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Rehabilitating an Injury

When you are looking for resolution from injuries, restrictions, or reduced function, you should always ensure that your solution takes into account the kinetic chain for that structure.

People often assume that their injury occurred at the time that they first noticed symptoms (pain, discomfort, or inability to perform an action), but this is often not the case. Other than when an injury is caused by acute trauma, the actual cause of many injuries is often unknown. This is due to the slow insidious nature of many soft-tissue injuries.

With many injuries, symptoms (pain and discomfort) are often the very last thing to surface. In actuality, the conditions that led to the injury may have existed for a long time before the symptoms manifested. In some cases, our patients have undergone years of micro-trauma before the first noticeable symptom appeared.

For example, if you injure a muscle in your arm, your body immediately compensates by using surrounding structures to support, and sometimes to perform, the activity that is normally carried out by this muscle. This compensation may initially only affect the surrounding muscles, ligaments, tendons, and connective tissues.

Problems arise when the initial injury does not resolve, causing the supporting structures to also become stressed or injured. This creates a cycle of ongoing compensations which in turn leads to reduced neurological function (due to impingement upon neurological structures) and increased inflammation (due to increased biomechanical tension, micro-tears, and inflammation).