Rheumatology

Behind the term rheumatology we find, almost always, a common denominator which is a disorder of muscle tone.

MMP disorders may be of functional (mechanical) origin, or secondary to various pathologies (polyarthritis, sclerodermias, diabetes, etc…).

Of course, today, osteopathy will not be able to “cure” polyarthritis, but it will be able to reduce its effects. It will be very effective in combination with other conventional treatments. Hemodynamic Osteopathy is, most certainly, the most efficient medicine for the treatment of pathologies of mechanical origin (mainly when they are treated in time).

You will find below some brief explanations concerning various pathologies, the failure of the functional physiological systems inducing these symptoms and the treatments allowing to remedy them .

We advise you to have previously read the file “The MMP is a versatile engine”.

Our comments do not concern the mechanical causes of the symptoms. However, we do not exclude other causes that do not fall within our therapeutic field.

There are two types of concomitant and intertwined origins at the origin of classical arthrosic phenomena:

– Mechanical origins

– Metabolic origins

Mechanical origins

-Linked to muscular lesions which by their spasticity will increase the pressure on the joints.

-They may also cause postural disorders (unbalanced supports) which will increase the phenomena of lever arms overloading the joints a little more (support on one leg, etc…).

Metabolic origins

We have learned in recent years that hyper-marathon runners (70+ marathons per year) see their cartilage thicken… Sport therefore promotes the production of cartilage and does not necessarily destroy it as has been claimed in the past.

Lack of activity is therefore harmful to cartilage production…

We know that thanks to Permanent Muscle Motility, the joints undergo the effects of permanent twisting and loosening. The joint will undergo effects of compression and permanent decompression allowing the cartilage to be better “nourished” thanks to the movements it induces.

The synovial liquid of a joint nourishes the cartilage, it is not insane to think that these permanent movements that compress and decompress our joints allow the synovium to better penetrate and nourish the cartilage.

A deficiency in the drainage and nutritional function of the joints will have a negative impact on the quality of the cartilage.

If the joints are drained during physical activity, they are also drained at rest by the action of MMP. The amount of time the muscles are used during a day is much less than the time they rest. Thus it is the periods of rest, particularly at night, which are conducive to the degradation of cartilage. It is therefore necessary to use one’s joints to maintain them.

It is at night while sleeping that osteoarthritis makes its bed.

The good maintenance of cartilage depends, at the mechanical level, on two essential factors, the good amplitude of the joints and physical activity. Move and stretch…

To compensate for the loss of cartilage thickness Your joints and muscles must be free and flexible (Yoga), they must be maintained (sport), they must not be restricted by mechanical or muscular injuries (Osteopathy), and they must be muscular for the rest of your life. Idleness is man’s worst enemy.

The other arthritic phenomena (“pinches”, osteophyte, geodes, etc.) are generally a consequence of the above-mentioned lesions .

Concerning osteoporosis

Demineralization depends of course on the general state of health and the various pathologies that can cause it.

But note that in athletes bones are less mineralized in swimmers than in sprinters… This is the same phenomenon as for cartilage… This once again highlights the value of physical activity.

While pool maintenance may be a good idea, skipping rope is also a good idea for senior citizens +.

It is up to you to adjust the exercises according to your possibilities, of course…

Algies of neurological origin

It is in this area that the greatest epistemological break occurs: Spasms and pain emanating from the muscles almost never originate from neurological disorders.

Of course, without neurons there is no sensitive information, but the origin of muscle spasms seems to have an origin independent of the nervous system. The origin of muscle spasms seems to be well related to the cyclic autonomous system of muscle tone.  The MMP being present, even in the event of partial or total rupture of nerves…

The nervous system acting only as a superior control centre.

The pains we find clinically only rarely correspond to a systematization linked to the anatomy of the nerves. There is no parallelism between the clinic (pain felt by the patient) and the distribution of nerves in the body.

