No one person or profession can know all of what is known. So medicine is split into various professions, specialties, and subspecialties. Individual physicians can choose to deepen their knowledge about one area while, by necessity, limiting their breath of knowledge. We have chosen to do this within the subspecialty of soft tissue disorders.
If you were hurt and could not find a solution- What would you do?
What types of injuries should I refer to an Active Release Technique practitioner?
- Anyone you suspect has a soft tissue injury that is not responding to your care.
- Anyone that has responded well to care but has plateaued before complete resolution. Often a patient will have several problems and specific soft tissue work may be needed to complete the job.
- Symptoms of pain, numbness, tingling, aching, burning, pulling, and decreased range of motion.
- When all conventional tests (MRI, CT, EMG, blood work) are negative, yet the symptoms persist. There are no technological tests for soft tissue problems. Usually, they must be determined by altered tissue texture, tension, and movement.
When referring a patient to The Sterling Touch, you can expect:
- An initial report and periodic update reports. We will keep you informed about your patient's condition and progress.
- We will be available for phone consultation.
- Referral back to your office once we are done. This way you maintain case control.
The adjustment takes care of a lot of musculoskeletal complaints. However, there are times when patients don't fully recover. This can be a frustrating process for the patient and the doctor, particularly with extremity disorders. If you suspect your patient has a soft tissue problem, send them to us. We will keep you updated and will return them to your care once the problem they were referred for is resolved.
We see lots of "plantar fascitis" cases. The patient and the podiatrist become frustrated when the problem hasn't fully resolved with orthotics, night splints, stretching, rest, or injections. Most people do well with these, but some cases leave the doctor and patient wondering what else can be done. We often find tibial nerve entrapments at the arch of the soleus and tarsal tunnel, as well as scar tissue in the plantar foot and calf structures impede further progress. Once corrected, the other measures will be sufficient to make continued progress. If you and your patient are frustrated, let us know and we'll take a look at it. If the patient has a soft tissue problem that we can help with, we will treat them appropriately, meanwhile, keeping you updated to their progress. Once the scar tissue is resolved, we will send them back to you for further evaluation and any necessary treatment.
When strength exercises are not making the patient stronger, stretching isn't making the patient more flexible, or the patient is better objectively but the symptoms are not, they most likely have an underlying soft tissue problem.
Any body part that has had enough load placed on it to cause damage and require surgery will also have soft tissue involvement. This is true often in acute cases and always in chronic or degenerative conditions. If soft tissue mechanics are faulty, post surgical recovery can be very slow and incomplete. We find this, for example, with shoulder tears. Depending upon the size and location of the tear, we can see the patient pre or post surgery. Addressing the soft tissue problems prior to surgery will correct load and mechanics, allowing for a faster and more complete recovery period. However, if the damage is causing excessive inflammation or persistent hypertonicity soft tissue treatment may be best applied a few weeks post surgery. This decision is best made on a case by case basis.
Peripheral nerve entrapments are among the most dramatic and successful problems we treat. Symptoms present as burning, aching, numbness, tingling, or weakness in specific distributions, while diagnosis with EMG, MRI, or NCV can be inconclusive. We find that palpation of the involved sites will reveal scar tissue and decreased nerve glide. Proper treatment resolves the scar tissue, eliminating the entrapment and symptoms.