Physio Helpline Cupping- Hijamah Centre

Dr. Fahim's Health Educational and Medicare Research Centre, New Delhi

CMA & ED , Diploma in Yoga Education , DMLT , Diploma in ECG TECHNICIAN , Diploma in Physiotherapy , Diploma in TRAUMA care , Diploma in OPTOMETRY , Certificate in Dental Lab Technology , Diploma in Community Health Workers , Diploma in Nutrition , Diploma in Dietetics , Certificate in Naturopathy and Yoga Science

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🔈 WHY ARE THE PSOAS MUSCLES CONSTANTLY CONTRACTED DURING PROLONGED PERIODS OF STRESS?

Whether you run, bike, dance, practice yoga, or just hang out on your couch, your psoas muscles are involved. That’s because your psoas muscles are the primary connectors between your torso and your legs. They affect your posture and help to stabilise your spine.

The psoas muscles are made of both slow and fast twitching muscles. Because they are major flexors, weak psoas muscles can cause many of the surrounding muscles to compensate and become overused. That is why a tight or overstretched psoas muscle could be the cause of many or your aches and pains, including low back and pelvic pain.

👩‍🔬 ANATOMY

Structurally, your psoas muscles are the deepest muscles in your core. They attach from your 12th thoracic vertebrae to your 5 lumbar vertebrae, through your pelvis and then finally attach to your femurs. In fact, they are the only muscles that connect your spine to your legs.

Your psoas muscles allow you to bend your hips and legs towards your chest, for example when you are going up stairs. They also help to move your leg forward when you walk or run.

Your psoas muscles are the muscles that flex your trunk forward when bend over to pick up something from the floor. They also stabilize your trunk and spine during movement and sitting.

👩‍🔬 THE PSOAS AND FIGHT OR FLIGHT RESPONSE

The psoas muscles support your internal organs and work like hydraulic pumps allowing blood and lymph to be pushed in and out of your cells.

Your psoas muscles are vital not only to your structural well-being, but also to your psychological well-being because of their connection to your breath.

Here’s why: there are two tendons for the diaphragm (called the crura) that extend down and connect to the spine alongside where the psoas muscles attach. One of the ligaments (the medial arcuate) wraps around the top of each psoas. Also, the diaphragm and the psoas muscles are connected through fascia that also connects the other hip muscles.

These connections between the psoas muscle and the diaphragm literally connect your ability to walk and breathe, and also how you respond to fear and excitement. That’s because, when you are startled or under stress, your psoas contracts.

In other words, your psoas has a direct influence on your fight or flight response!

During prolonged periods of stress, your psoas is constantly contracted. The same contraction occurs when you:

➡️ sit for long periods of time
➡️ engage in excessive running or walking
➡️ sleep in the fetal position
➡️ do a lot of sit-ups

💡 Here are some tips for getting your psoas back in balance:

✔️ Avoid sitting for extended periods
✔️ Add support to your car seat
✔️ Try Resistance Flexibility exercises
✔️ Get a professional massage
✔️ Release stress and past traumas
✔️ Stretch

💡 HOW TO STRETCH

Roller Psoas Stretch
Use a foam roller for this passive, relaxing stretch that lengthens your psoas, one of your deep hip flexors.

1. Place the roller perpendicular to your spine and lie with your sacrum (the back of your pelvis) — not your spine — on the roller.
2. Pull your left knee toward your chest, keeping your right heel on the ground. You should feel a stretch on the front of your right hip.
3. To increase the stretch, reach your right arm over your head and open your left knee slightly out to the left.
Hold for 30 seconds, then switch legs. Repeat as needed.

VAGUS NERVE & VISCERAL INTERACTION

[ANATOMY LESSON - OSTEOPATHIC APPROACH]

The vagus nerve is a seemingly never-ending branching nerve that connects most of our major organs to our brain.

It’s the longest cranial nerve in our body, one for the right side and one for the left. And is largely responsible for the mindbody connection for its role as a mediator between thinking and feeling, you know our “gut feeling”.

The vagus nerve is the “queen” of the parasympathetic nervous system. The “rest and digest” or the chillout nerve. So the more we do things to activate the vagus nerve (like deep breathing), the most we combat the effects of its opposer, the sympathetic nervous system - the “fight or flight”, rushing around, have to do something, stress releasing one.

