Inversion therapy for back pain

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Fascia distortion model: inversion therapy for back pain

On the International Fascia Distortion Model (FDM) course in Tokyo, which took place from 11th to 13th February 2011, inversion therapy was presented as a specific treatment for chronic back pain.

The inversion therapy was developed by the US FDM therapist Marjorie Kasten, P.T. significantly developed. Kasten has been practicing this special form of treatment since 1997. She is a direct student of the founder of the fascia distortion model, Dr. Stephen Typaldos D.O. The two worked closely together until Typaldo's death in April 2006. According to Kastens, Typaldos has always referred many patients who needed inversion therapy to them. She has gained a lot of experience over the years, which she has now passed on to the participants of the international course in Tokyo. According to Kasten, inversion therapy was used as early as 400 BC. There are reports from Hippocrates, who did not use the inversion himself, according to which people with traumatic kyphosis were hung on their feet at the time and shaken quite brutally.

Inversion therapy is part of the fascia distortion model for the treatment of so-called folded distortions. These are three-dimensional deformations of the so-called folding fascia. Sufferers usually complain of pain when standing for a long time or when moving, but they have no significant movement restrictions. A verbal reference to this special distortion of the fascia is that the patients describe their pain as "always" present.

The fascia distortion model (FDM) finds the way to the correct treatment of these complaints via body language, the subjective and objective findings and the origin of the complaints. Kasten pointed out that a common cause is car accidents, which bring strong traction and decompression forces to the human organism. For background, she presented videos of crash tests, in which it was easy to see that both forces act on the body in part. In addition to car accidents, Kasten sees falls on stairs, riding accidents or accidents during sporting activities as triggers for folding distortions that can often be observed in practice.

Kasten uses inversion devices and rubber balls as treatment devices. The inversion devices counteract gravity by fixing the patient with his feet on a couch and rotating it 180 degrees. There is also the Invertrac from Canada, in which the patients to be treated are rather turned over in a sitting position. In addition, the FDM therapist can pull even more on individual parts of the body and the spinal region in order to specifically treat the affected areas.

At the rubber balls, Kasten also stretches the patient in the back, stomach or side position in the area of ​​the spine. In the case of chronic back pain in particular, she recommends inversion therapy as an effective tool for therapists. The participants present, including a delegation from the European FDM organization EFDMA, were able to convince themselves of the effectiveness of the therapies by means of live demonstrations on patients. In addition, Kasten also used the so-called plunger or master plumber. This is a special American pump that has a longer plexiglass handle instead of a wooden one. In contrast to the European version, this handle is screwed and not inserted. Another difference is that the suction surface is not made of rubber, but of vinyl. This device works on the back. Due to the strong negative pressure, the fascia surfaces should be loosened and made slippery again. From the FDM's point of view, this treatment is appropriate for patients for whom a rigid back is the reason for seeing an FDM therapist.

In addition to the handles and techniques, Kasten recommended exercises that can be given to the patient. From their point of view, these represent a good addition to the treatments. Kasten recommends inversion therapy for pain, for better blood circulation in the leg, improved movement or as a tried and tested means to discover other, previously hidden fascia distortions. Marjorie Kasten considers, among other things, glaucoma, osteoporosis, high blood pressure, myocardial infarction and others as relative contraindications to be asked and observed by the FDM therapists. On Friday, the course participants had already received an introduction to the fascia distortion model by the President of the Japanese FDM association FAA Keisuke Tanaka.

Tanaka, who organized the International FDM Course in Tokyo with the Vice President of the FAA, Kohei Iwata, advocated preserving the ideas of the founder Dr. Stephen Typaldos and was against mixing with other manual methods. The course takes place on the eighth floor of the Taitokan building in the Asakusa district. This part of the city is also known beyond the national borders of Japan because of the very important Asakusa shrine.

Tomorrow Sunday, Marjorie Kasten P.T. Demonstrate other forms of inversion therapy. Since the time difference between Germany and Japan is currently eight hours, the course was already running in Japan when this article appeared in the morning hours in Germany. (tf)

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Video: Inversion Tables: do they work for back pain? Wichita KS physical therapy


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