the Optic and Olfactory nerve. Following then the position of the lymph nodes, we can define the watershed. MLD and Lymph Nodes. Lymph Nodes can occasionally be swollen, which happens when the body fights an infection. In my practitioner experience, I often have to refer to the lymph node concept to introduce the client to MLD treatment. Not many clients know about this technique; they are more familiar with Myotherapy or Thai Massage and Remedial Massage. Said so, the client who tried MLD are all well impressed with its benefit. During an MLD session, what happens is that with a gentle stretch and recoil of the skin, I help your lymphatic system to work faster. Consequently, that’s how swollen area gets reduced. In pushing your lymphatic system to work harder, the lymph node would receive more liquid to process. On the other hand, knowing where the lymph nodes are, is essential to ensure we push the lymph liquid in the right direction. If you haven’t booked your appointment yet and wish to set a goal for MLD, please follow this link.
Jun
Calf muscles make up the lower posterior portion of the leg. Calf Muscles are: 2 are the calf muscles, the Gastrocnemius and Soleus. Below is a table with Gastrocnemius and Soleus’s Origin, Insertion and Action. Gastrocnemius Origin The posterior surface of the lateral and medial condyle of the femurs Insertion Calcaneus via calcaneus tendon Action Flex the knee Plantar flex the ankle Soleus Origin Soleal line; the proximal posterior surface of the tibia and posterior aspect of the head of the fibula Insertion Action Plantar flex the ankle So, due to their origins and insertions, we can clearly understand how the Gastrocnemius is involved in knee flexion and how the Soleus is not. The Gastrocnemius does across the knee, as it originates from the femur itself. On the other hand, the Soleus doesn’t cross the knee, so it doesn’t play any role at the knee level. This aspect is so important to differentiate what of these 2 muscles are involved in the restrictive movement at the ankle, and or in calf pain. Calf Muscles testing Firstly the patient is lying down in a supine position (face up) doing active dorsiflexion. Secondly, we will ask the patient to lie in a prone position (face down), and we knee bend (passively), they would go in ankle dorsiflexion again. What happens there is when the knee is flexed passively, the Gastrocnemius is deactivated, and so the ankle dorsiflexion is happening by pulling the soleus only. Now, 2 are the case scenarios that could happen: Still a limited range of motion at ankle dorsiflexion with or without pain A better quality of ROM with a greater angle in dorsiflexion. In the first case, the tension muscles could still be both. In the second case, the Gastrocnemius is clearly the muscle limiting the ROM. For ankle ROM in dorsiflexion, we are looking for a minimum of 20° to up to 30°. It is not all about Muscle Pain. But can calf pain be related to something else and not just to muscle pain? The answer is YES. Calf muscle pain can be a RED FLEG for Deep Veins Thrombosis (DVT), especially after a flight. DVT Symptoms: Sharp pain; Heat at the touch; Soreness at the touch; Redness on the skin. In this case, you want to contact your GP immediately. Massages are absolute contraindications. In conclusion, for a full calf or muscle recovery, we want to look in too some exercises. Remedial Massage, Myotherapy, and Thai Massage are great ways to reduce pain and manage symptoms, but exercises are essential actually to heal a muscle. Indeed, when we talked about plantar fasciitis, those exercises are something that we can look at for calf strengthening.