Warren Hammer

Fascial manipulation is a manual therapy for the treatment of musculoskeletal pain developed by Luigi Stecco. It looks at myofascia as a global system and considers fascia to be a sensory organ. To learn more, visit www.fascialmanipulation.com and pubmed.com, or visit hammer-hands.com for new information on the fascial system.
 
Transcript: "Fascial manipulation is a manual therapy for the treatment of musculoskeletal pain. It was developed over 40 years ago by a physical therapist Luigi Stecco. It's no longer thought that fascia is just a general covering of muscles. Fascia actually presents a very specific organization. And through much research, including dissection of three-day [INAUDIBLE] cadavers, all muscles are attached to what are called fascial expansions. Looking at myofascia as a global system rather than singular muscles finally explains why that old ankle injury 10 years ago could be responsible for a chronic knee problem or a hip or low back problem. Fascia is also considered a sensory organ. It's one of chief locations for mechanoreceptors and proprioceptors such as spindle cells, Golgi tendon organs, Ruffini and Pacini. Without fascia gliding smoothly which allows the normal stretching of these receptors, there must be a deficiency in muscle coordination, muscle strength, and eventual pain. There's so much more. For more information, go to www.fascialmanipulation.com. You can go to pubmed.com, look up "fascial manipulation," look up "fascia, Stecco, Carla, Antonio." I have a great website I think called hammer-hands.com where I continually put in new information about the fascial system."

Fashion gets stuck when the molecules that make up loose connective tissue become inflamed and increase in viscosity, reducing their ability to glide. This happens due to injuries, surgery, or poor posture over time.
 
Transcript: "Great question. How does fashion get stuck? Well, I'm born and we know that fashion covers everything in the human body. It's a three dimensional complex and it's not just a layer that covers the body. It has very important function in that fashion within the fashion show, all receptors. So, every time when muscle contracts, the receptor is stimulated to tell them body and the central nervous system about what it covers. So, without normal gliding, Treasure of muscles will not work correctly because the receptor is in the fashion. So the fashion gets stuck. The receptor can't be stretched and give the proper information. So how does it get stuck? It gets stuck because between muscle and fascia is what they called loose connective tissue and one of the main substances in loose, connective tissue is high ronon. It's not really high, Raonic assets, not an answer. But this molecule is supposed to be free. Each molecule actually contains about 100 percent of its body weight in water and we call bound higher Runnin and it was not bound, it could be disrupted because of an injury because the post surgery because of poor posture over time. So that what happens is, the molecule actually fragments it actually gets inflamed. Its viscosity in Increases. And because of the increase in viscosity, it loses his ability to Glide and gliding is a real important Concept in the world of fashion fashion has to Glide"

Fascial manipulation is a global treatment approach that looks for densification in particular areas to provide relief. It involves looking at the patient's history, and the acupuncture points within the fascial system can help identify possible restricted pivot points which can be worked on to provide immediate relief.
 
Transcript: "Hi, I'm my name is Warren Hammer. I am a chiropractor specializing in fascial manipulation. As soon as anyone talks about any area of their body, one approach in fashion manipulation, what I love is that fashion, manipulation is truly a global treatment. For example, you're talking about the patella, Tendon. It's part of the area that transmits the force of contraction from the quadriceps down. And within fashion manipulation, they have found particular areas in the muscles that affect spindle cells. And it just so happens based on tons of research that the spindle cells have to stretch and the stretching could be inhibited by the Especially what it's called, the perimysium which surrounds those points. So we have to look for. We called densification. Start with the history of any patient. In this case, maybe they sprained their ankle and they have problems. Every once in a while maybe late spring, I have a problem. The pelvis, the key factor would be determined particular. Pathways there's at least 10 of them actually there acupuncture points in the fashion show. System actually acupuncture is part of the fascial system. So by looking for particular areas, maybe there's a restricted pivot point on the interior of pathway it would be around the quadriceps and you can find the same thing in the leg. It might find something in the foot based on an old history of a problem and often you check and maybe for a squat or something that hurts them. But often working on, at a particular point, would immediately change the pain, maybe they would have an immediate relief and you would know that possibly The upper section of the lower section of the lower extremity could be involved. It's a little complicated, but it's great to know."

