Raymond Nimmo was one of the first chiropractors to focus on the soft tissue component of dysfunction and subluxation (chiropractic joint misalignment or intersegmental joint dysfunction), advocating specific soft tissue treatment since 1950. Various Soft Tissue Manipulation Techniques Along With Chiropractic Care: Part 4 – Receptor-Tonus Technique (Nimmo)ĭr. The effects of ischemic compression are probably the result of a combination of mechanisms. This happens in the dorsal horn (part of spinal cord) to release endorphins that block pain perception. And also this brings in oxygen and adenosine triphosphates (ATP is the source of energy for use and storage at the cellular level) to the area for healing.įinally, the last theory considers the mechanism that deep pressure produces pain that hyperstimulates interneurons (nerve cells that connect other nerve cells). This produces a circulatory increase capable of removing chemical irritants and metabolites.
Subsequently, this produces a nerve block from lack of oxygen.Īnother explanation is that after the release of manual pressure, a reflex vasodilation (widening of blood vessels which enhances blood flow) and hyperemia (excess of blood in the vessels) occur. Travell and Simons believe that by holding pressure over a specific site, ischemia (inadequate blood supply) is induced to the sensory nerves. Several theories have been suggested to explain the mechanism of ischemic compression. Theories on the Mechanism of Ischemic Compression The clinical application is basically deep manual pressure applied over tender muscular nodules. Each of the named procedures above have varying explanations and theories, but the application is similar for Ischemic compression. The difference is in the individual therapeutic approach and/or mechanism of treatment. All the following named techniques use it to some degree: Receptor-tonus (Nimmo), Trigger point therapy (Travell and Simons), Active release technique, ART (Leahy), and acupressure. Read below about the Various Soft Tissue Manipulation Along With Chiropractic Care: part 4 on ischemic compression practiced in our North Palm Beach office. This post is about ischemic compression which is also a form of soft tissue manipulation technique. As a review, Soft Tissue Manipulation (STM) techniques are defined as those physical methods applied to muscles, ligaments, tendons, fascia, and other connective tissues with the goal of therapeutically affecting the body. Online Patient Handouts help students identify and treat myofascial pain via trigger points.This is a follow up to the post Various Soft Tissue Manipulation Along With Chiropractic Care: part 3. UPDATED! In-text learning aids integrated throughout the text, including learning objectives, case studies, and Q&As, help students master the material and apply it to practice. Information on pain is now better integrated with information on pain treatment. NEW! Updated research from around the world and coverage of the most current evidence-based treatments prepare readers for practice.
The previous edition""s two volumes- Upper Extremities and Lower Extremities_have been consolidated into one accessible book.
These interactive, fully searchable tools offer 24/7 access on multiple devices, the ability to highlight and share notes, and much more.
In addition, the new edition consolidates information to create a more intuitive user experience and features a completely new full color design to bring concepts to life. Donnelly draws on his experience as both educator and physical therapy practitioner to integrate an evidence-based approach into this critical text. This new edition of Travell, Simons & Simons"" groundbreaking work reflects the latest research and best practices associated with trigger points and updates the iconic pain point images that set the standard in the field.