Myofascial Release Series: Introduction

0 August 15, 2018

Authors: Anil Verma, K Mrityunjay, Deepak Chhabra Myofascial Release is a specialised physical and manual therapy used for the effective treatment and rehabilitation of soft tissue and fascial tension and restrictions. ‘Myo’ means muscle and ‘fascia’ means band. Fascia, an embryological connective tissue, is a 3D continuous web of elastin and collagen fibres surrounded by a viscous fluid called the ground substance. These two fibre types allow it to be very strong yet have a high degree of flexibility whilst the ground substance is a fluid transportation medium and acts a slide and glide mechanism between structures. Fascia surrounds, infuses and protects every other tissue, tendon, muscle, bone, ligament and organ of the body. In healthy conditions the fascial system is relaxed and wavy in configuration. This provides a cushioning and supportive mechanism allowing us to move safely without restrictionor pain. Fascia is also dynamic in nature, it responds to internal and external forces applied on it meeting the resistance in order to protect. img-gen63   Research has proven that fascia, like muscle, has the abilityto contract and relax and plays a major role in mobility and stability of joints. Fascia acts as a

0 April 12, 2015

Dr. Deepak Chhabra, Dr. K Mrityunjay   Morton’s toe (or Morton’s footGreek foot, “Royal toe“, “LaMay toe“, “Sheppard’s toe“, Morton’s syndromelong toe) is the condition of a shortened first metatarsal in relation to the second metatarsal.  It is a type of hypoplastic metatarsal or Brachymetatarsia (where there is one or more shortened metatarsal) The correct term for Morton’s Toe is Morton’s Foot Syndrome, named after Dr. Dudley Morton who was a foot doctor of some fame back in the 1930’s. Morton’s toe is a little misleading, because this condition isn’t really a long toe, meaning the phalanges (toe bones). It is the relative length of the Metatarsal foot bones, specifically the relative   lengthdifference between the first and second that defines this foot shape. For most feet, a   smooth curve can be traced through the joints at the bases of the toes. But in Morton’s foot, the line has to bend more sharply to go through the base of the big toe, as shown in the diagram. You don’t need an x-ray to determine if you have Morton’s Toe. If the space between your first and second toe appears to be deeper, not wider, but deeper than the space between your second an

Posted in Evidence Based Practice, FIBROMYALGIA, Foot Pain by deepak.chhabra.pt@gmail.com
0 April 1, 2015

(Dr. Deepak Chhabra, Dr. K Mrityunjay)

Introduction In response to the demand for a clinical definition of fibromyalgia syndrome (FMS), the Expert Consensus Panel, selected by Health Canada, established clinical criteria that encompass the potential pathophysiological dysfunctions, and developed an integrative approach to the diagnosis and treatment of FMS.   Classification The prominent feature of FMS is chronic, widespread musculoskeletal pain, but it is usually accompanied by numerous other multisystemic dysfunctions. Fibro refers to the fibrous tissue, myo refers to the muscles and algia refers to pain. Fibromyalgia is assigned number M79.0 and is classified as nonarticular rheumatism in the World Health Organization’s International Classification of Diseases (ICD). FMS is in the “generalized” category of the large group of softtissue pain syndromes, implying that a systemic process involves the musculoskeletal system globally. Compelling evidence of physiological and biochemical abnormalities identifies FMS as a distinct pathophysiological clinical disorder.   Etiology Before the onset of FMS, most patients enjoyed an active, healthy lifestyle. There is consistent documentation that a physical trauma, p

Posted in FIBROMYALGIA by deepak.chhabra.pt@gmail.com