ADRIANSHOE,
You stated: "manipulation is asinine for what he is describing (for many reasons) and ice (the treatment for acute spasms) is also not called for."
Is this statement personal opinion or do you have supporting documentation?
["The physiologic effects of local application of cold are many. Cold therapy has the following advantages: it relieves muscle spasm and pain, it reduces swelling, combines effectively with muscle reeducation that utilizes proprioceptive neuromuscular facilitation techniques, diminishes spasticity and fatigue." Handbook of Physical Therapy, Robert Shestack, Ph.G.R.P.,P.T.R. Springer Publishing Co. pp.56-57.
ewagner,
Is that Indiana, Pa, or Indiana, IN? You are right. There is a small faction, within our profession, that considers CMT the end all to all. As the profession has evolved, this attitude is slowly dissolving. By the way, this attitute is not mine. I believe that the old time DOs held some of their principles too, whereby they had a belief system that most health issues could be resolved by osteopathy. Please correct me if I am wrong.
In my previous description of the mechno receptor and proprioceptive involvement, it is here where one issue can be helped by manipulation. The fixated segment(s) are shown to be caused, as a result of proprioceptive input. Adjusting/manipulating the joint immediately breaks the cycle of input and the factors return to normal. This has been proven and is already understood by the process I described previously. As for the audible click; I too questioned this concept early on in my career. The issue is negated with first time patients, as they do not know to equate audible sounds with relief. I would assume that after a period of time, as an established patient do so, since the effect of operant conditioning comes into effect; ie, audible is assoicated to improved feeling.
Smile,
The mechanism I have outlined is readily available. Don't take my word for it. Look in Guytons textbook of physiology (in the library). It may take some decifering if yoou are not acustomed to the terminology, however, all of what I described is there. It only takes understanding the concepts; once related.
interesting dialogue