A few other functions of the vagus nerve, just to name a few:
▪️slows your heart rate and respiration.
▪️lowers blood pressure.
▪️helps with calmness and relaxation.
▪️controls involuntary muscles in the digestive system, therefore, aiding digestion.
▪️taste sensation.
▪️movement function for the muscles in the neck responsible for swallowing and speech.
▪️gut-brain communication.
▪️reduces inflammation.

The vagus nerve is 80% afferent, meaning that most of its sensory fibers goes from your organs to your central nervous system (brain).

If your organs are stuck or aren’t moving properly the way they should, for example because of fascial adhesions, they will send sensory feedback via the vagus nerve to your brain that things aren’t going so well. The result might be that you feel terrible most of the time. Osteopathy treatment can help to get rid of that.

PELVIS TENSEGRITY
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[FUNCTIONAL ANATOMY]
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The pelvis is the center of gravity and the largest bony complex in the human body. The pelvis and sacrum are linked via strong ligaments and muscles, creating a tension system that works with the compression-bearing bones to create a local tensegrity system.
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These ligaments are visualized in picture 2/3, they include the posterior SI ligaments (Iliotransversosacral, Axile, Zaglas, Bichat), anterior SI ligaments, the iliolumbar ligaments and the sacrotuberous and sacrospinous ligaments.
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Locally, these ligaments need to have balanced tension to maintain SI joint integrity and normal bone positions in space. If one of these ligaments is injured and loses its optimal tension/quality, disruption of the tensegrity balance ensues. This leads to increased compression stress in the pelvis/SI and hip joints, but also leads to distortion of the global tensegrity of the body.
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For example, in picture one, we see a normal, balanced pelvis icosahedron on the left with the horizontal balance beams through L4 and the greater trochanter did the femurs. On the right, we see the consequence of any injury to the right SI joint/ligament complex. This leads to pelvic and sacral shifting, unleveling of L3 (blue dot) and functional scoliosis, anterior-inferior shift of the left ilium, valgus stress in the left knee, and pronation stress in the left foot-ankle. The white arrow represents the downward compressive force of gravity. If the tensegrity is balanced, the body can adequately resist gravity without breakdown.
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Disruption of this tensegrity system is the source of joint degeneration and pain, all results of decreased space/compression in the joints.
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This is but one example of how loss of connective tissue tension/quality leads to compression stresses as well as local and global distortions of the tensegrity system.
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In biotensegrity, micro affects macro, local affects global! See the writings of Dr. S. Levin.

As per National Medical Commission norms, no physician, orthopaedician, surgeon and neurophysician are allowed to write physiotherapy treatment protocol, only they will refer to physiotherapy department.
# biharphysiotherapy
# patna physiotherapy clinic

MENISCECTOMY
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Not all meniscal injuries require surgery. Additionally, during surgery not all meniscus tears are amenable to repair. A partial meniscectomy (removing the torn part of the meniscus) is one of the most common procedures performed in orthopaedics. When this procedure is done for the correct indication on the correct patient, it can have excellent results.
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Removing a part of the meniscus should, generally, be done if a patient has continued symptoms after conservative therapy (PT, NSAIDs, rest, ice etc) or if the patient is having mechanical symptoms such as locking or catching. If a part of the meniscus is removed without these indications, we run the risk of decreasing the amount of “cushion” in the joint and increasing the rate at which a patient can develop osteoarthritis.
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Remember, the function of the meniscus is to decrease the contact forces and stress on the joint. Thus, by removing part of the meniscus we are increasing the stress on the cartilage at the end of the bones. An extreme example of this is shown in the following images. The first picture demonstrates an X-ray of a 60 yr old patient. The arrow demonstrates some narrowing on the medial (inner) side of the joint. He had a partial meniscectomy done prior to seeing me.
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12 months after his surgery, his medial compartment started to narrow further and collapse as you can see by the area encircled on the second picture. The pain was unbearable just to walk. He would have been a perfect candidate for a partial knee replacement but due to his symptoms both laterally (outer side of the knee) and anteriorly (front of the knee), we decided to proceed with a total knee replacement.
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Take home message: Remember to talk to your doctor in detail about a partial meniscectomy; not everyone needs it and it is not just a “clean up.” It can leave our joint vulnerable, but when done for the correct reason it is an excellent operation.