Re: More on ligament healing time

[Guest guest]

Dear Marc et al:

I have found ways to help people stabilize the areas

that have had ligament damage by teaching them how to

engage their tendons around the joint. This can give

them a pretty stable joint and learning how to do it

can help them confront their pain producing thoughts

and movement patterns. Then I help them to mobilize

their nerve tension and brain stem nerve tension which

helps in re- balancing the joint. After a while their

extra body awarenes compensates for the ligamentus

instability.

Sincerely, Judith Boothby

Message: 1

Date: Wed, 26 Apr 2006 07:05:53 -0700

From: Marc Heller <mheller@...>

Subject: Re: More on ligament healing time

My main point on this, is that in a chronic situation,

after 6 weeks,

after 6 months, after 6 years,

if/when the ligaments have not fully healed, or healed

properly,

the joint is less stable, the muscles will be guarding

or overworking,

It can be fairly obvious in an old ankle sprain, where

the joint is

sloppy, it can much less obvious in an SI or spinal

segments,

the tricky part is the muscle guarding, which makes

the joint feel

tight

or reduced ROM.

At this stage adjustments do not necessarily change

ligament function,

It is often useful to directly treat the ligaments

(and tendons), that

surround this old injured area,

with tools that stimulate first stage healing (the

healing that occurs

in the first 6 weeks).

(In other words, you have provide a stimulus that

mimics the injury, a

controlled bruising, something that starts

inflammation.)

I did not know how to do this for my first 20 years of

practice, except

for manual cross frictional massage, which was too

hard on my own

hands.

I now routinely use Graston Technique for this, and

send out for

prolotherapy for structures that are either not fully

responding or are

too hard to reach from the surface, such as some of

the deep ligaments

of the shoulder, knee, SI.

Marc Heller, DC

mheller@...

www.MarcHellerDC.com

spbkchiro@... wrote:

>#

>

>

>

>#

>

> The following is from Pfeiffer, R., Mganus B.,

" Concepts of Athletic

> Training " 3rd edition. The sources are

well-referenced in that book.

A

> couple of years ago I had a great young guy doing CA

work for me for

> about a year. He was a grad of Fox's Athletic

Training

Program.

> They used that book in their curriculum.

>

>#

>

> Acute Inflammation: 3-4 days

>

>#

>

> Tissue Repair: Day 2-6 weeks

>

>#

>

> Tissue Remodeling: 3 weeks - 1 year

>

>#

>

> Angiogenesis: New capillary formation is imperative

for healing to

> occur; it requires months to complete

>

>#

>

> Ligament Healing: 50 percent in 6 months, 80 percent

in one year, 100

> percent in 1-3 years

>

>#

>

> Muscle or Tendon: 10 days—10 weeks

>

>

>

>

>

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