Myopathy: Dysfunction of Muscle Fiber

The myopathies are neuromuscular disorders in which the primary symptom is muscle weakness due to dysfunction of muscle fiber. Other symptoms of myopathy can include include muscle cramps, stiffness, and spasm. Myopathies can be inherited (such as the muscular dystrophies) or acquired (such as common muscle cramps). Myopathies are grouped as follows:
congenital myopathies: characterized by developmental delays in motor skills; skeletal and facial abnormalities are occasionally evident at birth
muscular dystrophies: characterized by progressive weakness in voluntary muscles; sometimes evident at birth
mitochondrial myopathies: caused by genetic abnormalities in mitochondria, cellular structures that control energy; include Kearns-Sayre syndrome, MELAS and MERRF
glycogen storage diseases of muscle: caused by mutations in genes controlling enzymes that metabolize glycogen and glucose (blood sugar); include Pompe's, Andersen's and Cori's diseases
myoglobinurias: caused by disorders in the metabolism of a fuel (myoglobin) necessary for muscle work; include McArdle, Tarui, and DiMauro diseases
dermatomyositis: an inflammatory myopathy of skin and muscle
myositis ossificans: characterized by bone growing in muscle tissue
familial periodic paralysis: characterized by episodes of weakness in the arms and legs
polymyositis, inclusion body myositis, and related myopathies: inflammatory myopathies of skeletal muscle
neuromyotonia: characterized by alternating episodes of twitching and stiffness; and
stiff-man syndrome:  characterized by episodes of rigidity and reflex spasms
common muscle cramps and stiffness, and
tetany:  characterized by prolonged spasms of the arms and legs

Treatments for the myopathies depend on the disease or condition and specific causes. Supportive and symptomatic treatment may be the only treatment available or necessary for some disorders. Treatment for other disorders may include drug therapy, such as immunosuppressives, physical therapy, bracing to support weakened muscles, and surgery.

Having a healthcare team enables you to understand your symptoms. Visit your physician for a diagnosis and recommendation of treatments.

See the original post and find out more about myopathy and resources for support here.

The efficiency of the body: Fascia and your health

Tensegrity and the body

Tensegrity is an elision of ‘tension + integrity’. Buckminster Fuller, building on the highly original sculptures of Kenneth Snelson, coined the term, to indicate that the integrity of the structure derived from the balance of tension members, not the compression struts. Can you see? (The easiest way to understand tensegrity is to have a model in your hand – then these properties are self-evident.) Cut the strings and it would collapse totally.

Most of our houses and other man-made structures are ‘compressionegrities’ – their integrity lies with the continuity of compression from the highest brick in the Empire State Building to the lowest block of granite – the compression runs in an unbroken line from element to element all the way to the ground.

Tom and Dr. Steven Levin, developer of biotensegrity

We have thought of our bodies in the same way: the skeleton is a stack of bones, like a stack of checkers – a continuous compression structure – with the individual muscles hanging off each bone to move it.

But every classroom skeleton you have ever seen is wired together. Similarly, in the actual skeleton the bones float in a sea of soft-tissue.

Fascial continuity suggests that the myofascia acts like an adjustable tensegrity around the skeleton – a continuous inward pulling tensional network like the elastics, with the bones acting like the struts in the tensegrity model, pushing out against the restricting ‘rubber bands’.

Tensegrity’s unique features

Playing with these models reveals several unique features: Put strain into a tensegrity structure and the deformation will get distributed all over the structure. Continuous compression structures like buildings do not show this property, but bodies do. Load one corner of a building with a huge amount of snow, and that corner might collapse, leaving the rest of building intact. Load a tensegrity, and it will distribute the strain around the whole structure. Ergo: Where will a strained compression structure break? where the strain is greatest. Where will a tensegrity structure break under strain? at its weakest point.  If we are a tensegrity structure, the ‘load’ that is causing pain or strain in the low back may be sourced in the foot or the shoulder – so we have to be able to see the pattern to know where to intervene.  Erik Dalton says “Don’t chase the Pain!”.  Ida Rolf said :Where you think it is, it ain’t.”  Both of these point to the tesnegrity nature of the body.

