Massage & Bodywork

MAY | JUNE 2023

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L i s te n to T h e A B M P Po d c a s t a t a b m p.co m /p o d c a s t s o r w h e reve r yo u a cce s s yo u r favo r i te p o d c a s t s 79 BODY OF WONDER de-gunk the areas of densification where and when I find them. I sometimes joke that I'm a "body plumber," but the analogy holds. The founder of structural integration, Ida Rolf, used to teach that tissue changed due to sustained heat, pressure, and friction to create a gel-sol response in the ground substance of the extracellular matrix, thus "melting the tissue." In her last years, she changed her thinking about this but did not yet have the science to propose a different hypothesis. We do now, but our patients and clients have to do their part too. We can free up those densifications so they can move more freely and with less pain, but they have to incorporate more movement throughout their day when they are away from our treatment tables. This recapitulates the cellular process of improved slide and glide and has the potential to expand it. Use it or lose it is a biological reality. Note 1. This is not unusual. It's how most science and new information works: something is discovered, gets written about, and gets written about again and again until the discovery takes hold in the world. Rock stars of science like Einstein's Theory of Relativity or gene editing are the exceptions. For comparison's sake, the enteric nervous system, the gut brain, or Shen Ch'ue, the "mind palace" in Chinese medicine, was first mapped out and published in 1907, further reinforced by a landmark nervous system textbook in 1921, but didn't enter the popular consciousness until the 1990s. David Lesondak is an allied health member in the Department of Family and Community Medicine at the University of Pittsburgh Medical Center, and is board- certified in structural integration. He is the author of Fascia: What It Is and Why It Matters, editor of Fascia, Function, and Medical Applications, and host of the podcast BodyTalk. Learn more at davidlesondak.com. Resources Menon, R. G. et al. "T1Р-Mapping for Musculoskeletal Pain Diagnosis: Case Series of Variation of Water Bound Glycosaminoglycans Quantification Before and After Fascial Manipulation in Subjects with Elbow Pain." International Journal of Environmental Research and Public Health 17, no. 3 (January 2020): 708. https://pubmed. ncbi.nlm.nih.gov/31979044. Pratt, R. L. "Hyaluronan and the Fascial Frontier." International Journal of Molecular Science 22, no. 13 (June 2021): 6845. https:// pubmed.ncbi.nlm.nih.gov/34202183. Roman, M. et al. "Mathematical Analysis of the Flow of Hyaluronic Acid Around Fascia During Manual Therapy Motions." Journal of the American Osteopath Association 113, no. 8 (August 2013): 600–10. https://pubmed.ncbi. nlm.nih.gov/23918911. Stecco, A. et al. "Densification: Hyaluronan Aggregation in Different Human Organs." Bioengineering 9, no. 4 (April 2022): 159. https://mdpi.com/2306-5354/9/4/159. Stecco, C. et al. "Hyaluronan Within Fascia in the Etiology of Myofascial Pain." Surgical and Radiologic Anatomy 33, no. 10 (December 2011): 891–6. https://pubmed.ncbi.nlm.nih. gov/21964857. Stecco, C. et al. "The Fasciacytes: A New Cell Devoted to Fascial Gliding Regulation." Clinical Anatomy 31, no. 5 (July 2018): 667–76. https://pubmed.ncbi.nlm.nih.gov/29575206.

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