Their pain is affecting their life
When I first consulted Amanda I was suffering from RSI that was preventing me from doing my job as a writer. My right wrist, arm, shoulder and back had seized up and I was unable to type. The pain had not been alleviated by several months of physio, wearing a wrist brace, applying ice packs and taking large quantities of prescribed Ibuprofen.
Due to her RSI, Ellen had got to the point that she could not drive without pain, could not carry anything heavy, sew or even write.
They have a diagnosis
Ellen had been diagnosed with tendonitis in her forearms.
This was actually incorrect as the pain and weakness she was experiencing in her forearms were shown to be due to fascial restrictions in her neck, shoulders and back.
They have been given a lot of medication
She had been prescribed ibuprofen and was taking large amounts of this drug without any improvement in her symptoms. The wrist brace that she had been told to wear was immobilising her wrist but not actually helping to reduce her symptoms.
Over and underuse
Ellen was doing a lot of computer work in her job as a writer and this involved her sitting still at a laptop for hours each day.
By her own admission, Ellen had a poor work set up. She was working using a laptop and sitting on an old wooden chair. She had only recently got a mouse to help, and previously had just been using the laptop keyboard.
A postural assessment showed that she had the typical posture of a computer user – rounded shoulders, uneven shoulders, forward head position, forward tilt on her pelvis.
Ellen worked as a freelance writer. This meant that she was commissioned to write specific pieces and these always came with tight deadlines. Therefore she felt obliged to work long, uninterrupted hours at her computer to get the work done on time, so she could earn her living.
From a myofascial perspective it was clear that a lot of Ellen problems were a result of imbalances in her posture which was creating uneven tension in her body. By working to release fascial restrictions in her neck, shoulders, back and pelvis, we were able to improve and balance her shoulders and pelvis. This took the pressure off her arm nerves, which originate in the neck, and which were causing the pain and weakness in her arms. It also straightened her back to allow her shoulders to work more freely.
We also gave Ellen self-care exercises including using MFR balls and fascial stretches. By doing these in between sessions, this speeded up the therapy and also gave Ellen a self-care routine to use on an ongoing basis.
My first session with Amanda brought instant relief and reduction of pain; over 6 subsequent sessions I experienced complete elimination of the problem.