Expansion
Often our clients’ bodies are contracted and retracted and immobilized in some ways, in some parts. We want to engender an opening, expansion, a filling of space until the person is fully expressed, not constrained. Tensegrities expand in all axes at once: open the structure in one dimension and every dimension expands. Neither buildings nor balloons display this property, but tensegrity structures and bodies do.

Research into fascia has shown how it works on many levels as a distributive network. The body is at least responding like a tensegrity structure, and many of us believe that it is operating as a tensegrity structure. Perhaps it operates more like a tensegrity structure in Fred Astaire than it does in Jackie Gleason.

Efficiency
Tensegrities can be built in hierarchies – each element of a tensegrity can be built out of smaller tensegrities – making for the most efficient use of materials, an evolutionary imperative. This efficiency is also a very important property, as the rule of biological evolution is efficiency – getting the most performance from the least material.

Research into fascia has shown how it works on many levels as a distributive network. The body is at least responding like a tensegrity structure, and many of us believe that it is operating as a tensegrity structure. Perhaps it operates more like a tensegrity structure in Fred Astaire than it does in Jackie Gleason.

This article originally appeared on www.anatomytrains.com

Stress: getting a handle on it.

Stress is something everyone knows about, but not everyone understands its effects.

When the body experiences emotional or physical stress it responds by increasing muscle tone and changing hormone levels. When a stressful situation is resolved your body returns back to its previous relaxed state. This suited us really well back in our hunter-gatherer days when we picked berries and had to run from the occasional tiger, or the like. While tigers aren't really a problem these days, you can't out run work or use fire to fend off that report that's due on Monday. Stress tends to occur over long term and doesn't necessarily have a single cause.

Your body treats these so-called minor hassles as threats. As a result you may feel as if you're constantly under assault.

Over time stress can decrease the power of your immune system and almost all your body's processes, increasing the demand for more resources to maintain it. Stress stays with us as we continue to endure it, and becomes stored as muscular & fascial tension, plus heightened levels of hormones, including cortisol and adrenaline, until something happens to ease the perceived stress. Over time this chronic tension and increased hormone levels can cause:

• Anxiety
• Depression
• Digestive problems
• Headaches
• Heart disease
• Sleep problems
• Weight gain
• Memory and concentration impairment

It is important to have an outlet for your stress and allow it to be released from your body. There are two ways to release it: one is through physical means - like massage, martial arts,  yoga, or practicing a healthy eating lifestyle, as these activities release the stored muscle tension, strengthen your body and signal the nervous system to relax. Massage especially helps lower blood pressure, increases circulation, stimulates the release of oxytocin and promotes a sense of relaxation. The other is to ease the emotional or mental factors behind the stress through methods like meditation or making the time to relax. Some simple and effective strategies are:

• Learn to meditate 5 mins a day*
• Spend time in nature
• Go for a daily walk
• Exercise regularly
• Connect with trusted people
• Practice your hobbies weekly

*Meditation takes you to a deeper state than sleep. During this time, just like during the sleep cycle, your body has the opportunity to repair and regenerate. Your muscles start to relax and aches are relieved. The result is increased energy and improved health.

 Take time for yourself and find the outlet for you. You'll be glad you did.
 

Everyone endures stress - some form of it - so remember you are not alone. How you cope with it can vary, and every method works, but some more than others for each individual. To learn more and for appointments with our specialists contact us over email contact@resetwellness.ca or phone 780.756.5265We're here to help.

This article is written by our very own Brad Ballard, RMT at Reset Wellness.

Avoid This When Foam Rolling

These days, foam rollers are everywhere — the gym, your physical therapist’s office, your living room and even your suitcase. After all, foam rolling has emerged as the darling of the fitness world and the cure-all for many different aches.

Essentially, foam rolling is a form of self-myofascial release, or self-massage, that gets rid of adhesions in your muscles and connective tissue. These adhesions can “create points of weakness or susceptibility in the tissue,” according to Chris Howard, C.S.C.S. and LMT at Cressey Performance. “If the muscle isn’t contracting uniformly from end-to-end, it could lead to injury and pain.” Foam rolling also increases blood flow to your muscles and creates better mobility, helping with recovery and improving performance.

Sounds great, right? Yes, foam rolling offers tremendous potential to relieve pain and help you move better — if used the right way. If not, you risk irritating, and possibly injuring, your body further.

