Fascia Therapy and Bechterew: a multi-factorial approach
Since a few weeks, I’ve been treating a young woman suffering from Bechterew’s syndrome. As I’m always trying to spent the time with a patient as efficient as possible, I failed to reveal the background of the treatment. My promise to her was that I would clarify the essentials of the treatment background on my blog. In other words, this article is not only interesting for her, but may also support other therapists (to get new insights) and their patients.
What this disease is all about, can be found on many internet sites. With this post I’ve chosen to describe a different vision on the pathology and the specific fascia-therapeutic approach in practice. For now, let’s keep it to this: Bechterew’s syndrome is a rheumatic disease that affects mainly the spinal column. In almost all cases there are acute inflammation stages followed by intermittent stages of rest/recovery. An inflammation stage usually causes structural changes to the joint. As a consequence of this, the mobility of the joint reduces gradually and the spinal column stiffens. The patients ends up in a vicious circle: Due to the continuously decreasing mobility more inflammations will occur, and these will limit the mobility again.
The disease appears in various gradations, and thanks to the evolution in treatment (a.o. anti-TNF medication) the extreme final stage, when the whole spinal column is bent and totally immobile, shows up less often than it used to do. My patient’s diagnosis was made only recently. Fortunately the spinal column hasn’t stiffened yet. (Read the article)
Last week I treated a young man suffering from the loge syndrome in both lower legs.
After the first three training sessions the pain in both lower legs had become unbearable and he was forced to end physical exertion. He is being treated by a sports physical therapist five hours a day. A fascia therapy student introduced the young man to me.
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