The first step in “fixing” the problem is to precisely determine the location of the inflammation(s). In our setting, this is done by performing a Differential Skin Resistance (DSR) Survey. The instrument involved, the DSR monitor, measures the skin resistance to a passage of electricity through it. A relatively high skin resistance has been found to correlate to inflammation of the deeper tissues just under the zone of high skin resistance. The DSR monitor provides for the first time an objective means of measuring deep tissue inflammation. In the hands of a skilled and experienced practitioner it is precise and nearly 100% accurate when used to detect sites of chronic inflammation.
The second step in the process is to break whatever adhesions exist in the involved tissues. This involves mobilizing the tissue layers in such a manner that a shearing force is exerted on the individual collagen fibrils which is sufficient to cause the fibrils to break, thus reducing the adhesion. This is generally accomplished by picking up the tissues and forcefully rolling (or pinching) them between the fingers. This process is generally uncomfortable, but does afford the advantage of giving almost instantaneous, albeit (sometimes) temporary, relief of some or almost all of the constant chronic pain. Ice packing or high intensity electrical stimulation may be used to facilitate this procedure. In the long term, adhesion breaking gives you the chance of permanently getting back normal ranges of motion and comfort that other procedures may only temporarily provide you. If the adhesions remain unbroken, the pain will eventually come back.
The third step is to stop the production of prostaglandins by introducing an effective anti-inflammatory directly into the involved tissues. In our setting, we drive ibuprofen into the tissues utilizing ultrahigh frequency sound (ultrasound) in a process called phonophoresis. The effect is generally immediate with a general decrease in the degree of overt pain. In some rare cases, the desired decrease in pain has occurred over night or (in a few cases) in a day or two.
The fourth step is directed at increasing capillary circulation in the involved tissues. This is usually accomplished through judicious use of various forms of electrical stimulation and/or vibration. If we can improve capillary circulation, enzyme action will complete the destruction of the inflammatory chemicals and relief will come a good deal faster than otherwise. Indeed, some forms of electrical stimulation will not only increase capillary circulation, but will also inhibit the formation of adhesions in the involved tissues.
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