A guest post by Ronny Liebmann , physiotherapist Leipzig
Imagine a young bird times before, which dares straight out of the nest, and attaches to the first flight test, but unfortunately this is not quite on! Sun then plops it sails, a little roughly on the ground and begins a one part units wings. The bird has but luck and the right wing is growing rapidly together. Although a little crooked and looks accordingly, but still the bird flies later around almost as free and flexible as his brothers and sisters.
dignity hernehmen a veterinarian this bird later to discover his little crooked wing and think, "Poor fellow, a very curved blades he has, to the flatten us! ", that would be a disaster for the bird. His whole body has the crooked breaking point accepted as perfectly natural and has accordingly adapted to them. All the neighboring structures, bones, muscles and ligaments are adapted improves. The bird would be for a wing correction feel very strange and would have to fly learn probably very recent, because the rest of the body is no longer align with the wing. The whole thing would be quite a nonsense, although the vet but actually just good.
Some similar nonsense intervention meant the human body are caused among other things that we like to define normal values for everything, how something should look for right. Thus ideals prevail. But just take a look at nature. There is no standardized! When you walk in the summer, just try to find a sheet that another in size, shape, texture, color, etc. is like deflection exactly. You will not find one. Nature produces that is not factory-standard goods.
But even a modern view of conversion operations, also called osteotomy. Since knock-knees and bow legs are straightened, necks, legs planed flat or raised. It is flexed, chiseled, cut, scraped and smoothed. Children precaution changed, certain teeth removed for the benefit of other preventive measures, muscles or ligaments are moved laid. All for the benefit of the poor non-standard. Conversion operations access but massively in the structure and change the geometry of the body! Where is attempted in the emergency surgery is still relatively angular and axial restoring justice to what nature has given the affected body as a template that orthopedic surgery is exactly the opposite. Axis and angle can be changed with the intention to improve in the firm belief that the mechanics of the body. is measured via X-ray initially
anything, as the angle that the femur forms the hip joint. Does this angle of an arbitrarily set standard as to say, the diagnosis such as X-or O-leg, which is seen as a congenital anomaly. The man is branded as a bad design of nature. Curiously, but not often thought about how it may be because that the owner of this "bad design" so that 40 or 60 years could run around free of pain, but right now is to make a sudden but problems. Basis for standard catalogs are often one-sided approaches. Like to be used as the static of the people. So what is the ideal design for the "building" man? A fixed, so do not moving building actually faces the laws of statics. A moving structure, such as Homo sapiens, is also subject to laws of motion. For example, a Formula 1 car to construct and not purely by the laws of statics. It is moved by three hundred things by turns, is subject to gravity, centrifugal forces, shear forces, etc. The cabin would later fly apart immediately, one would think the construction plan unilaterally. Now if you then moved the body as we humans are the ones according to the laws of non-motion considered and possibly even surgery performed on it, then we will be after the conversion is not very likely really improved, but more damage.
due to false grown bone pain, is often as absurd as maintaining that your susceptibility to colds is to your long, short, curved, straight, wide or narrow nose, and due to start after a big nose measurement. Spinal curvature in all directions, crooked pelvis, legs of different lengths and the like are in the rarest of cases due to bony abnormalities, but only an expression of false tensile stress of the fascia and muscles. This means that the spine is pulled crooked, which is too short leg and the pelvis is pulled inadvertently skewed (solid) hold. As if by magic, for example, a vertebra that is not moved from the spot. Vertebrae Calcium phosphate apatite crystals, ie stones. A stone moves neither of himself, and has legs. A bone can therefore only moved by train to a different place and are held there. Even if the opposite is the case, and a bone as times can not move properly, it must logically be asked only which muscle is not as able to move these bones or release, rather than equal to saw anything or smooth.
About 184 000 patients in pain every year unnecessarily beaten bloody with conditions. Often it is not better then the person concerned, on the contrary, the complaints be strengthened. Some people are never properly los.
Short Stats
serve here must go to Switzerland, which is, despite its small population, a significant number of interventions. In half of the 2007 hospital-treated cases, a correction procedure was performed. Joint replacement is leading! In 2006 in Switzerland, almost as many artificial hip joints (15 137) were planted as antibiotic infusions (16 405) administered. There were almost as many knee joints (11 026) used as chemotherapy (12 560) conducted stationary. With nearly 4579 procedures is also the hallux valgus (Schiefzehe) big time in Switzerland. In the arthroscopy, the knee joint is located near the front: In Switzerland there are 10 875 procedures per year - every 636th Switzerland is thus seen the inside of the knee and manipulated. According to "Der Spiegel" in Germany there are 190 000 procedures.
The knee joint is a good example: Let's take the popular smooth the joint surfaces by an arthroscopic-surgery. Here is probably one of the largest, which already has examples of the ineffectiveness of such manipulations on cartilage and bone. Perhaps one or the other says the theme "Mosley-study" of something. Bruce Mosley is from the year 2002, the first comprehensive study on sham operations. The researchers had in half of the patients had cartilage smoothing according to the rules of the surgical art done while the other group only a placebo-OP had fooled with sedation. There were also three small cuts like real injection sites. No one knew whether he actually had the surgery or not. Two years later, the researchers were able to make complaints regarding any differences between the two patient groups. Because some researchers consider this study did not really fit and she was questioned again and again, among other reasons because it had been only male subjects, according to Canadian researchers now stored and presented their findings in the New England Journal of Medicine. The new Canadian study compared now two mixed groups of patients. This time was running against conservative surgical therapy. After two years, the researchers compared the groups and found: neither the mobility nor what it came the pain, the operated patients were at an advantage. The news is likely to disappoint
operation joyful doctors! Patients who are willing to use a scalpel so far, but quite calm. One can only hope that the new study provides more clarity and perhaps finally brings consequences in practice. Similar results could be very likely to get for quite a few other interventions to "stone-style". It will tell you while some orthopedic surgeons under their breath that this or that OP is not really promising actually. It read, but they are still little or nothing.