An example concerning herniated discs:

Many patients with sciatica do not show herniated discs on medical imaging… And other patients with large disc herniations show atypical pain in the nerve path (e.g. truncated sciatica), or not.

In the case where there is no neurological lesion, an origin of PMM lesion can be evoked.

Clinically, sciatica pain corresponds to muscle chains whose lesional origins have nothing to do with innervation.

Lateral sciatica is caused by the vertebral joints of L2 and L3, whereas posterior sciatica (spasms of the semitendinous chain) can be treated by freeing the 8th rib…

Hence the interest of a quality differential diagnosis…

Joint pain is mostly related to muscle contractions (hypertonia).

Muscle injuries lead to :

  • Loss of rhythm
  • Disorganizations of the moment of muscle contractions that decrease the efficiency of these (the muscles).
  • Increases or decreases in the muscle fibres concerned (the muscle fibres of the same muscle may be of different muscle chains). For example, the four tendons of the deep common flexor of the fingers have four different vertebral origins.

Tendinitis

There is always a loss of rhythmicity of the muscle fibres and therefore of the tendon concerned during tendonitis.

If there is a loss of muscular rhythm, the tendon will be less well “nourished” by the synovium, the acid-base balance will no longer be assured. This leads to an inflammatory state…

It is classically accepted that tendons are “nourished” by muscular activity…

Theoretically and clinically, releasing a lesion of the 2nd homolateral rib will immediately resolve a symptom of epicondylitis.

A few examples in no particular order:

Osgood Schlatter’s disease…

Release of the 12th rib usually makes symptoms disappear immediately.

Fibromyalgia

A more complicated treatment, but which is giving very good results for the moment. Sedation of pain and associated symptoms. For the moment a monthly session is recommended.

Hallux Valgus (no major corrections but sedation of the pain).

Symptom related to lesions of the 9th and 10th homolateral rib.

Epicondylitis

Symptom of a 2nd rib lesion

Epithrochleitis

Search still in progress (4th or 5th coast)

Sciatica

See above

Low back pain and gonalgia

These symptoms are numerous (various types of algae) put in place by many well circumscribed muscle chains today.

The finger jumps

Classically the tendon thickens locally and can form a nodule that has difficulty passing under the pulley in the palm of the hand. The affected tendon is always losing its rhythm… Treatment of the affected muscle fibres and restoration of normal rhythms will usually solve the problem without further treatment.

Dupuytren’s disease

Injury to the muscle chain of the 3rd dorsal fin (d3-d4). The problem of this pathology is due to the recurrences themselves resulting from the fact that several (primary) lesions are permanently self-perpetuating if they are not all treated. The results are present but the symptoms must be monitored and treatments renewed in case of recurrences.

Nocturnal low back pain

Some patients experience low back pain during the night or in the morning when they get up. These symptoms are generally accompanied by morning lumbar stiffness phenomena… After an Osteopathic treatment, a few Ad Hoc stretches just before going to bed should put an end to these stiffness phenomena in three days. Practicing these stretches at another time of the day will not be effective…

These spasms (nocturnal contractures) are the result of the work of the MMP whose muscles are too short and can no longer perform their function as muscle pumps and or joint drains .

Cramps

When they are not secondary to another pathology, for example venous insufficiency, the treatments will aim to restore the muscles to their normal rhythms, but also their functional amplitudes. The shorter a muscle is, the less well it fills with blood. The less efficient it is, the more it contracts to perform its functions. The more it contracts and the shorter it gets, etc, etc, etc, etc, etc….

Stretching the muscle will allow it to fill out better and be more effective, and will decrease its tone. What do you do when you have a cramp? Well, you stretch the affected muscle, but now you know why you’re effective?

Ankylosing Spondylitis

This pathology requires that the joints be as free as possible. Well-conducted structural techniques are effective. But also to free any joint or muscular MMP lesions which will tend to freeze a little more the stiffness linked to this pathology.

Treatments are effective and must be regular.

Etc…