An object lesson in the Myofascial Web

One of the key ideas about the myofascial network is that it is a continuous web that surrounds, envelops and defines the elements (muscles, bones, organs) of the body and that what happens in one part of it has an effect on every other part of the body.  It is something that I discuss with my clients all the time and they are amazed when they feel that this is the case.  Over the last couple of weeks I've been painfully shown how interconnected the body's connective tissue is.

I arrived at my Stanmore clinic one morning limping because of a sharp pain in my left knee, every step was agony.  Adam (one of the chiropractor's) checked it and put some tape on it to provide some stability whilst I got on with my clinic. Later, when I had more time, I got another Chiropractor (Owain at Clerkenwell Chiropractic) to check it fully, with no apparent structural problems, thankfully.  I am now working with Owain to rehab the knee to finally resolve the instability, however I really need to work on myself to clear out the myofascial restrictions that will have formed both this time and in the build up to this crisis.

This particular knee issue has been happening for many, many years.  Over a decade ago my best friend got married, for the stag do we went paint-balling. All was going well until at the start of one game I was sprinting for cover, my left ankle gave way and I fell forwards.  Apparently, though I do not remember, it was a spectacular dive and roll into cover that my friends thought was really impressive; I didn't care as I was screaming in agony.  I had to be helped off game area and that was the end of my day paint-balling.  Unfortunately I was the driver, and it was a manual car.  I had to drive home in rush hour through London in a manual car using my injured foot on the clutch.  That night I put a compression bandage and elevated it, putting cold towels on it and that was really all the rehab I did at the time (this was a long time before I was a body worker).  Oh, and there's going to be an emotional element to it as it caused me a lot of grief at work because I took a week off work as I couldn't drive, but that's a different story.

So the reason I'm writing this is that the cause of a lot of my issues come from an ankle that was badly hurt over 10 years ago that I did nothing about.  This time it was the knee that has been hurting, and this has flared up periodically over the last 10 years.  I've usually popped pills and the pain goes after a couple of days, so that means it had gotten better or that is what I thought was the case.

This time I noticed something: I could feel the whole of the left side of my body tighten up.  Having seen a number of Chiropractors and Osteopaths over the years I am aware that I have a functionally short left leg, which means that my pelvis is twisted that causes low back pain, that then travels up into my neck, head and then my jaw and then to my sinus and the dreaded pain that that causes me.

This time I could feel that there had been a preceding tightness in my lower leg running up from the outer side of my ankle, the knee was then being pulled out of place because of that.  This then causes the hip to tighten, pulling inwards causing tension across the pelvic muscles, causing the Sacro-iliac joint to grumble.  The left side of my ribs then collapse down and a muscle in my back threatens to spasm.  I can then feel that the left shoulder is pulled out of place, which I ignore as it's always a bit sore but that's only because of my job, it then hits the base of the skull and over to my jaw, which causes the sinus to become incredibly painful.

So this time I'm going to do something about it.  I've already had a couple of very productive rehab sessions with Owain (thelondonchiro.com) who I'm lucky enough to work with at Clerkenwell Chiropractic and he has been putting me through my paces (and introducing me to the torture device that is a red bouncy hemisphere [pictured]) and I'm really glad to have been doing it.  Yoga has definitely helped, as it has all the way through, and the wonderful Bridget (bridgeyoga.co.uk) is really good at making sure I do not hurt myself.  I've been working on myself with some Myofascial stretches as well, but think I really need to find someone local to me to help out more.  In the meantime I've been having more massages, which are always very nice. In combination all of these approaches have been really helping me.

Musings after a visit to an Office

I had a different, and great lunchtime this week: I visited the office of a well known International Charity (not sure if I can mention them, but you really will have heard of them) with some of my fellow practitioners from Clerkenwell and Islington Chiropractic Clinics. We were there as part of the clinic's Workplace Wellness offer where some of the therapists will come and provide tasters in the office, and that is what the charity had done as part of their own internal "Well-being Week". So along we went: Shaheeda, Francesca & Leila (Chiropractors offering Spinal Screenings), Juliette (Acupuncturist offering ear needling), Annie (Yoga teacher doing chair yoga), and Charlotte and I were offering Massage.

We were really pleased as we were shown to two large rooms with plenty of natural light.  I have done this sort of thing in a dark basement meeting room before now, but this was some much nicer.  This was definitely a nice place to work.  Charlotte and I set up the chairs in the same room as the Chiropractors, with the yoga and acupuncture in the adjacent room.

It didn't take long for the first people came in (there had been such a great demand that they had been allocated 10 minute slots) and after the initially awkward "everyone is looking at me" stage things get off to a great start.  It is strange to start massaging someone in a meeting room: there is always the feeling of everyone is staring at me (for both me and the person I'm working on), is my boss going to walk in?  This vanishes fairly soon after the back rub starts.

Most of the people had tight shoulders as they spend far too much time stuck working on a computer, and a number of ladies had one shoulder significantly tighter than the other because of their handbags and these were straight forward to work with and all were surprised at how quickly things relaxed.  Phrases such as  "Can I stay here all day" or "Can you do this all afternoon?" or "When are you coming back?" were heard a number of times from the people that Charlotte and I were working on.

A couple of the people had particular issues, such as a shoulder hurt in a fall or a bad hip. We weren't able to really get to work on these issues in the short amount of time we had, however we could show that improvements could be made.

Nearly everyone I worked on had been spoken to by one of the chiropractors so they knew that they were "wonky" or "compressed" in one area or another.  It was fun to then show them which muscles were involved and that these could actually let go (albeit only briefly) and trying to get them to imagine what a proper treatment would be like.

In the few spare moments I had (everybody wants a massage) I could see the relaxed expressions on the people who had experienced the ear needling, and a few people exclaiming how much they could feel (and that the needles were not as painful/scarey as they were expecting).

The people who had done the yoga class also had a rather blissed out expression on their faces (I didn't have a chance to see what they were actually doing, but it really seemed to work)

I do enjoy doing these sorts of events, but at the same time I prefer to spend a bit longer with each of my clients and really get to know and understand their bodies, the way that they use them and also working with them to correct and change what can be done.

I know that the clinic strongly believe that people should be encouraged to look after themselves. So if you have an office in the City/Clerkenwell/Islington areas of London and you'd like to encourage  and if you'd like them to come and visit then please get in contact with them:

Website: clerkenwellislingtonclinics.co.uk
Phone: 020 7490 4042

More information on what they offer as part of their Workplace Wellness approach can be found here