achilles tendinosis

[marcelk]

Hy,

Tried something out today : patient with achilles tendinosis very painfull spot on lat. side of tendon
deep tissue mass. (frictions) he can handle for 2 - 3 minutes.
So I tried (maybe) an intuitive technique like DNM
where I longitudinally stretched the skin along n.cut.sural lat. ; distal directed and pushed some skin upward towards the "stretching" hand.
Felt loosening, repeated 5 times, did some "old connective tissue technique" ("you'll might google it up under "gewebswache") in between.

Took about 5 minutes and it was almost painfree; i.e. retried the pressure used with frictions and he told me it felt the same (as I tested) on the other ("healthy") leg.

Ps the only thing I could download (a while ago) was a doc. from Diane of DNM techn. used cervical.

Think I am on the right track here?
Suggestions?

Thanks,
Marcel

The Netherlands

[Diane]

Hi Marcel,
Sounds like you are on the right track.. It sure helps if you start out determined to do whatever it takes, spend however long it takes, to interact with someone's nervous system in a focussed way to help it down regulate perceived pain. Here is a link to the manual (http://www.somasimple.com/forums/showthread.php?t=4174), if you'd like treatment ideas for elsewhere in the body apart from neck.

Sort of makes you wonder, doesn't it? about the kinds of orthopaedic diagnoses that get waved around so casually and ubiquitously.

I like to apply Occam's Razor in my manual work. If you treat a place in the body of someone from a "pain" perspective, and don't worry about their mesoderm, lots of times the supposed mesodermal problem vanishes as if it were never there to begin with. Common sense dictates that there is no true "-osis" that will give up its existence just by stretching a bit of skin over or along a nerve. Yet a lot of the time pain goes away, function improves, so the putative "-osis" must have never existed to begin with.

Maybe someday "-osis's" and "-itis's" named after mesodermal structures will become rarer in the minds of those who treat peoples' cranky bodies/systems.

[marcelk]

Hi Diane,

In this case it makes me wonder : 1 yes because it was a quick try with rapid result; however it was the first treatment-session.
2 no, I'am not wondering that much : I've used massage techn. slightly similar to DNM, Neurodynamics and Mulligan techn. (Mwm's -snags & nags) that worked same "miracles".

I am pleased by the fact that from a tiny bit of info of the DNM techn. it worked from starters.
Am sure I'll be using this more.

Never heard about "Occam's Razor" can you enlight me?

Marcel

[Diane]

Marcel, here is a link (http://en.wikipedia.org/wiki/Occam's_Razor) to wikipedia's definition of Occam's Razor. It is the scientific admonition against making unnecessary hypotheses.

[Jason Silvernail]

Marcel-
Was this really achilles tendonosis (diagnosed by ultrasound or MRI) or just pain in the achilles tendon area?

[daniboy]

Hi Marcel,

I googled "gewebswache" and NOTHING came up.

dani

[marcelk]

Hi Dani,

Sorry mate,.. it has to be gewebswasche this will bring up results

Hi Jason,

Tendinosis was the (a) differential diagnosis or work-hypothesis based on the (hi)story of this patient and phys.exam. ;not by mri or US; This patient was not reffered but came directly for advise,
(before 2007 patient always needed refferal from a doctor here in the Netherlands)
I don't use PT(med.)diagnosis as a mere fact (like it is this and other possibilities are ruled out) but as a differential diagnosis.

Hope I'm proven wrong with the initial thought that this was problem with the tendon.

cheers

[marcelk]

HI Diane,

Thanks for the link....

lex parsimoniae : yep (but with eyes open)

cheers