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Case Studies

OSG is known for assisting individuals to achieve lasting improvements for acute injuries and chronic limitations. These case studies are examples of some of OSG's most memorable treatment interventions. Case studies are linked to respective body areas for easy reference. All names have been changed.

Jaw
Neck
Whiplash
Shoulder
Arms
Ribs
Groin and Hip(Sciatica)
Knees
Ankle and foot
Post-Pregnancy

 

Jaw Problems -- Rebecca

Rebecca had had jaw surgery three years prior to when she called. At the time, her mouth opened no more than one finger¹s width and she was unable to eat solid food. She had significant pain in her neck, shoulders, and arms, as well as difficulty turning her head. In fact, her alignment and mobility were compromised all the way to her feet.

We began a program of soft tissue release and joint mobilization inside her mouth along her gum line. Gradually she was able to open her jaw enough for me to work within the cavity of her mouth. During movement study she gained mobility in her ribs, spine and pelvis. Her neck began to loosen, and later her jaw. One day her spine bent backwards, her head turned upward and her jaw began to fall open gradually of its own accord.

By the time treatment concluded, her shoulders were supported by her feet and pelvis and could finally relax. Her neck and her jaw released in succession. She now had more movement from her feet to her head. She opened her mouth to the width of three fingers and ate solid food. And she smiled!

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Neck --Elizabeth

Elizabeth is an active 72 year old. One day, 35 years ago, while at a county fair, she was on a roller coaster ride when her car made a sharp and unanticipated turn to the left. Her head and neck jerked sideways. Since that day her neck had not felt the same.

When I observed her posture, her chest was caved inward and her thoracic spine was rounded forward. She was able to turn her neck to the left only about 1/3 of what is considered normal range.

We began our program with gentle joint mobilization to "oil" her "rusty" joints. We added soft tissue release to make her neck muscles more pliable. Next, we added movement study, where she learned that her ribs and spine could lengthen in response to pelvic support and mobility. Her neck unlocked as it received a boost from Gravity.

Today, she is able to turn her head to full range without pain. What is this energetic retiree happiest about? She can garden, entertain family and paint en plain air, all without pain.

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Whiplash --Tammy

Tammy was riding in the back seat of a car when the driver warned her that they were about to be hit from behind. Tammy looked out the rear window just at the moment of impact. She was thrown forward, then backward. Her right hand became numb and her neck and spine stiffened as a result of the impact. She began to have headaches.

Because her body was twisted at the time of impact, the injuries were more complex than usual. At intake she walked stiffly and was unable to turn her torso or her head. Her arms did not swing naturally. Her spinal muscles were in spasm from her pelvis to the base of her skull.

Treatment began with joint mobilization and soft tissue release to help her spine, torso and head recover their resiliency. With movement study she found that her arms could again swing naturally. Her treatment plan included a trip to her workplace for an ergonomic consultation where she learned to reduce the strain on her neck when reaching and lifting.

Tammy made progress at a steady pace, discovering a surprising ability to "bounce back" from her accident. She is on the road again, traveling and conducting business.

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Shoulder --Patricia

Patricia originally called to ask for assistance with bilateral shoulder injuries. However, now her neck was sore from compensating for her shoulder pain. She was upset.

Her alignment intrigued me. Her rib cage was thrust upward and her shoulder blades were pulled backwards. Her neck had very little curve when she stood in a "head-back-chin-down" position. I hoped to help her re-establish a better structural foundation for her ribcage, neck and shoulders in turn.

When we used soft tissue release and joint mobilization to reduce the tension deep within her thoracic structure, her ribcage rested downward and provided a better foundation for her neck and shoulders. Her shoulder blades rode freely on her ribs. One day in a movement study, she felt her neck extend and her chin naturally lift upwards. And she saw at the world from a broader perspective.

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Arms -- Robert

I received a call from the mother of a senior at San Francisco State University. Her son, a clarinet player, had developed severe tendonitis in both forearms. He was unable to hold the weight of his instrument. His senior recital was only four months away.

When I met Robert, I noticed that both of his forearms were exceptionally tight. Surprisingly, so were his ribs, sternum, and spine. At first, it was hard to determine which was the primary problem the tension in his arms from holding his instrument too tightly, or the tension in his torso from his strained breathing pattern.

After a program of soft tissue release and joint mobilization his forearms became softer and his ribs became mobile. In movement study, Bob learned that his breath could flow freely because his pelvis and spine supported his ribcage. Later, he learned that it was easier to hold the weight of his clarinet when his shoulders rested securely on his ribcage. With his shoulders supported, his hands were free to play his instrument, rather than to grip it.

