Collaborative working

I love collaborative work. I’ve worked with all sorts of practitioners when co caring. But things get really interesting when there are two practitioners in the room at the same time.

I’ve done this before with one of the psychotherapists I work closely with for a lady who had a particularly traumatic C section, and needed both the physical and emotional trauma clearing to resolve the systemic physical issues.

Today I teamed up with the amazing Nat from mybodyworks.
The client had discomfort in the thoracic spine region and painful right shoulder from their predominantly manual job, as well as chronic lower back pain, and slightly truncated breathing.

Visually they had a classic sway back appearance (hips forwards, shoulders rounder mid to upper back rounded), and this was reflected in the foot plate assessment, and perturbation testing (trying to disturb a clients balance in each of the three plans of movement).
Palpation revealed a mixture of very high tone muscles around the thoracic spine and ribs, as well as low tone muscles around the right pectoral area.

We found an old scar was the key to most of the woes. Pre teenage years the client had undergone an orchidopexy (a surgery, normally carried out before the age of two, to move an undescended testicle from, in this case the inguinal canal, into the scrotum and permanently fix it there), and shortly after the seemingly random events where the lower back would ‘go’ started happening.
During the surgery, they cut through the transverse abdominus and internal obliques. This can often cause issues with the ability to build intra abdominal pressure, resulting in a sub optimal core, and a propensity to lower back, breathing and limb issues.

Interestingly we found a non visible (internal) portion of the scar to be overactive, and a visible portion under active.
We focused on the key muscles having issues, and the client was not only able to breath better, they stood taller, with no sway back, the high tone muscles eased without even touching them, the foot plate issues all but resolved, and the perturbation testing was passed with ease.

We also discussed leaky gut (#ScoliMethod), emotional well being (bucket theory) and breathing dynamics (#ID1).

Homework was set, and we will see how they are getting on in a few weeks time.
For handy hints on homework, have a look here …
https://fitnash.co.uk/neurologically_based_rehab_homework/

Image credit Pexels free

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