An American architect Louis Sullivan, told us “Form follows Function”. In 1896, he wrote an article The Tall Office Building Artistically Considered. Here Sullivan actually said ‘form ever follows function’, but the simpler (and less emphatic) phrase is the one usually remembered. For Sullivan this was distilled wisdom, an aesthetic credo, the single “rule that shall permit of no exception”. The full quote is thus:

It is the pervading law of all things organic and inorganic, Of all things physical and metaphysical, Of all things human and all things super-human, Of all true manifestations of the head, Of the heart, of the soul, that the life is recognizable in its expression, that form ever follows function. This is the law.

I love this law. I think about it often when I treat patients. Why do I look at architecture as a massage therapist? Let me explain.

We can see easily how “Form follows Function” with regards to our bodies. Exercise is a prime example. Let look at a bicep curl with weight. As the bicep is subjected to increased resistance, the weight, the muscle fibers respond by getting bigger. The bigger the weight, the bigger the bicep will get. Thus the form of the bicep changes as a result of the function it is being asked to perform. Therefore, in architecture determining the shape of the building, or the form, results from the function of its interior. This is the same with our body as we can see. So indeed, form follows function.

However I also believe that function follows form, particularly when I’m looking at the body. Consider the 2 images below.

Look around you. How many people do you see who have a posture such as the person on the right? And consider their symptoms. Do they have digestive problems, poor bowel movement, shortness of breath, or heart palpitations. If our posture is collapsed, consider the organs within. Do you really expect a diaphragm, lungs, or our liver to function properly if their space is being crushed? In this case the function of tissue is influenced by the form, our posture. Indeed the reverse is true, Function follows Form.

Neuromuscular Therapy looks at both. By assessing your posture, your gait and the muscle tone surrounding we can determine the best approach to resolving your pain and discomfort. As with architecture we are built in a structural form, containing levers and pulleys. And within our body we have rooms in which our organs are housed. By taking rules from the architectural world and applying it to our body, we can help restore your proper structure. And once again you will be standing tall!

So remember,

Form follows function and function follows form.

As always if you have any questions, comments or concerns please do not hesitate to contact me.

In Health,

Peter Roach, RMT, CNMT, Laser Therapist

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I read this wonderful article and wanted to share it with you. It is writen by Clifton K. Meador, MD. in the Autumn 2011 Journal of The Pharos of Alpha Omega Alpha Honor Medical Society. The author (A!A, Vanderbilt University, 1954) is clinical professor of Medicine at Vanderbilt University School of Medicine, clinical professor of Medicine at Meharry School of Medicine, and executive director of the Meharry-Vanderbilt Alliance.

In 1994, I recorded a fictitious interview with the person whom I imagined to be the last well person on earth.1 I mistakenly thought well people were disappearing and I wanted to call attention to their disappearance. I missed the big picture and now want to correct my misconceptions. Well people are not disappearing; instead, a new species of man is emerging: Homo clinicus.

An evolution of the symbiotic relationship between man and medicine has been going on for some time. Lewis Thomas deserves the credit for an early spotting of the new species, first observed in America. He called our attention to this phenomenon in the 1970s.

Nothing has changed so much in the health-care system over the past twenty-five years as the public’s perception of its own health. The change amounts to a loss of confidence in the human form. The general belief these days seems to be that the body is fundamentally flawed, subject to disintegration at any moment, always on the verge of mortal disease, always in need of continual monitoring and support by health-care professionals. This is a new phenomenon in our society.2p43

There has been a progression of terms for this new species. First, there was the “early sick” then “the worried well.” That was followed by “the worried sick.” We now have arrived at a definable new species that differs from pre-clinical man. Preclinical man lived largely with medicine out of his consciousness. In fact he lived to avoid medicine. Those of us who are still preclinical will recall the earlier saying, “An apple a day keeps the doctor away.” That is almost pure preclinical thinking. Preclinical man only went to the doctor when he was sick or injured. It was up to preclinical man to decide if he was sick or well. It did not take a physician to make that decision. If he felt all right he was well; if he felt sick he was sick. Not so with clinical man. Feelings are no longer a reliable guide to health. Feeling good is not enough. There must be objective data that nothing is wrong. That’s the problem. Something is always wrong if you look long and hard enough at or inside any human. As a medical resident told a colleague, “A well person is someone who has not been worked up. We can always find something wrong, if we look hard enough.” 1

Clinical man is neither sick nor well. He is simply in clinical limbo. As you will see in the definitions of this new species below, he is always under medical surveillance. Clinical man requires it. More importantly, medicine requires it. Clinical man either has something that is not quite right or something that needs to be rechecked.

