recognising the simple mechanical problem driving it.
Anti-inflammatory medications, steroid shots, Vitamin
D, omega-3, turmeric, etc. may indeed help the body
to better suppress the pain, but do not treat or fix the
cause.
Treatment uses the Backpod to free up the tight
posterior rib movement. The sustained stretch on the
Backpod is able to effectively stretch out the tough
shortened collagen surrounding immobile posterior
rib joints, enabling a lasting freeing up of the hinge
movement. Hands-on treatment including manipulation
cannot do this, though it may be a necessary addition if
the posterior rib joints are very frozen.
Sports massage for the muscles between and overlying
the ribs at the back and sides may also be needed;
also specific stretching of the intercostal muscles
between the ribs. For a detailed explanation and
treatment programme, see the COSTOCHONDRITIS
page on our website www.backpod.co.nz and also our
two YouTube videos “How to Fix (most) Chostochondritis
and Tietze’s Syndrome Chest Pain’, Parts (1) and (2).
’Slipping rib’ syndrome has the same cause as
costochondritis - the immobile posterior rib movement
driving compensatory excessive movement elsewhere,
just to allow breathing and torso movement. In this
case, the hypermobility happens to the side of the rib
cage at the costochondral junction where the bone of
the ribs changes to cartilage. Treatment is essentially
the same as for costochondritis, for the same reasons.
Costovertebral (posterior rib) joints can lock acutely
in flexion, causing very sharp unilateral local pain
slightly to the side of the spine. Passively rotating the
seated patient towards the painful side is very much
more painful and restricted than rotation away from
it; also the pain is reproduced on full inspiration.
This is because both these actions require the CV
joints to extend, and they have become locked in
flexion. Treatment is the same as for costochondritis,
though easier because the rib joints on the breastbone
have not also become strained.
For other conditions using the Backpod to free up tight
rib cage movement, see chronic asthma (page 21)
and rib pain in pregnancy (page 22).
20
Health Practitioner pages
View our instruction videos online
at www.bodystance.co.nz/backpod.php
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