The goal of a therapist that treats osteo-myofascial pathologies is to find sensitive ways to treat the dysfunctions that affect the structure.
To reach these goals it is important to research clinical evidence, changes of the same in treatments, studying the non-randomness of results, which in combination with additional elements such as will, curiosity and intuition strengthen and help create a possible end result.
These are some points that we have pursued over the years by carefully researching approaches that have considered anatomy and physiology as an inseparable bias and by using a massage that through time has allowed for a personal relationship with the connective tissue.
Fisioscissione takes into account several aspects and is based on basic theoretical and practical assumptions that have been consolidated over time.
- Anatomy is expressed in layers (epidermis, dermis, subcutaneous tissue, fascia, muscle, myofibre). Each anatomical layer that covers us has its own intrinsic cellular life with peculiarities in which metabolism, exchange and proprioception interact in symbiosis with a unique and dynamic cohesion system.
- The extracellular matrix is the site of a continuous mixing system that ensures, in symbiosis with the cardio-circulatory pump and with an intact emuntorial process, homeostasis of the human body.
- The connective tissue hosts numerous sensory systems and receptors (mechanoreceptors, nociceptors, free nerve endings as well as paccini and ruffini corpuscles), each of which has its own activation threshold that constantly communicates with the neurovegetative, endocrine and immunological systems.
- The spinal unit is considered in detail and is scanned in all of its parts. This shows the presence of superfine structures such as the posterior spinal nerve that is situated against the spine mass, innervates the zygapophysial joint, the intrinsic muscles of the spine and the skin of the back, and anastomoses with the ortho sympathetic lateral-vertebral ganglia through the white ramus communicans.
- The painful dysfunction of a vertebral segment, of whatever nature it may be, determines changes reflected in sensitivity and consistency of the innervated tissues from the corresponding spinal nerve.The nociceptive messages conveyed by the posterior branch are integrated into the pool of dorsal horn neurons, which determine the local and distant motor and vegetative responses (Perl). The extra rachida venous plexi micro system that directly communicates with the intra rachida and medullary venous plexi is located near the spine and transverse. A light compression of the veins during the passage through the intervertebral foramen causes congestion in the area drained by these vessels (Maigne). The branches of the radicular arteries accompany the spinal nerves in their course and supply blood to the peduncles, the posterior arches and deep paravertebral muscles. These aspects of anatomical geography show us that it is important to safeguard the integrity of the intervertebral foramen.
- The importance of the unisegmental muscles and multifidus in the anti-gravity decomposition forces of the functional spinal unit (axial compression). The refined proprioceptive value of this intrinsic spinal system (that resides in a small anatomic region) has a rich fusal receptor structure of significant value.
- The therapeutic approach is diversified depending on the pathophysiology (contractions, fibrosis, enthesopathies, fasciitis, tendinopathy) of the connective tissue and takes into account the consistency-resistance concept.
Correlating the macro vision of these details with the global functions of the human body represents a fundamental feature for Fisioscissione.
Fisioscissione and other theoretical concepts come from these and other basic assumptions. The need to treat the anatomic details listed above and the different facts of tissue pathophysiology has fostered the emergence of technical equipment: Fisioscissor®.
These are instruments that are crucial in making non-painful contact with:
- The proprioceptive ends of the spinal erector muscles and with the tensions of the latter that direct the vertebra toward the malfunction by restoring good tone in the multifidus, promoting fragmentation of the vertebral movement and protecting the vertebral “spring” system;
- The posterior spinal nerve to improve nerve channelling and create somato-visceral messages and visceral-somatic responses;
- The extra rachida venous plexi to decongest the return venous micro circulation and reduce intra rachida swelling near the intervertebral foramen;
- The enthesis where the collagen fibres are mineralized and integrated into bone tissue.
These are very small anatomic regions where the hands encounter objective difficulties in terms of contact.
Technical tools used for more accurate therapy and in order to:
- Drain small amounts of liquid without altering the physiological mixing process;
- Apply specialised contact for facilitating the restoration of the receptor balance that has been affected by the tissue pathology;
- Split, detach, separate the muscle septa and fascia anchors to encourage the sliding of various fascial planes by applying modulated sequenced contact in an order that takes into account the state of the tissue and that anatomy is expressed in layers;
- Apply tissue contact in millimetric order where the density of the material exceeds the consistency of the pathological tissue (fibrosis, contractions, entheses, tendinitis), thus favouring relaxation of the tissue;
- Work the myofascial tissue with less effort and energy consumption, and safeguarding our hands.
All of these practical and theoretical requirements correlated with the importance of respiratory biomechanics and the presence of pressures that interact in constant symbiosis with the structural system to maintain dynamic and static postural balance make Fisioscissione a treatment that distances itself from the simple mobilization of fine soft tissue and, on the contrary, assumes a more important meaning.