Medicine and man have evolved in a symbiotic manner—like the whale with those little fish that swim in and out of the whale’s mouth. The fish need the whale for food particles and the whale needs the fish for dental hygiene—something like that. There is nothing strange about this symbiosis of medicine and man. Big medicine needs clinical man and clinical man needs big medicine. That’s just the way it is. Where would all the endoscopists be without clinical man? And what about all those proceduralists who do interventions and biopsies? What would we do with all the CAT scans and MRIs and PET scans without clinical man? How would all the surgi centers and imaging centers and standalone diagnostic centers survive without a long line of clinical men? Don’t forget the insatiable needs of big pharma and the relentless mongering of created, pseudodiseases on television.

Clinical man goes to the doctor when not sick. That’s part of the definition of the new species. No longer able to decide by themselves, they come in increasing numbers to find out if they are sick or well. Some even demand to know what disease might loom in the future for them.

Here are a few of the characteristics of clinical man:

1. Knows his cholesterol level within 10 milligrams percent
2. Has been biopsied in at least one nonpalpable organ by age fifty
3. Has been biopsied in a palpable organ by age forty
4. Has had at least one major orifice endoscoped within the past twelve months
5. Is always waiting on a biopsy report or a repeat of a borderline or false positive lab result
6. Never goes more than twelve months without medical contact

How did this evolution from an avoidance of medicine to medicine becoming a necessity occur? It is actually quite simple: medicine has been assigned successes by television and the public that are not attributable to medical care. Nearly all of the increases in health and life expectancy from birth are traceable to public health measures, clean water and milk, vaccinations, and a myriad of positive effects of the age of modernization.

It is a strange irony that at a time of maximum health, more people than ever are coming to see doctors. Preclinical man will soon be extinct.

References

Meador CK. The last well person. N Engl J Med 1994; 330: 440–41.

Thomas L. On the Science and Technology of Medicine. In: Knowles J, editor. Doing Better and Feeling Worse: Health in theUnited States. New York: W. W. Norton; 1977: 35–46.

The author’s address is:

Meharry-Vanderbilt Alliance
Bio-Medical Building
1005 D. B. Todd Boulevard
Nashville, Tennessee 37208
E-mail: clifton.meador@vanderbilt.edu

 

In Health,

 

Peter Roach, RMT, CNMT, Laser Therapist

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K Taping for Kids – Patellofemoral Syndrome

by Peter on November 3, 2011

Even good for Frankenstein

Did you know that using K Tape is also great for kids!

Take for example my daughter. Weeks ago she came back from playing a soccer tournament. Four games in 5 hours and lots of running around. The following day she was complaining of knee pain, somewhere around her kneecap. After an examination I believed she had a bit of patellofemoral syndrome, an irritation just under the kneecap (patella).

To quote my daughter;

“The tape really helped my knee. Since Daddy put on the tape it has seemed to take away the pain.”

This is only one of many uses for K tape to perform it’s magic. Patellofemoral pain is a common knee problem. If you have this condition, you feel pain under and around your kneecap. The pain can get worse when you’re active or when you sit for a long time. You can have the pain in one or both knees.

With a little bit of blue tape over the kneecap symptoms can cleared up in a few days to a week. Of coarse with children it is so much quicker. They seem to heal faster. But the effects are almost immediate. In the case of patellofemoral syndrome the tape can act as a lifter, if you will, drawing the patella away from the femur thus decreasing irritation. Then the body can heal. Irritation – no healing. No irritation – healing begins.

Benefits of K Tape

  • 100% acrylic heat sensitive adhesive/no latex
  • Stretches along longitudinal axis only
  • Thickness and weight approx. same as skin
  • Can be worn for several days, tolerates showering
  • Upper extremity lasts 2‐3 days
  • Lower extremity lasts 3‐5 days
  • Proprioceptively educates a weak muscle  (Arndt-Schult Law – weak stimuli activate neurological activity, strong stimuli inhibit) & Hilton’s Law
  • Reduces pain through receptor feedback (Golgi tendon)
  • Relaxes muscles
  • Reduces edema
  • Improves ROM

Ask me if K Tape, along with your Neuromuscular Therapy will benifit you.

In Health,

Peter Roach, RMT, CNMT, Laser Therapist

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The Journey of Massage Therapy

by Peter on October 27, 2011

Definition:
a. The act of traveling from one place to another; a trip.
b. A distance to be traveled or the time required for a trip

Have you ever thought of your massage therapy as a journey? Or for that matter have you ever thought of seeing any of your practitioners as a journey? I didn’t until a treatment with one of my patients the other day.

She said that coming in to see me for treatment was a journey, and one that she looked forward to, despite sometimes feeling beat up after treatment. As we got to talking about this, I found myself thinking that every treatment I do with every patient is a journey. Think about it. When first seeing a new patient I look at gait, posture, and listen to the symptoms. It’s as if this is the starting point at this place and time, the patient and myself here and now. From here it is really is a matter of getting from point A to point B, and how we are going to achieve this, and the journey we will take.

Every patient has their own destination. For most its being pain free. For others it may be to run faster, jump higher, or to complete the Grand Fondo. Others still it may be to carry on into being able to do everything we have and are doing now till the day we die. But EVERY patient I see has a point, a destination of where they are going or want to go.

