control yourself with dr andreo spina Ep 35: Manual Therapy, Palpation, and the Truth About Tissue Change
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Aug 12, 2025 In this enlightening conversation, John Saratsiotis, an FRS instructor, joins Dr. Andreo Spina to explore the nuances of palpation in manual therapy. They dismantle myths about scar tissue treatment, revealing palpation's true role in guiding tissue adaptation. The duo emphasizes the importance of applying touch with intent while discussing how past injuries can heighten re-injury risks. They also highlight the need for anatomical context in tissue assessment and the vital interplay of touch, movement, and education in effective therapeutic practices.
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Manual Touch Starts A Process, Not Instant Fix
- Manual inputs don't directly 'break' scar tissue but can initiate cellular processes via mechanotransduction.
- Therapists' directed forces create windows for longer-term tissue adaptation when combined with progressive loading.
Fibrosis Is Real And Microscopic
- Fibrosis is the natural connective-tissue repair response that often results in disorganized, weaker collagen.
- These microscopic changes can lower tissue capacity and contribute to re-injury if not addressed by loading strategies.
Identify Anatomy Systematically Before Interpreting
- Learn identification first: locate reference structures, fiber direction, and layers before interpreting findings.
- Practice systematic palpation to translate anatomical knowledge into reliable clinical assessment.