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	<title>Comments on: Travel Tips</title>
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		<title>By: Fred Samorodin</title>
		<link>http://www.integratedphysio.com/2008/12/travel-tips/comment-page-1/#comment-27</link>
		<dc:creator>Fred Samorodin</dc:creator>
		<pubDate>Wed, 30 Sep 2009 20:33:48 +0000</pubDate>
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		<description>Greetings Shubham!
Thank you for your question!  Osteopathic work is based on structure affecting function and visa versa.  Therefore, I would assess a gymnast (patient) for postural alignment at the iliac crests (&quot;hips&quot;); the shoulder girdles (A.C. joints) and the base of the skull (O.A. area).  I would assess the leg length for functional leg length discrepancies in prone lying.  Remember that a 5 mm difference in leg length will produce a landing or take off force on the body that is assymetrical  and will be reinforced by any functional leg length discrepancy.  However, the discrepancy is usually created by spinal postural malalignment (see my authorship in medical textbook by Dr. Wolf Schamberger--&quot;The Malalignment Syndrome&quot;  (2002) ) He, a carded long-distance runner suffered from Achilles problems for a long time as a sportman until he learned about the neurostructural contribution of myotomes and sclerotomes to peripheral joint problems.  I treat differently than he does (in the book) now, therefore, osteopathically one needs to manually (and gently) align the occiput with C.1 and C2.; release the counterbalancing torque on the sacrum contributing to functional leg length discrepancies; unwind the fascia of both legs to release tensions on the piriformis muscle that is usually hypertonic and tender to deep palpation on one side and when there is a release of centrally induced hypertonicity of the calf muscle affecting the Achilles tendon.  Note that palpation of the gastrocx and soleus (calf) is to assess the benefits of the rest of the recommended bodywork.  Then, if the gymnast needs to perform, I would consider low-dye taping of both foot arches or perhaps Kinesiotaping of the affected Achilles tendon.  The subtalar joint and the mid-tarsal joint of the affected leg can benefit from mobilizations or manipulations.  Don&#039;t waste your athlete&#039;s time with 15 minute treatments--take your time during a treatment session-align them well-I bet the results will be rewarding!
Fred Samorodin, Registered Physical Therapist--Vancouver</description>
		<content:encoded><![CDATA[<p>Greetings Shubham!<br />
Thank you for your question!  Osteopathic work is based on structure affecting function and visa versa.  Therefore, I would assess a gymnast (patient) for postural alignment at the iliac crests (&#8220;hips&#8221;); the shoulder girdles (A.C. joints) and the base of the skull (O.A. area).  I would assess the leg length for functional leg length discrepancies in prone lying.  Remember that a 5 mm difference in leg length will produce a landing or take off force on the body that is assymetrical  and will be reinforced by any functional leg length discrepancy.  However, the discrepancy is usually created by spinal postural malalignment (see my authorship in medical textbook by Dr. Wolf Schamberger&#8211;&#8221;The Malalignment Syndrome&#8221;  (2002) ) He, a carded long-distance runner suffered from Achilles problems for a long time as a sportman until he learned about the neurostructural contribution of myotomes and sclerotomes to peripheral joint problems.  I treat differently than he does (in the book) now, therefore, osteopathically one needs to manually (and gently) align the occiput with C.1 and C2.; release the counterbalancing torque on the sacrum contributing to functional leg length discrepancies; unwind the fascia of both legs to release tensions on the piriformis muscle that is usually hypertonic and tender to deep palpation on one side and when there is a release of centrally induced hypertonicity of the calf muscle affecting the Achilles tendon.  Note that palpation of the gastrocx and soleus (calf) is to assess the benefits of the rest of the recommended bodywork.  Then, if the gymnast needs to perform, I would consider low-dye taping of both foot arches or perhaps Kinesiotaping of the affected Achilles tendon.  The subtalar joint and the mid-tarsal joint of the affected leg can benefit from mobilizations or manipulations.  Don&#8217;t waste your athlete&#8217;s time with 15 minute treatments&#8211;take your time during a treatment session-align them well-I bet the results will be rewarding!<br />
Fred Samorodin, Registered Physical Therapist&#8211;Vancouver</p>
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		<title>By: shubham</title>
		<link>http://www.integratedphysio.com/2008/12/travel-tips/comment-page-1/#comment-26</link>
		<dc:creator>shubham</dc:creator>
		<pubDate>Sat, 26 Sep 2009 17:47:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.integratedphysio.com/?p=32#comment-26</guid>
		<description>Hi Fred,

an you let me know how we can treat Achilles tendinitis (In gymnasts) through any other osteopathic techniques. Any help with the exact manual therapy maneuver or any resource material in this regard can help me.

regards
Shubham</description>
		<content:encoded><![CDATA[<p>Hi Fred,</p>
<p>an you let me know how we can treat Achilles tendinitis (In gymnasts) through any other osteopathic techniques. Any help with the exact manual therapy maneuver or any resource material in this regard can help me.</p>
<p>regards<br />
Shubham</p>
]]></content:encoded>
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		<title>By: Fred Samorodin</title>
		<link>http://www.integratedphysio.com/2008/12/travel-tips/comment-page-1/#comment-25</link>
		<dc:creator>Fred Samorodin</dc:creator>
		<pubDate>Wed, 23 Sep 2009 05:01:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.integratedphysio.com/?p=32#comment-25</guid>
		<description>I welcome any questions or proposals for subjects of interest from readers that I may offer my professional opinion on!
Regards,
Fred Samorodin, RPT</description>
		<content:encoded><![CDATA[<p>I welcome any questions or proposals for subjects of interest from readers that I may offer my professional opinion on!<br />
Regards,<br />
Fred Samorodin, RPT</p>
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	<item>
		<title>By: Fred Samorodin</title>
		<link>http://www.integratedphysio.com/2008/12/travel-tips/comment-page-1/#comment-24</link>
		<dc:creator>Fred Samorodin</dc:creator>
		<pubDate>Wed, 23 Sep 2009 04:58:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.integratedphysio.com/?p=32#comment-24</guid>
		<description>Just a thought!  There are equally helpful &quot;travel&quot; pillows filled with buckwheat husks, made of memory foam or, sometimes with little synthetic beads, that will provide good neck support as well.  I would note, that in cases where one happens to be on an AirBus aircraft, it is my opinion that the neck support &quot;wings&quot; installed in the aircraft seat work pretty well without the obiquitous travel pillow.
Happy Trails!
Fred Samorodin, RPT</description>
		<content:encoded><![CDATA[<p>Just a thought!  There are equally helpful &#8220;travel&#8221; pillows filled with buckwheat husks, made of memory foam or, sometimes with little synthetic beads, that will provide good neck support as well.  I would note, that in cases where one happens to be on an AirBus aircraft, it is my opinion that the neck support &#8220;wings&#8221; installed in the aircraft seat work pretty well without the obiquitous travel pillow.<br />
Happy Trails!<br />
Fred Samorodin, RPT</p>
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