Of course with each patient it is a different journey. Some patients I have seen for 28 years, and our journey together has been long and great. And with these patients I suspect that the journey will continue for some time after, as we progress through our lives and are presented with different challenges with our body. And at some point these journeys will also come to an end. As with other long standing patients the journey comes to an end, and no longer do I see or hear from the patient. These journeys are tough ones, as relationships are built through the journey, and loosing these contacts becomes somewhat personal. But over the years, we as Massage Therapists learn that patients will come and go, the ebb and flow of life, but never the less, lives have been touched in some way.

Some journeys with patients are shorter, have a defined lifespan. A recent patient came in with chronic lower back pain. She has had this pain for years. But simply looking at her posture and gait revealed some discrepancies that have not been picked up by other health care practitioners she has seen. Explaining to her what I see and what we need to do starts the journey and sets the road map to where and how will will get her pain free. After several treatments, working on each part of the trip to better health, she eventually is pain free. Amazing! But not so amazing. In order to get from point A to point B there is all the little points in between to get there. Miss one or go in a different order, ie: strengthen a muscle before it is stretched, can mean the difference of not getting to the destination.

Our annual journey to Treasure Island

The journey idea is a good one. Whether or not your therapist or yourself is aware of it, the journey begins. Getting to the destination is the difference between a good therapist and a great one.

Another patient commented that I was always 100% there for them. I seemed engaged and present during our treatment. This also is the difference of making the journey to the end. How may practitioners do you see that are totally present? Your GP, your dentist, your surgeon, your massage therapist. All of these practitioners have to be fully engaged in your treatment and treatment plan to be successful. With prevailing winds and such, an airplane is off coarse 70% of the time as it flies to it’s destination. The pilots ensure the appropriate adjustments are made as the journey continues to make sure we arrive where we are suppose to. And so ever practitioner has to make the adjustments for stresses and events  that may alter the treatment coarse.

For some the journey is smooth and easily laid out. For others it can be a long process. One of my patients came to see me a year ago. I could barely touch her, her body in so much pain that it seemed that mere breath would send her home in pain. But the path was clear. Her posture, her gut and digestive functioning had to be addressed. With the help of other practitioners, this woman is doing more now than dreamed possible. I remember her asking me when she would be reaching this point, way back at the beginning. Massage Therapists hate this question. I hate putting time lines on anything as so much can happen between treatments. We are dynamic individuals so each one is different. But after some persistence I said she would be good by July of this year. I was wrong. She was good by August! And what she can achieve now is truly amazing. But of coarse a new destination is set. She wants to be able to achieve this and that, do more, and so we continue to work. The journey continues.

And for still others the journey keeps going, as with Kramer is a Seinfeld episode, it may be to see how long we can go till we run out of gas. I loved this one.


As always, if you have any question, concerns or comments please do not hesitate to contact me.

In Health,

Peter Roach, RMT, CNMT, Laser Therapist

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Saving Your Hands

October 6, 2011

Often I’m ask by therapists and patients alike how I care for my hands. After almost 28 years of massage, 4 days a week, and 8 hours a day, my hands take a beating. And all too often I see new therapists coming out of school and begin working so hard that after 4-6 months [...]

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Kinesiology Taping at the Utopia Academy

September 29, 2011

Today I had the great pleasure of presenting an hour presentation to the introduction of Taping for Massage Therapists at the Utopia Academy of Massage Therapy. I felt a great sense of honor to be asked to present by a woman that has truly become a colleague that I look to for guidance, Annette Ruitenbeek, [...]

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Welcome NEW Therapist – Dave Campbell

September 17, 2011

I am please to welcome Dave Campbell to our office. Dave Campbell has been a Registered Massage Therapist since 1995. A graduate of the West Coast College of Massage Therapy, he has worked alongside chiropractors, physiotherapists and fitness trainers and spent several years in one of Vancouver’s top spas. Dave uses neuromuscular therapy, fascial mobilization, and [...]

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Summer Time Blues

September 15, 2011

Summer time seems to be all but a fading memory. But I find that it is truly a time to run and play, and enjoy the weather. But as September begins and kids are back at school, I too feel that it’s time to buckle down. During the summer you may have noticed that articles [...]

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Position of the CMTBC on Laser Therapy? Your thoughts please.

August 25, 2011

  January 14th, 2008 at 10:00 am I stood before the Board of the BC College of Massage Therapists (BCCMT) with my presentation in hand. I was there to explain and defend our use of Low Intensity Laser Therapy (LILT) under the umbrella of modalities we can use as Massage Therapists. After an hour and [...]

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Sprains, Strains and Pulls

July 7, 2011

Lucy, my 5 year old Airedale loves sticks. And loves water. Combined she goes nuts and will swim out into any ocean to retrieve a stick. However a few weeks ago she lept  into the ocean, got the stick, but came out lame, holding her back left leg in the air. Muscle pull, sprain, strain, [...]

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