The full and speedy recovery from this crippling disease is now possible
through the use of treatment protocols identified by dr.Bracci based on
the therapy of "muscle shortening and enhancing of traction ".
The methodology for rehabilitation, the subject of university courses,
has historically been used against diseases regarding the "central"
neurological damage in hemiparetic and hemiplegic patients, and only after time some of the many application protocols have been adapted to the different variables that characterize different disease patterns (peripheral , partial by nature, so-called orthopedic disorders, and patients practicing different athletic activities ). The writer has been teaching this subject matter and speaking at seminars on the different modes of strength gains quickly obtained through the use of these specific treatment protocols. Some papers , already published in well circulated journals demonstrate the effectiveness of this therapeutic procedure used in these cases of degenerative diseases of the CNS.: Effects of Sudden, Passive Muscle Shortening According To Grimaldi´s Method on Patients Suffering from Multiple Sclerosis : A Randomized Controlled Trial-Neurorehabil. Neural Repair 2004 Mar, 18 (1) :47-52. Update on multiple sclerosis rehabilitation NeuroVirology-Journal of 2000, Suppl2,
These treatments are not painful and do not require the use of drugs, the changes expected in terms of drastic reduction and cessation of pain and obvious gain of strength (return to the muscle groups involved of the ability to balance loads on different lengths) occur in surprisingly short times, the full course of treatment can vary from six to eight sessions, which , for non-resident patients , are scheduled on a multiple daily basis in order to complete the full course of treatment in 3-4 days.
The tendinitis is caused by incorrect use of muscles, usually based on
muscle stress, resulting in compensatory kinesiologic chain ; when the
incorrect muscle use continues, it leads to poor traction on the
tendon-periosteal junction and consequent enthesitis.
The improper muscle use is common in people who play sports and it
therefore appears much more frequently in the more popular activities; in fact, those who play football often suffer from tendinitis in the various joints areas simply because the football players are more numerous than the runners, the basketball players , the fencers or those that practice other sports, but , in smaller numbers, tendinitis systematically accompanies every type of competitive activity, be it conducted on an elite level or
simply as a hobby. The intense muscle strain in the absence of proper
training appears frequently in the history of these patients and these
stresses often result in the rapid onset of tendinitis. Not only athletes can run into this unfortunate disease : it manifests itself across different age groups and activities both work and leisure related; in fact, tendinitis is spread among all : both those active and non active in sports who subject their muscular system (albeit unintentionally) to such situations of stress. The musicians incur in tendinitis systematically because of the positions they have to take to play their instruments (see "tendinitis of the musicians" on this site), while in the population that does not practice any kind of competitive activity the tendinitis comes from the randomness of sudden intense strains, even if not intense, in activities taking place on an occasional basis that may subject the muscular and tendon apparatus to excessive stresses in the absence of training, thus creating the conditions for tendinitis.This is the onset of
debilitating inflammations of the tendons directly affecting the operation of the various joints, often interfering with their usual activity, limiting the extent of the excursions and causing pain.
When tendinitis affects the shoulder it alters the disposition and
functioning of the joint itself that quickly loses normal "congruence"
(ability to manage the forces that weigh upon the articulation in an ideal way) and reduces the possibility of absorbing the dynamic effects properly; the shoulder then quickly becomes a painful .
Epicondylitis is caused by excessive traction on the periosteal tendon
junction at the point of condylar insertion (causing an enthesitis) and in fact the point of maximum pain is by the epicondyle .
The stresss on the forearm muscle groups can often cause compression at the level of the anatomic narrowing at the wrist and consequent effect on the median nerve, also on both wrists (see "recover from carpal tunnel without surgery" on this site), with pain at night that hinders sleep, reduction of strength and numbness in the first to second and third finger of the affected hand. As it happens with the upper limb, when the tendinitis appears in the lower limb, the damage to the joints is automatic and quick to show up.
The hip-pelvis joints system ; stabilizing muscle groups and the
bending-stretching muscles of this functional area are subjected to heavy and excessively protracted loads in sports like football or running; but also in tennis players proximal tendinitis may occur with some frequency.
The pain usually starts in the groin area and subsequently affects the
functional trajectories of the thigh with a prevalence of reduction of
proximal extensor and abductors movements.
Tendinitis of the knee: these affect mostly the rotula tendon and appear frequently in football players, cyclists, or in activities where the knee is used intensely (jumpers).
Most common tendinitis for the ankle and foot are those referred to as the Achilles tendon (common in runners), to the plantar flat-foot and its consequences with regard to the problems caused to the joints (fascitis, heel spurs and hallux valgus ).
The adoption of the usual treatments involves rest and sometimes the use of braces and , ultimately , treatment with anti-inflammatory drugs; this therapeutic sequence can sometimes be ineffective, with the result that the patient is destined to face periods of almost absolute inability. The succession of periods of forced inactivity leads the patient to consult a surgeon on the advisabilty of a surgical solution.
Nowadays it is possible to eliminate this path to the operating table,
through the above mentioned applicative protocols , improved over the
years, that make it possible to quickly retrieve the tendon and muscle
efficiency, more or less severely penalized by this disabling and
Bibliography: Katz and Rondot 0.1978 Muscle-reaction to passive shortening in normal men.Elettroencephalogr.Clin.Neurophisiol.45 :90-99. R.Enoka.-Muscle Strength and Its Development-New perspective, Sports Medicine 6:146-168,1998. SanesJ.N.and Donoghue JP Oscillations in local field-potential of the primate motor cortex During voluntary movement Natl.Acad.Sci.USA-Proc-90 :4470-4474, 1993. Reply Forward