Fascial Manipulation Technique…What Is It?

;In preparation for next month’s Special Podcast Interview with Dr Carla Stecco, you might enjoy listening to the podcast where I interviewed Dr Larry Steinbeck, a PT from the USA who teaches Stecco Fascial Manipulation technique.fascial manipulation podcast
Larry provides a great overview of our understanding about fascia. He goes on to perhaps provokes our thinking about how we might be able to reduce pain and increase range of motion by using Dry Needling directed at deep and superficial fascial layers.

fascia muscle tissueHe teaches the Stecco Fascial Manipulation technique which was developed by Luigi Stecco, an Italian physiotherapist from the north of Italy. This method has evolved over the last 40 years through study and practice. You can listen to the Fascial Manipulation technique podcast with Dr Larry by clicking here.

Luigi’s daughter, Carla is Orthopaedic surgeon and has also devoted much of her academic life to the study and understanding of fascia. I’ll be interviewing Carla next month and the podcast will be available through our iTunes Channel.

Here are some of the topics we covered when I interviewed Carla:

What is fascia? Give me a quick summary, the layers, deep/superficial, sub-layers.

Fascia is richly innervated, it has mechanoreceptors (Ruffini/Pacinian), it has free nerve endings, and nociceptors. What are the implications of having such innervation? E.g. you discovered, now more than 20 years ago, in 1995 years that the innervation is related to proprioception. Does fascia report positional information?

Are fascial patient presentations always chronic or can they be acute. One example that we’re all familiar with is and visualise is the fascia over the pectoralis major; this connects to the fascia overlying and investing the biceps brachii. The same ante brachial fascia also connects to the fascia overlying the forearm and the ulna. How does this influence how you manage fascial presentations and how they present?

How do patients who present with pain or reduced ROM that is related to fascial tension or strain present? Do they present with different pain characteristics, different motion patterns or are they the same?

If we hypothesise that it was possible to discriminate between superficial fascia and deep fascia with an acupuncture needle, based on depth of palpation and feel, could there be different therapeutic effects according to the layers we engage as Dry Needling therapists?

We have witnessed a reduction in muscle tension, local spot tenderness and a referral into the familiar pattern of the corresponding muscle using these techniques but not a Local Twitch Response. Given that the elicitation of a LTR is nor required for pain reduction, do you think that this alternative approach has possible therapeutic benefits in terms of pain reduction?

Most needling techniques involve a perpendicular insertion towards a palpable taut band. If the objective is to influence fascia and tension within it, would it be plausible to insert the acupuncture needle tangentially or parallel to the fascial plane rather than at 90 degrees to it?




Media Alert: Are the Issues in the Tissues? (Podcast)

Are you in the Biopsychosocial Model camp or the Biological Model camp? I was hoping to find out the answers to some of the many questions I had about which camp I was actually in by listening to Professor Lorimer Moseley speaking with Dr Joe Tatta.

I found that, although this topic often polarizes therapists based on their beliefs, there was surprisingly little difference between the two camps.

Dr Moseley explains why he thinks that we’ve got a pretty poor track record of promoting interventions before we research them, right down to entire religions of clinical frameworks that were never tested. Now that we’re testing them all in the last decade or so, we’re realizing they’re not doing what we thought they were doing and we’re mainly rushing to retrofit theoretic frameworks and stuff like that.

In my opinion, that’s a very slippery slope. I always pounce on the opportunity to confirm that we did run a bunch of trials on this before we went ahead and told anyone it was a good thing to do.

>> Listen to more of what he says here

>>Did you know that CPD Health Courses has a Free Dry Needling Video Training App? Download it HERE

>>Watch all the Video Training direct from our Dry Needling Courses HERE.

An Interview with Dr Pablo Herrero

Dr Pablo Herrero PhD is a Physiotherapist from Zaragoza, Spain. He teaches dry needling at under-graduate (San Jorge University) and post-graduate levels around the world. He has developed the DNHS® (Dry Needling technique for Hypertonia and Spasticity) a Dry Needling technique which he has been expanded to different countries all through the world. Presently, Dr. Herrero is Vice-Dean of the Physiotherapy Degree Course and Director of the iPhysio Research Group at San Jorge University, Zaragoza.

An Interview with Professor Ian Harris

Professor Ian Harris, author of Surgery, the Ultimate Placebo explains how commonly performed operations can be found to be useless or even harmful when properly evaluated. That these claims come from an experienced, practising orthopaedic surgeon who has performed many of these operations himself, makes the unsettling argument particularly compelling.

