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Periosteum Massage (PM) Therapy
Periosteum is a dense fibrous membrane covering the surface of bones (except at their extremities) and serving as an attachment for tendons and muscles, Beneath the hard layer , there are tunnels and canals through which nerves, blood and lymphatic vessels run to carry nourishment for the bone. Periosteum Massage (PM) is performed at the outer layer of the periosteum, it is an independent procedure of medical massage treatment which is used special techniques with trigger points and cures changes around peristeum, It is a method of neuroreflex therapy and is performed in order to eliminate changes around peristeum. These kind of changes are characterized by retractions, indentations and swellings. The benefits of PM has two components: 1. PM has a direct therapeutic effect on the musculo-skeletal disorders. PM on the affected areas of periosteum evokes local inflammatory response. This response provokes a number of reactions: § Support regeneration of the periosteum; § Improve the microcirculation; § Balance of metabolic processes in the bones and joints; § Reinforce of capsule and ligaments of the joints . The results are elimination of pain and delayed development of the degenerative process in the joints. The local vasomotor reflexes are responsible for the direct therapeutic effects of PM. 2. PM through common spinal nerves has an indirect therapeutic effect on some inner organ disorders. PM interrupts a vicious circle which takes place between the affected inner organs and the reflex zones in the periosteum by the restoring local metabolism and eliminating reflex zones. PM has greatest therapeutic effects on the cardiac, pulmonary, and gastric pathologies. For example, stomach peristalsis significantly increased and cardiac rate decreased 10-16 beats per minute after PM treatment on the periosteum of the ribs. Indications for Periosteum Massage Indications for PM treatment of inner organ disorders are limited. To estimate the clinical results, it is recommended that PM be used for treatment of patients with the following pathologies: 1. Diseases and traumas of the musculo-skeletal systems. Delays of fractures consolidation and rehabilitation during the postsurgical period. 2. Diseases of the cardio-vascular system. a. Cardiac arrhythmias. b. Coronary arteries diseases. (1). Angina pectoris. (2). Rehabilitation after myocardial infarction. 3. Diseases of the pulmonary system. a. Pneumonia. b. Bronchitis. c. Bronchial asthma. 4. Diseases of the digestive system. a. Gastritis, peptic ulcer. b. Hepatitis, cirrhosis, cholecystitis. We want to emphasis that PM is a radical method of treatment of pain syndromes which are caused by various diseases of the skeletal system. It is performed in case of: a. Headaches and neck pain b. Shoulder joint pain and backaches c. Upper vessels diseases d. Limbs diseases e. Pelvis mis-alignment f. Heart, lungs, stomach, intestines, urinary tracks, gull ducts, feminine diseases g. Delay surgery
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