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Dr. Sandy Baird, an Oakland CA sports chiropractor explains what are adhesions. How are they caused, and how they can be resolved by Active Release Techniques treatments. Transcript: Hello, I'm Dr. Sandy Baird, owner of Riverstone Chiropractic here in Oakland California. Today we're going to be talking about adhesions. Anytime the load that's placed on the body is greater than the capacity of the body to handle that load, adhesions are the result. So here's what I mean: Let's take a quadriceps muscle for example. A lot of times clients will come in with knee pain and they'll say "My doctor told me that I just have arthritis in my knee and there's not much that I can do about it. Am I going to be in this pain for the rest of my life? What can you do about it?" The way I look at is that there are a lot of muscles that are involved in making the knee work. There's muscles that extend the knee, muscles that flex the knee, muscles that help the knee rotate and move side to side- and any one of these muscles can get overused. Overused tissue -- Decreased circulation -- Decreased oxygen --- adhesions form. If you were to look at normal tissue under a microscope, you'd notice that all of the fibers run in a more or less parallel direction. Now if you were to look at an adhesion under a microscope, it would look more like this (crosses fingers in a hatch pattern) some crazy "mish-mash" of fibers. It's kind of like what your body throws down for a patch. You go on a bike ride and you get a hole in your tire. You don't have a new tube to replace the old one, but you can patch it back up until you get home. So that patch is not quite as strong, but it lets you keep going on that bike ride. So the quadriceps muscles, or whatever muscle we are talking about, throws down this patch- this patch of adhesions- and those adhesions don't let the area move as well as it should, they are a source of pain, and they basically throw the biomechanics of the whole area off. So it throws off the biomechanics of the knee, it can even go up the chain and throw off the biomechanics of the hip. How do you get rid of adhesion? It doesn't go away on it's own! Ice is not going to make it go away! Stretching is not going to make it go away! Heat, ibuprofen, these things have some helpful benefits in terms of reducing the pain, but they are not going to make the adhesion go away! My method of choice is Active Release Techniques, it's often abbreviated A.R.T. It's a soft tissue hands-on system. Basically you take whatever muscle is involved, you shorten it, you take a thumb of hand contact and you vector tension in a very specific direction based on where the adhesion is and how the muscle needs to move. And then you lengthen out the muscle, maintaining the contact. What this does is pin the adhesion down, and upon movement it breaks down the adhesion. Therefore you have more motion in the quadriceps, you have better biomechanics, and you have more circulation. So that's adhesion. We can talk more about Active Release Techniques and how it can help many different kinds of knee pain, hip pain, foot pain, shoulder pain, things like that, in further episodes. Again, I'm Dr. Sandy Baird of Riverstone Chiropractic. Bye!