Here’s a breakdown of five common mistakes people often make when using the foam roller.

Mistake #1: You roll directly where you feel pain. When we feel pain, our first inclination is to massage that spot directly. However, this might be a big mistake. “Areas of pain are the victims that result from tension imbalances in other areas of the body,” says Sue Hitzmann, MS, CST, NMT, manual therapist, creator and author of The MELT Method.

Let’s take the IT band, for example. Foam rolling is a commonly prescribed remedy for iliotibial band syndrome (ITBS). While religiously rolling out your IT band might feel good, “the idea that you are going to relax or release the IT band is a misconception,” Hitzmann says. The phrase roll out your IT band itself makes it sound like you are rolling out a piece of dough, but your IT band is anything but pliable. It’s a remarkably strong piece of connective tissue, and research has shown that it cannot be released or manipulated by manual techniques such as foam rolling. “If you iron out areas of inflammation, you can increase inflammation. And if you are in pain, your body will be too stressed to repair itself,” says Hitzmann.

The fix: Go indirect before direct. “If you find a spot that’s sensitive, it’s a cue to ease away from that area by a few inches. Take time and work a more localized region around areas that feel sore before using larger, sweeping motions,” suggests Hitzmann. For the IT band, work on the primary muscles that attach to the IT band first — specifically the gluteus maximus (the largest muscle in the buttocks) and the tensor fasciae latae (a muscle that runs along the outer edge of the hip).

Mistake #2: You roll too fast. While it might feel great to roll back and forth on a foam roller quickly, you’re not actually eliminating any adhesions that way. “You need to give your brain enough time to tell your muscles to relax,” says Monica Vazquez, NASM certified personal trainer and USA Track and Field Running Coach.

The fix: Go slower so that the superficial layers and muscles have time to adapt and manage the compression. Feel where the tender spots are with the roller, and use short, slow rolls over that spot. “There’s no reason to beat up the whole muscle if there are only a few sensitive areas,” Howard says.

Mistake #3: You spend too much time on those knots. We’re often told that if you feel a knot, spend time working that spot with the foam roller. However, some people will spend five to 10 minutes or more on the same area and attempt to place their entire body weight onto the foam roller. If you place sustained pressure on one body part, you might actually hit a nerve or damage the tissue, which can cause bruising, according to Vazquez.

The fix: “Spend 20 seconds on each tender spot then move on,” Vazquez recommends. You can also manage how much body weight you use. For example, when working your IT band, plant the foot of your leg on the floor to take some of the weight off the roller.

Mistake #4: You have bad posture. Wait, what does your posture have to do with foam rolling? A lot. “You have to hold your body in certain positions over the roller,” says Howard, and that requires a lot of strength. “When rolling out the IT band, you are supporting your upper body weight with one arm.” When you roll out the quads, you are essentially holding a plank position. If you don’t pay attention to your form or posture, you may exacerbate pre-existing postural deviations and cause more harm.

The fix: Work with an experienced personal trainer, physical therapist or coach who can show you proper form and technique. Or, consider setting up your smartphone to videotape yourself while foam rolling, suggests Howard. That way, you can see what you are doing right and what you are doing wrong, like sagging in the hips or contorting the spine.

Mistake #5: You use the foam roller on your lower back. “The thing that makes me cringe is when people foam roll their lower back. You should never ever do that,” say Vazquez. Hitzmann agrees. “Your spine will freak out and all the spinal muscles will contract and protect the spine.”

The fix: According to Vazquez, you can use the foam roller on your upper back because the shoulder blades and muscles protect the spine. “Once you hit the end of the rib cage, stop.” If you want to release your lower back, try child’s pose or foam roll the muscles that connect to your lower back — the piriformis (a muscle located deep within the glutes), hip flexors and rectus femoris (one of the main muscles in your quads).

Most importantly, understand what the origin of your pain is before you start. Know what you are trying to achieve through foam rolling and how to do it properly. And don’t forget to stick with it. “To get the benefits of self-massage, it’s repeated exposure that’s most important,” says Howard. “You have to show up and put in the work.”

This article originally appeared on http://www.huffingtonpost.com/2014/03/18/foam-rolling-mistakes_n_4980975.html and was written by Christine Yu