An Interview with Dr Dawn Sandalcidi

Dr Dawn Sandalcidi PT, (Board Certified Biofeedback-Pelvic Muscle Dysfunction) specializes in: pelvic muscle dysfunction (incontinence and pain), orthopedic manual therapy, and TMJ treatment. She is the leading expert in the field of paediatric incontinence in physical therapy. She has trained medical professionals in manual therapy since 1992 both nationally and internationally.

Dawn has actively been treating patients for the past 32 years and owns a private practice in Denver, Colorado,

Dawn has been published in the Journal of Urologic Nursing, the Journal of Manual and Manipulative Therapy, Journal of the Section of Women’s Health and the Journal of International Association of Orofacial Myology.

Is stress a contributing factor in the formation of Trigger Points?

An interview with Dr Saleet Jafri

I was delighted to speak with such a highly respected & published researcher because we are going to learn so much from this interview.

Dr Saleet Jafri  works at George mason University in the Department of Molecular Neuroscience, Fairfax, VA. He serves as Department Chair and Acting Director for the Krasnow Institute & teaches graduate and undergraduate courses in the Department of Molecular Neurosciences and Program in Bioinformatics and Computational Biology. He conducts research using mathematical models in the areas of cardiovascular physiology, cell signaling, cell energetics, and biochemical reaction networks.

He  has the longest CV I have ever read! It’s 51 pages long.

Hear the full episode here as a member of the Dry Needling Video Training Site

Are tests for Shoulder Joint Impingement without Rotator Cuff Tears worthless?

canstockphoto13365568Find out by listening to Dr Carel Bron PhD (Physiotherapist)

Webinar with Dr Cesar Fernandez de las Penas: Trigger Point Dry Needling, Neck Tension & Headaches

Headaches are so prevalent, they’re a big part of our practices, with an average of around 96% lifetime prevalence in our Society. Dr. Cesar Fernandez de las Penas has contributed much to our understanding of this important presentation, including an excellent book: Tension-Type and Cervicogenic Headache: Pathopsysiology, Diagnosis, and Management.

“Mechanotherapy” and why it’s important for clinicians

MechanotherapyKarim Khan calls Mechanotherapy “the most important fundamental concept that underpins rehabilitation exercises”.

Listen to Karim explain that all exercise-based rehabilitation relies on the cells of the injured tissue sensing the exercise stimulus, converting that signal to protein synthesis, and repairing tissue. He explains why ‘rest doesn’t work’ and argues that mechanotherapy has substantial evidence in its favour. The process applies to all body tissues – to injuries / pathology in bone, muscle, tendon and cartilage. Listen Here.

An interview with Helene Langevin, MD

FibroblastsLast month I was very lucky to be able to talk to Helene Langevin, MD, Professor in Residence of Medicine at Brigham and Women’s Hospital, Harvard Medical School and Visiting Professor at the University of Vermont in the USA.

Listen to this fascinating podcast & see what the Professor has to say about these topics:

  • Do people with lower back pain have thicker connective tissue?
  • Inversion sprains of the ankle & Dry Needling Therapy
  • What is needle grasp & what causes it?
  • What’s the connection between connective tissue stiffness & the risk of cancer?

How does placing needles into sleeping patients help knee pain?

Listen to Professor Orlando Mayoral talking about the extraordinary research he’s carried out on patients that had a knee arthroplasty procedure & how he tested the ability of Dry Needling to help these patients.

We’ll dissect his research & break it down so we can all understand what it means for us as Dry Needling Therapists.

Have you ever read a research paper or even a conclusion & still couldn’t work out whether the findings were relevant, important or even valid?

Do you know what these terms mean: P value, standard deviation, confidence intervals, sensitivity, specificity, mean, mode &medians? If you don’t, you should. Any practitioner who wants to provide the best care possible to their patients MUST know how to read research papers & be able to understand the relevance to their practice.

Dr Graham Taylor is going to make things really easy for us when trying to understand Medical Statistics. He will only speak in PLAIN ENGLISH. So, you’ll walk away with a good basic understanding of what’s important to know as a clinician & what should be left to the experts.

Why You should attend the Dry Needling Advanced Course?

dry-needling-advancedListen to the preview below & find out why you should watch the Dry Needling Advanced Course.

Why you should attend the CPD Health Courses Dry Needling Intro Course?

Why you should attend the Dry Needling Intro Course?

Why you should attend the Dry Needling Intro Course?

Listen to the preview & find out more about the Dry Needling Intro Course