Re: Surgery
Posted: Sun Mar 22, 2015 4:18 am
Wow I just wrote like 5 pages of a response and my Internet froze and kicked me off. I am not writing all that again. Wow. Something really didn't want me to type all that. Maybe it was meant to be not to post that.
Basically I said surgery is not the answer for 90 percent of individuals out there. I see this condition strictly as a fascia problem. Fascia in the abdominal cavity and pelvic cavity are compressed. Some people are compressed by the fascia of the obturator internus, some by the fascia between the sacrospinous and sacrotuberous ligaments, some by the fascia of the coccyx, some by the illiacus and psoas....and the list goes on. The problem with this condition is there is no way for surgery to be a success bc it is not so black and white. The fascia of the pelvis is probably the most interesting fascial structures because of its complexity in nature. Let's take a look at the obturator muscle and it's fascia. The pelvic fascia is strongly developed and contains a white dense curved thickening (kind of like a bowl). This arch runs downward from the sympahsis to the ischial spine. The pelvic fascia passes over the levator ani muscle (hence why majority of people have spasms of this muscle). As you can see this condition is very complex to treat because once one area of connective tissue becomes tightened and restricted it can tighten the whole fascial chain. Thereby creating further problems like pelvic instability, SI problems and the list goes on.
If you studied fascia and it's mechanics in the body you would know fascia is one systemic chain. Take a look at the vertical fascia chain for example. One fascia chain connects from the plantar aponeurosis, up the gastrocnemius, up the hamstrings, through the sacral fascia, up the sacrotuberous fascia, up the iliocostalis and all the way to the cranial fascia. It is one connected fascia system. This is why some people with plantar fascia pain have this pain because of tight calves or hamstrings. Or even a tight back can cause it. It's strange how the body functions but we do know it is one fascial chain.
I guess it makes sense why a lot of people with this condition have foot pain. Because if the fascia in the pelvis is constricted and tight this will also cause tightness in the plantar aponeurosis region (as we know from the vertical fascia network).
I am nowhere near solving this condition but what I do know is that you have to study your body and know your body alignment issues. I've recently started to put the pieces together and who knows if I'll be eating these words in the future. But for what I know now is surgery isn't successful for majority of cases. And here's why - cutting ligaments and trimming fascia actually creates more instability in the body. Let's take for example someone like me. I have major constrictions by my psoas, obliques, illicus, pectineus and inguinal ligament. im assuming through time and years of improper loading I developed some adhesions on my left side by my hip flexor and obliques. In time this shortened movement created a pelvic alignment issue and twerked my pelvis inward on the left. Creating thickened ligaments on the left side. Here's the great part ...no shit pudendal happened. I created a body full of problematic areas. The reason why surgery wouldn't fix this is because it's not addressing the problem. Let's say I go into surgery to cut my sacrospinous ligaments and create room for the PN. Now look what I juat did...I cut these ligaments and I still have pelvic instability. Through years of healing after the surgery your body actually lays down more collagen to stabilize your pelvis. This is where the effects of loading come into play. Anytime your body does not have optimal balance and there is an increase of loading in one area over another there will be adhesions and a buildup of tissue to counter that instability. This is why surgery is only successful in a select few.
In MYYYY opinion (just an opinion) surgery will work for those very few that are truly entrapped by the classical "clamp". Otherwise if not then the surgery will always create more problems.
We need to address the causes and that unfortunately takes months or years to fix. But honestly this condition is way too complex to be taking surgery lightly bc there are far greater individuals entrapped or compressed in many areas than what surgeons do it on. Surgeons do not understand fascia and it's role in the body. They rarely (if ever) studied fascias movement and functionality. They know the anatomy and are helllll smart but they do not understand how cutting one tissue will effect the greater picture.
I'm not saying surgery does not work. It does, in a select few. But this condition is far more complex than people realize. Be Your Own doctor. I don't know how cliche that sounds but it's damn true. Know your body. Pay attention to the stretches that flare you up. Sometimes i find that stretching one muscle and it's fascia for two days is better than stretching the whole body. Just so you know which area is the problem. For example if a stretch flares you pay attention to it. Don't ignore it bc chances are it's flaring you because that's the problem.