Robert found that he was able to play the clarinet with his whole body in concert. I remember attending an excellent senior recital a year later. The last I heard, Bob is a clarinetist with a major orchestra.

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Ribs --Brenda

Brenda came to me because she was having a sharp pain below her left shoulder blade. Furthermore, she was unable to tolerate the treatments she had received to date. She was extremely sensitive to touch and frequently worse, not better, following treatment. Something felt "wrong" in her rib, she said, "like it was out of place".

When I examined her, I noticed she was extremely tight in between her ribs and where the ribs joined her spine. Her left shoulder blade was unable to slide over her ribs. Her breath was evident in her abdomen, but not in her ribcage.

In the beginning of treatment, she was able to relax in her left shoulder and ribs when I used the lightest touch possible during soft tissue release and joint mobilization. But progress was temporary. We needed a new approach. Could she release the tension in her body using simply the motion of her breath?

In movement study she allowed the passive motion of her breath to relax her ribs from the inside. She then used the weight of her left arm to free her shoulder blade from her ribs in exercise design. Her left ribs and shoulder blade became increasingly resilient, mobile and receptive to touch. Now, with little encouragement, her rib slid into the place it knew as "home". Her scapula now "skated" on top of her ribs without catching. She was able to breath fully and easily.

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Groin, Hip, Sciatica --Susan

Susan called to request help with a pain that went from her right groin to her right calf. She suspected that sitting at her computer contributed to the problem, but she didn't know how to alleviate the pain or correct her workstation design.

When I saw Sue's postural alignment, I noticed that her right hip was rolled inward at the hip socket, which in turn produced a twist at her pelvis and lumbar spine. She was irritating her sciatic nerve.

We began our program with soft tissue release and joint mobilization to increase mobility in her hips. Next, we used exercise design to gently strengthen the muscles deep in her hip joint to provide a secure foundation for her pelvis.

During an ergonomic consultation we confirmed that her workstation was a source of aggravation. The monitor and keyboard were placed askew to each other. When looking at her monitor she leaned onto her right hip. When at the keyboard she needed to twist her spine. Once we placed her monitor and keyboard appropriately, she felt the strain in her hips and spine decrease simultaneously. Her groin pain and sciatica resolved over the next three months. And she felt good enough to return to her first love acting.

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Ankle and Foot Problem -- Laura

Approximately 10 years ago, Laura was involved in a serious motorcycle accident that required a fusion at her left ankle joint. She was now experiencing left hip pain and walking with hesitation.

When I looked at her standing, I noticed a misalignment at her left hip. I hypothesized that her posture and gait pattern, which showed an overly mobile left hip, resulted from years of adjusting to the limitation at her ankle. When I palpated her left leg, I questioned whether an accumulation of scar tissue had caused additional restriction.

We began a program in soft tissue release, and joint mobilization to reduce the skeletal and soft tissue limitations in her left leg. During movement study we discovered that as she gained mobility at her lower leg and foot she could "soften" them to receive the weight of her body when landing on her foot. She strengthened her hip muscles with exercise design. She became increasingly stabile at her left hip and began to land easily onto her left foot. She felt the "spring" in her step return.

Laura now plays with her children and hikes with her husband with new strength, resilience and freedom.

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Knees -- Pam

Pam is a technology professional who often travels to Japan. She called me about a knee strain she had sustained while lifting luggage on her latest trip.

As I watched her walk, I noticed that the skeletal rotations occurring between her hips and feet placed significant stress at both knees. When she picked up an object from the floor she twisted her knee a risky maneuver for anybody.

Most of Pam's improvement came about through movement study and exercise design. As she learned to loosen her upper and lower legs they could roll outward just enough to reduce the restriction at her knees. She found that lifting from a "short-lunge" position provided a safe foundation for her knees. Her suitcase - always full - suddenly felt "lighter."

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Post-Pregnancy --Dora

I received a call from Dora, the mother of a three-year old son and five-month old twin daughters. She was having knee problems, a new development since the birth of her twins. She said she wanted to recover her "pre-pregnancy body."

When I looked at her postural alignment, I noticed that she stood with her feet wider apart than necessary. At the same time, her knees had turned inward. She saw that this configuration put considerable stress on her knees, even when at her normal weight. When we discussed this observation, she realized she had developed this stance in order to carry the weight of her twins during pregnancy.

We began our program by decreasing the tension in her hips and legs through soft tissue release and joint mobilization. Additional work on her ribs helped her to regain length in her torso, which in turn lightened the load on her knees. After creating an exercise design for her hip and abdominal muscles she was able to stand both taller and straighter. On her last day of treatment she remarked, "Now I can walk without my waddle. And, I have a waistline again!"

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