This is frequently asked question. SI looks at the body from a system point of view not by its individual parts. We ask the question “How does one area of the body influence another?” This system based approach is essential in changing the body’s mechanical system. Without change in the mechanics of the body, it is difficult to produce lasting changes in functional movement. SI is very much a system vs. symptom approach.
This is a great question that needs clarity. We need to determine what pain is? According to Thomas Myers, author of the book “Anatomy Trains” and founder of KMI (Kinesis Myofascial Integration) describes pain as “sensation accompanied by the motor intention to withdraw”. Without the motor intent to withdraw it remains as a sensation. As fascial tissue becomes adhered or stuck to itself or surrounding structures, movement becomes limited. As the practitioner works to release and soften these tissues to allow for greater movement, the sensation can become heightened producing discomfort in some individuals. It is vital that the practitioner and client work as a team to produce the greatest amount of motion and tissue pliability within a safe environment. The goal is not to create or increase pain, it is to produce the greatest motion in order to decrease pain.
During an initial session, the client will be required to complete a medical history form along with a privacy practice form prior to treatment. Once completed, the practitioner will discuss aspects of the client’s history to gauge a greater understanding of potential pain causes. Once the initial discussion has concluded, the client will be asked to stand in their natural position for a postural assessment. At the conclusion of the initial assessment, the client will be asked to perform a variety of movements to assess any limitations in motion. The practitioner then establishes a treatment plan for the client and begins the manipulation process with the client laying on a massage table.
Throughout the session, the client may be asked to move single or multiple joints during the manipulation. The client also has an opportunity to provide feedback to the practitioner to ensure their level of comfort. At the conclusion of the session, the client will be asked to stand and self-assess any subjective changes in the body. The practitioner will also be assessing any objective changes. The practitioner will proceed by providing the client with movement training that will complement the manipulation for optimal results. Questions, concerns, and recommendations for future sessions will be discussed to conclude the treatment.