Jeez I can't believe I wrote a novel once again. Anyways I can write about this topic for hours but my fingers hurt from texting on my phone. If you only remember one thing from all this just remember this one thing .....FASCIA .....address it and stretch it!
Basically I said surgery is not the answer for 90 percent of individuals out there. I see this condition strictly as a fascia problem. Fascia in the abdominal cavity and pelvic cavity are compressed. Some people are compressed by the fascia of the obturator internus, some by the fascia between the sacrospinous and sacrotuberous ligaments, some by the fascia of the coccyx, some by the illiacus and psoas....and the list goes on. The problem with this condition is there is no way for surgery to be a success bc it is not so black and white. The fascia of the pelvis is probably the most interesting fascial structures because of its complexity in nature. Let's take a look at the obturator muscle and it's fascia. The pelvic fascia is strongly developed and contains a white dense curved thickening (kind of like a bowl). This arch runs downward from the sympahsis to the ischial spine. The pelvic fascia passes over the levator ani muscle (hence why majority of people have spasms of this muscle). As you can see this condition is very complex to treat because once one area of connective tissue becomes tightened and restricted it can tighten the whole fascial chain. Thereby creating further problems like pelvic instability, SI problems and the list goes on.
If you studied fascia and it's mechanics in the body you would know fascia is one systemic chain. Take a look at the vertical fascia chain for example. One fascia chain connects from the plantar aponeurosis, up the gastrocnemius, up the hamstrings, through the sacral fascia, up the sacrotuberous fascia, up the iliocostalis and all the way to the cranial fascia. It is one connected fascia system. This is why some people with plantar fascia pain have this pain because of tight calves or hamstrings. Or even a tight back can cause it. It's strange how the body functions but we do know it is one fascial chain.
I guess it makes sense why a lot of people with this condition have foot pain. Because if the fascia in the pelvis is constricted and tight this will also cause tightness in the plantar aponeurosis region (as we know from the vertical fascia network).
I am nowhere near solving this condition but what I do know is that you have to study your body and know your body alignment issues. I've recently started to put the pieces together and who knows if I'll be eating these words in the future. But for what I know now is surgery isn't successful for majority of cases. And here's why - cutting ligaments and trimming fascia actually creates more instability in the body. Let's take for example someone like me. I have major constrictions by my psoas, obliques, illicus, pectineus and inguinal ligament. im assuming through time and years of improper loading I developed some adhesions on my left side by my hip flexor and obliques. In time this shortened movement created a pelvic alignment issue and twerked my pelvis inward on the left. Creating thickened ligaments on the left side. Here's the great part ...no shit pudendal happened. I created a body full of problematic areas. The reason why surgery wouldn't fix this is because it's not addressing the problem. Let's say I go into surgery to cut my sacrospinous ligaments and create room for the PN. Now look what I juat did...I cut these ligaments and I still have pelvic instability. Through years of healing after the surgery your body actually lays down more collagen to stabilize your pelvis. This is where the effects of loading come into play. Anytime your body does not have optimal balance and there is an increase of loading in one area over another there will be adhesions and a buildup of tissue to counter that instability. This is why surgery is only successful in a select few.
In MYYYY opinion (just an opinion) surgery will work for those very few that are truly entrapped by the classical "clamp". Otherwise if not then the surgery will always create more problems.
We need to address the causes and that unfortunately takes months or years to fix. But honestly this condition is way too complex to be taking surgery lightly bc there are far greater individuals entrapped or compressed in many areas than what surgeons do it on. Surgeons do not understand fascia and it's role in the body. They rarely (if ever) studied fascias movement and functionality. They know the anatomy and are helllll smart but they do not understand how cutting one tissue will effect the greater picture.
I'm not saying surgery does not work. It does, in a select few. But this condition is far more complex than people realize. Be Your Own doctor. I don't know how cliche that sounds but it's damn true. Know your body. Pay attention to the stretches that flare you up. Sometimes i find that stretching one muscle and it's fascia for two days is better than stretching the whole body. Just so you know which area is the problem. For example if a stretch flares you pay attention to it. Don't ignore it bc chances are it's flaring you because that's the problem.
Jeez I can't believe I wrote a novel once again. Anyways I can write about this topic for hours but my fingers hurt from texting on my phone. If you only remember one thing from all this just remember this one thing .....FASCIA .....address it and stretch it!