{"title":"Strain Relief – Teil 5: Technische Ausführung","authors":"Hartwig Liedtke","doi":"10.1016/S1615-9071(25)00013-9","DOIUrl":null,"url":null,"abstract":"<div><div>Bone is a hierarchically structured composite (collagen type I → procollagen → tropocollagen → triple helix → fibrils → mineralization of the fibrils → ossification), which consists in the nanometer range as a combination of a stiff inorganic mineral phase of 45 % hydroxyapatite together with a softer organic phase of 30 % (of which 95 % are collagen type I) and 25 % water, and is therefore elastic and malleable within certain limits. However, if a bone does not return to its former position after trauma, chronic traction, excessive pressure or torsion, pain will remain in the bone and in the non-stretchable fasciae, tendons, capsule and ligament structures involved.</div><div>Following the introduction of the theoretical basis of the new manual method for the treatment of chronic pain in the musculoskeletal system in part 1 [<span><span>1</span></span>] and the practical application of this technique in part 2 [<span><span>2</span></span>] on the lower limbs, in part 3 [<span><span>3</span></span>] on the upper limbs and in part 4 [<span><span>4</span></span>] on the pelvic ring, the hip joint and lower back pain, this time it is demonstrated how Strain Relief can be used to return pathologically deformed bones in the ventral and dorsal thorax, in the upper thoracic aperture and the neck region to their tension-free, anatomical starting position and thus relieve the ligamentous and muscle structures firmly anchored to them in order to eliminate chronic pain, pulmonological, cardiological and neurological dysfunctions.</div></div>","PeriodicalId":100996,"journal":{"name":"Osteopathische Medizin","volume":"26 1","pages":"Pages 23-29"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Osteopathische Medizin","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1615907125000139","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Bone is a hierarchically structured composite (collagen type I → procollagen → tropocollagen → triple helix → fibrils → mineralization of the fibrils → ossification), which consists in the nanometer range as a combination of a stiff inorganic mineral phase of 45 % hydroxyapatite together with a softer organic phase of 30 % (of which 95 % are collagen type I) and 25 % water, and is therefore elastic and malleable within certain limits. However, if a bone does not return to its former position after trauma, chronic traction, excessive pressure or torsion, pain will remain in the bone and in the non-stretchable fasciae, tendons, capsule and ligament structures involved.
Following the introduction of the theoretical basis of the new manual method for the treatment of chronic pain in the musculoskeletal system in part 1 [1] and the practical application of this technique in part 2 [2] on the lower limbs, in part 3 [3] on the upper limbs and in part 4 [4] on the pelvic ring, the hip joint and lower back pain, this time it is demonstrated how Strain Relief can be used to return pathologically deformed bones in the ventral and dorsal thorax, in the upper thoracic aperture and the neck region to their tension-free, anatomical starting position and thus relieve the ligamentous and muscle structures firmly anchored to them in order to eliminate chronic pain, pulmonological, cardiological and neurological dysfunctions.