Even with scoliosis like is driven. Scoliosis is not just extending the spine (when viewed from behind). So it bends to the right or left and / or more or less. This curvature usually occurs during childhood and adolescence, when one side of the body grows differently than the other. As long as the Faszien-/Muskelgefüge is balanced, the body grows symmetrically, that is relatively straight. Imbalances then, logically, something crooked, so scoliotic. As long as the whole thing happened in growth, is the first in principle, but still not that bad at all how often touted as all parts of the body adjust to the unequal growth. There are in scoliosis not only ribs and vertebrae "bent", but in the context of adapting a lot of other bones of the skull to the big toe. As this is happening but as I said on the increase, and all can adjust to each other alone (as with our early bird), this has not necessarily an immediate clinical significance. The body is indeed crooked, but consistent. It is functionally the same first sound as a non-scoliotic patients. The trap is that a scoliosis is the curvature at the outset branded. No matter what will occur for pain ever in his life, of course it is always obvious that this causes the scoliosis and a deeper thinking is not a first. Following the slogan "Na crooked as you are, so it has to come." A compartmentalized with consequences. Often painful scoliosis even the same as the typical causes for non-scoliotic patients. treated differently but both are the same.
Conservative treatment consists in particular of solid muscle strengthening, both in the opposite direction of the bulge. However, as previously often no real clinical significance in the form of pain, etc. is present, but often only ever just a precaution and norm-referenced to be reformed, the scoliosis is usually only if and to the real disease plus pain when the body is forced with a straight body strengthening exercises. This action is very one-sided and locally in specific muscles. A holistic change in the overall power structure is not achieved it. Only a fight with no real winner along the lines of isolated muscle packages to domestic order!
Other therapies exist, especially in young age, often from years of painful corset applications. In some cases, followed by super-high-tech operating on the spine. Here, the spine is straightened by means of a rod. This looks visually quite a bit more healthy and fit better into the norm again. But in the body still distorted by the fixation and the cooperation of the entire network of massive disruption. As the muscles that operated at the bone-like, of course, still the old ones are still, even in terms of tension all the same. The guys try that is, logically, the bones move back to where he was before. As a result no-ending tug of war that brings the incredibly strong forces, including pain. This time is the motto: Screw against domestic order!
So actually quite naive that you believe in such a complex system with a few screws, plates and bars all times just as rooms to cope until at least visually first match. It seems well but a little more to be just as Lego bricks to put in such a manner true to the statics. When it is removed as invasive, the body in the converted shares is often quite destroyed, because the structure no longer fits. Surgically reconstructed bodies are therefore usually very difficult to correct. I think many therapists can confirm that we should achieve much better results in patients who still had no intervention, than in those where already been tampered with solid or fixed.
Perhaps for the finish, a short trip one floor up to our mill, the pearly whites. Of course, also changed a lot. That wisdom teeth without Complaints like ever disposed of precaution is indeed relatively common. One wonders what made the man actually with his wisdom teeth, dentists before it existed? However, braces are quite popular. So usually not at the carriers themselves, but the dentists take quite happy about this resource. Here, too, perhaps a quick glance to the right and left. The clip is indeed a lever, which is transmitted through the teeth to the jaw bone. So even gets manipulative forces with which he passed on again, too. Muscles that are attached to the jaw bone to be changed in their power structure. The other end of the muscles attached to another bone, eg vertebral bones. These vertebrae must now also adjust to the new power structure and pass it on again. It then sits in a chain reaction proceeds in all possible body parts. Result at some point have teeth that are probably pretty in a row, but neighboring or even distant structures are thus, based on the whole, possibly far from correct. I'm not saying that you do nothing to correct such imbalances, curvature, etc. can do / should, after all, one has also an aesthetic sense and can also possibly improve the function. But massive muscle training or conversion of the surgery, I think in most cases, the wrong way. That operations are not entirely unnecessarily, is of course clear. There are many cases where this is obviously absolutely timely. Only operations and procedures that often take place only once a precaution and drastically interfere with the natural design of the body, are certainly worth thinking about here and there.
summary:
No matter where something is wrong in the knee, spine, jaw, etc., nothing is moving by itself from its normal position somewhere else, not a millimeter! This always make fascia / muscle traits. You can either by switching operations or by excessive muscle tension patterns that affect the long term. You simply put on more muscle, which only added artificially the tension of the respective Faszien-/Muskelabschnittes. Latest on structures that require the opposite, ie a reduction of tension, muscle training itself would be kicked out as an auxiliary model. Massage and stretching techniques bring the body likewise no structural changes, but at best temporary accommodation. A massage relaxes as only a few hours. The body is not a yeast dough, the more "goes" better the longer he is "kneaded" is. In addition, set operations, muscle strengthening, stretching, etc. to mostly local. If the power structure is disrupted globally, with the almost purely local applications such as vacuuming in the desert quite hopeless. If anything the body in its internal structures, can actually change its internal order, this is a sustainable and globally accessible only by methods well the Faszienmobilisation observe all parts of the body to achieve a holistic and align with each other.
But again, Orthopaedic standard specifications should be no laws. Just as we all have different nose shapes, or different ears and hands, as we also have different shaped bone. This is a great fascination with nature, often completely harmless varieties of basic human model, the effort does not usually worth the investigation. So you can not make too much panic, If your orthopedist tells you the next time that your spine 5 ° from the normal value and where that was the reason for your pain well. Keep it simple, perhaps like George Bernard Shaw who said: "What we need are a few crazy people, look at you, where have brought us the normal."
