Does Your Practitioner Treat You Like A Boomerang?
In clinics we hear it all of the time “I’ve been to Dr……… 8 times for my health problem (curable) and it is getting worse, then I remembered I rarely had to go to you more than once”. Today it costs a lot of money to run a health clinic and every practitioner needs to build up their patient base, but even in a sparsely populated area like Eden, NSW Sapphire Coast practitioners should be building their patient numbers through their efficacy, not treating them with bad technique, making them return like boomerangs.
A good practitioner does not have to see his patient week after week for the same problem unless he/she is out of their depth, treating something they are unqualified to treat or simply treating it wrong, if this happens the patient should be referred to someone else for further tests, perhaps the diagnosis was wrong. Occasionally a condition becomes hypersensitive and resists treatment, this happens with muscles like hamstrings (semitendinosus, semimembranosus, biceps femoris) or rotor cuff muscles.
Hamstrings are a difficult muscle group to treat because a lot of things can impact on their recovery from inflammation, injury or overuse. It certainly makes it interesting when the original diagnosis was sciatica, don’t laugh it happens a lot. When the inflammation is taken out of the hamstrings it recovers often in days but treating it as sciatica it hangs around for a very long time.Vladimir Janda (1983) developed some tests to prove whether it was hamstrings or something else.
Rotator Cuff Muscles
Another group of muscles that often seem to be misdiagnosed and treated are the rotator cuff muscles. Practitioners seem to get it right when there is a tear, arthritis or damage caused by spurs and they can use their expensive toys to take internal pictures. Simple inflammation caused by over work, overloaded or being left in an extended position for too long doesn’t fare so well and bone manipulation does not restore the function of the Kreb Cycle as well as ischaemic pressure. These muscles cause a huge amount of discomfort, pain and loss of work amongst workers from all categories. They also are a problem for sports people like tennis players, fishermen casting lines or any sportsman that has to throw anything. These muscles anchor to the greater and lesser tubercles and are called teres minor, infraspinatus, supraspinatus and subscapularis and they refer pain into other muscles – tricky little devils. These muscles respond well to well educated massage therapists who are engaged in serious massage. Frequently patients visiting this clinic comment “I have been so good since I came to you 3 years ago, and I haven’t been to anyone else”. This is how it is supposed to work, but it isn’t good for business.
Being treated like a boomerang can not only prolong the agony but it can also cost a lot of money.
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