Pain or Stiffness?

Muscle adhesion is the most common source of pain and stiffness and the most underdiagnosed.

Dr. Phipps is a level 5 Integrative Diagnosis provider and an expert at diagnosing and treating muscle adhesions.

If you are experiencing pain or stiffness, get the proper diagnosis and contact us today.

What are adhesions and how are they limiting you?

This will be a three part series that will explain everything you need to know about adhesion.

Part 1: How does adhesion form?

Part 2: How can adhesion lead to the pain that I have?

Part 3: How does MAR and ART break down adhesion?

So let’s start off with:

Part 1: How does adhesion form?

There are two main pathways for adhesion formation:

  1. Acute conditions, such as pulls and tears.  This requires actual trauma and the body repairs the damaged tissue with adhesions. This is more commonly called scar tissue.
  2. Hypoxia (low oxygen) pathway is the most common generator of adhesion in muscle.  This will occur without you knowing it and can occur from repetitive motions or from standing or sitting in sustained postures. If a muscle doesn’t get adequate oxygen it will trigger adhesion formation.

An example of the hypoxic pathway occurs while you work at your computer. Typing results in continuous contraction of the forearm muscles (controlling your fingers) and can cause a low oxygen environment in those muscles. This will trigger fibroblasts to form muscle adhesions.  Muscle adhesions can overload the the attachment point of the muscles on the outside of the elbow and causes elbow pain (this will make more sense after reading part 2).  This is commonly called lateral epicondylitis or tennis elbow.  Tennis players abuse the forearm muscles as well, especially during backhand movements and can trigger adhesion formation as well.

Who would have thought that these two activities could lead to the same problem?

Part 2: How can adhesion lead to pain?

Part 3: How to diagnose and treat adhesion?

Part 2: How can adhesion lead to pain?

Part 2 of 3: click here for part 1

In part one, we covered how adhesions form, but how can adhesion lead to all of the following problems?

  • Neck pain
  • Low back pain
  • Disc injuries
  • Carpal tunnel
  • Tennis elbow
  • Golfers elbow
  • Headaches
  • Plantar Fasciitis

Adhesions can create abnormal movement of a joint resulting in pain. The easiest way to visualize this is to look at the shoulder joint. Read more

Part 3: How to diagnose and treat adhesion?

Part 3 of 3: Click here for part 1 and part 2

After understanding how adhesion forms and what it can lead to, we can now focus on how to treat and reduce adhesion.  Adhesions are diagnosed and treated by a skilled certified provider.  Adhesions can’t be broken down by foam rolling or massage. There are two main methods of achieving this goal:

1.     Manually (Dr. uses hands)-MAR (Manual Adhesion Release) and ART (Active Release Techniques)

2.     Instruments—The newest instrument on the market today is the Instrument Adhesion Release (IAR).

The key to breaking down adhesion in a muscle is finding it. This may seem very obvious but adhesion is very common and finding the relevant adhesion takes years of training. Once the proper diagnosis is made, treatment can begin.  MAR and ART take advantage of the different attachment points of muscles to achieve maximum tension on the adhesion. These techniques are non-invasive and done exclusively through a skilled doctor’s hands.  Once the adhesions are broken down over a series of visits, the muscles can function normally again.  They can lengthen and contract with the appropriate force to allow for normal joint motion resulting in less pain for you.

If you have pain or stiffness, get the proper diagnosis first by clicking the button below.