Physical pain

This is used either in a combination with the other methods or for smaller projects where the client suffers from nothing but physical ailments.

Pain is the primary cause to treat manually. Stiffness, something being “misaligned” or issues with posture might be reason enough, but if so they usually come with pain, rather than as an isolated problem.

Before treating there’s enough questions and tests to get a decent enough picture of today. We’ll reason why it’s as it is and what can be done about it more than to just lean on manual therapies. We’d prefer to get rid of the cause of the problem rather than keep it around and treat the result or pain from it for the rest of your life.

“PT” is wide. Is it personal training… or physio? Where does one draw the line?

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It’s primarily used for rehab and to get less pain – but sometimes we go past that and use it to increase quality of life and perform.

Is it still “PT” if it’s used for the brain?

  • Rehabilitation of pain, sports injuries or from trauma
  • Starting from zero. Finding the least effective dose to get going from inactivity.
  • Exercise specifically designed to come back after pregnancy
  • Prehab to avoid injuries
  • Exercise to change the physique; gain weight or get smaller
  • Classic strength and conditioning to increase for hypertrophy and performance

The biggest part of the exercise consists of learning classic strength- and mobility training and through that develop motor skills, decent mobility, posture and strength. Learn how to – and then load. The mobility is important for things to work the way they are intended, both in everyday life and in the gym.

A decent part of what tends to be done is inspired by power- and olympic lifting. Quite complex movements for several joints. That’s since it’s a useful way to use the body if you ever have to use your body out in the world, and not at the gym. To have that as a foundation seems to be quite popular since it’s often tricky to master fully – but getting the hang of it good enough to get going isn’t very hard – and all of a sudden you’re lifting decent weights.

Machines might have their perks, but here we’re using barbells, power racks, kettlebells and rubber bands – and bodyweight. It seems to be superior when trying to learn how to use your body.

Dry needling is a lovely technique where muscles get worked on with needles to achieve a relaxation – and through that relaxation experience less pain.

The dry needling primarily aims to get what you call a local twitch response. Inserting the needle into a trigger point [a small part of the muscle that won’t relax even though you try to] makes the muscle contract suddenly and then relax. Or, by the look of it, twitch. It seems as if this makes the trigger point, and thereby the muscle, relax.

Primarily used to treat dysfunctional muscles. These might give pain or affect other joints and/or muscles close by.

The similarities to acupuncture are needles and some of the “points”. The “points” here do however correlate with anatomy, rather than medians. Could the acupuncture points be where they are because the trigger points happen to be there? The trigger points “appear” where they are as a result from where the nerve hits the muscle, rather than something else, which likely looked the same quite some time ago. They are more western, something you can measure and something western physicians have tended to for quite some while by now, although not at all for as long as people have used acupuncture.

Except for needles and the slight overlap of where to put them the techniques vary quite a lot since the insertion of the needle is what makes the big difference with dry needling, rather than just letting it be there. Which means it’s more of a treatment and work with a single needle than making someone look like a porcupine.

… Some get further relief from pain if you add electricity to the needles.


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Kneading, putting pressure on and physically working with the muscles treat the same trigger points mentioned above.

Used to aid

  • Tension and pain in back, neck, shoulders, wrists, hips, knees or feet
  • Acute neck- or lower back pain/back spasm or chronic back pain
  • Painful elbows from epicondylitis; golfer’s or tennis elbow
  • Impingement or bursitis in shoulder
  • Radiating pain, numbness or tingling in arm or leg
  • Stress giving symptoms in for example back, neck or shoulders
  • TMJ, short for “temporomandibular joint”, or with a better word – a bothering jaw
  • Tension headache with or without migraine
  • Optimizing performance and recovery
  • Preventing pain from monotonous work

When isn’t it a good idea to treat?

The most common reason to not get treatment, and not least for others, is when you’ve got an infection. From the common cold and towards more severe issues.

If you bleed more than others as a consequence of medication or pathology it might be a good idea to think twice before using needles.

How quickly does it make a difference?

Entirely dependent on what you need help with. Some things get a lot better really quickly if you happen to do the right thing. Some have said that “x is better than it’s been for ten years!” after just a session.

Some things take time. If something really needs to heal or change, that might take quite some time.