Chronic tendinopathy is most likely tendinosis and should be treated with friction massage, eccentric exercises, Shockwave therapy, platelet-rich plasma injections, and stem cell injections to stimulate new collagen growth.
 
Transcript: "Well, chronic tendinopathy probably is chronic tendinosis. Tendinopathy is a general term used to describe either an itis or an osis. And anything over three, four months or so is most likely an osis. As a matter of fact, they have used operative, looked at specimens after surgery for tendinosis and noticed that there weren't any neutrophils or macrophages, or very few, but mostly what they see is degenerated collagen. So the treatment for a lot of problems is to stimulate fibroblasts. Friction massage is a stimulator of fibroblasts. Shockwave therapy and other methods will stimulate fibroblastic proliferation. Eccentric exercise is a great way of stimulating fibroblasts in comparison to concentric type exercises. But this is really a problem. You probably have to use friction massage for at least a month along with exercises. Shockwave therapy can be very beneficial. Frankly, to tell you what I do in some of these cases that I'm not helping is send it, I have a pain doctor that I use and maybe you can find one, but PRP, platelet-rich plasma injections along many times with stem cells to stimulate new collagen could be the ultimate treatment for this type of problem. So good luck. It's not easy."

Yes, it is possible to use Graston technique on yourself. To do this, use the instrument on areas where you feel pain and keep flexing the area to help loosen up the tissue.
 
Transcript: "Yes, it is possible to perform graston technique on yourself grass in. Remember is the name of a company that originally began using these stainless steel instruments. It's we now refer to as instrument, assisted soft tissue mobilization and Of course, you can use it on yourself. We used to joke that you becoming a grass debater and use it on yourself. But why not? Of course, there are certain areas that might be difficult to reach. One of the interesting ways of using this method is to use it with motion. So if you, for example, flex your knee and you feel pain over the superior patella, My Flex the knee and do it. Use the instrument where you feel the pain and you keep flexing and you keep working on the painful area, till the individual can or yourself, can now flex your knee and no longer feel pain. It's one of the methods used in treating with instruments so definitely you can use it on yourself."

Fascial manipulation is a technique used to directly affect spindle cells and their functioning. It uses a series of areas where these spindle cells are most prevalent and the technique is used to stretch these receptors to get normal function back. This is different from other fascial release techniques as it focuses specifically on the spindle cells.
 
Transcript: "How does it differ from other fascial-based techniques? I don't know what orthobionomy is. I do know what fascial counter strain is. I do know what myofascial release is. I do know using instrument-assisted technique on so-called fascial areas. But there's something that I have been hearing as far as people talking about fascia that is not recognized. Fascia is a sensory organ, which means it reports to the central nervous system. Now, how does this happen? The reason it happens is because most of the receptors, and I would also say nociceptors, happen to be in the fascia. So, therefore, if the fascia is stuck, if the fascia cannot glide, you cannot allow the information to get to the central nervous system. So let us take spindle cell function first. It performs continuous interaction between muscle contraction and the central nervous system. It informs the central nervous system of the continually changing status of muscle tone, movement, loss of normal elasticity, position of body parts, absolute length of the muscle, rate of change, or velocity of the length of the muscle. The spindle cell keeps the skeletal muscles at a certain level of contraction regardless of their length. So don't you think it would be important to have a direct effect on spindle cells? Well, no fascial technique that I know is tuned in to affect the spindle cell like fascial manipulation does. It's based on a series of areas where these spindle cells are most prevalent, and the technique is used to stretch these receptors to get the normal function back."