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Functional Soft Tissue Transformation
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July 2012
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Greetings!
Hello fellow practitioners, we hope you're all doing well. This month we share critical information on surgery, injury and scarring. Vince and I have had great, functionally objective results using FSTT on scars, especially if we can address the soft tissue complex in the beginning phases of injury. Education is important here, as the client/patient must know WHY you're doing what you're doing. We hope to aid you in your thought process by sharing a practical example and information regarding surgery, injury and scarring. We hope you enjoy! Please check out our upcoming events at www.grayinstitute.com If you would like to host an FSTT course at your facility, please contact Keith Bozyk at KBozyk@grayinstitute.com If you have any questions or just want to share ideas for an upcoming newsletter topic, please email Lenny at lparracino@gmail.com. Thank you! In Health, Lenny and Vince |
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Clinical Application
 All injury, whether you step on a nail, workout too hard, or fall off your bike, goes through the same mechanism of repair towards recovery. However, the final cosmetic and FUNCTIONAL result may differ markedly. Although outcomes differ depending on the injured tissue, type of injury, genetic factors, and systemic factors, by applying the appropriate energy (FSTT) you can make a big difference in the outcome! Please view an example via this video and then review the Information section below for variations you can customize.
 | | FSTT Newsletter July 2012 |
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Questions/Research/Information
While it is true that vigorous therapy used too early can stimulate unwanted inflammation and edema, manual energy (FSTT) should be applied, yet individualized/modified, for each person and their specific situation. The main reason is two-fold 1) to aid in the control of inflammation and 2) to restore tissue sliding/gliding/function. The following points can help you in your decision making process.
- Inflammation is crucial to the healing process. Therefore artificial means of greatly reducing should be avoided (prolonged ice, pharmaceuticals). Instead, manual energy can applied to help CONTROL (as opposed to reduce).
- Fact: Inflammatory mediators REGULATE all aspects of tissue healing and remodeling, so are therefore necessary. However, this should not be confused with chronic prolonged inflammation (which often occurs when above mentioned is not considered).
- Interestingly, cortisone has shown an inhibiting effect, depressing the formation of ground substance and fibers (Ida Rolf, Ph.D in Rolfing pg. 41).
- Scarring and fibrosis differ in that scarring is necessary and normal. Fibrosis represents a pathological EXCESS of normal tissue repair and often affects various regions.
- The connective tissue response to the internal stress such as inflammatory mediators and growth factors determines how the scar matures (why our decisions make a huge difference).
- The goal is to exhibit a pliable and mobile scar as opposed to a dense, unyielding scar.
- Remodeling is NOT restricted to the injured area. Neighboring non-injured tissue also changes its collagen production rate in response to inflammation (as inflammation is NOT an isolated event). Note: using distant drivers that stimulate (not aggravate) is key (remember Andrea Wayslow's "Sling-Matrix" - great example of this concept!)
- Remember, optimal efficient movement displays sliding, gliding, and/or shifting within surrounding soft tissues. Keep this in mind as you apply your FSTT. With your contact, find the areas of congestion and apply the necessary energy to improve the relative soft tissue translation.
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TAKE HOME:
Damaged tissue, regardless of the reason, needs repair before the system can function efficiently. No one is perfect, but striving for greater efficiency should always be the goal. If tissues are overly restricted, it's not a matter of IF the person will have greater consequences, it's a matter of WHEN.
Thank you for being a part of our FSTT community!
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