MLT Revolution – Gohl Program

Why Ligaments? Ligaments, there are over 900 in the body, are very sensitive to all kinds of movement and stresses such as environmental (Gravity), physical, and emotional. In some research studies, ligaments have been shown to have many times more sensitivity than our skin!With this sensitivity, ligaments are able to coordinate all the contractions and de-contractions necessary to provide us with the movements of our body and its systems. When they are stressed through injury at physical or even emotional levels, the ligaments direct our nervous system to contract areas of our bodies to protect the vital organs as well as the site of an injury.This is a great thing in the first few days but unfortunately, because ligaments have very low blood supply, they do not heal well and often remain in a state of stress thereby continuing to tell the nervous system to protect the body. And this is where the not so good things start to compound and our bodies begin to suffer pain, spasm, and even systemic problems as it tries to find balance under stress.Getting to the sourceMLT directly interacts with ligaments in a very gentle and non-invasive way. Using very light finger pressure on certain ligaments throughout the body, MLT is able to correct the cycle of stress and contraction-inducing signals the ligaments are sending to the nervous system. The effect only takes just a few seconds but the outcome can be dramatic. This is because instead of focusing on the muscles which are only doing what the ligaments are influencing, MLT focuses on the source of what the problem was to begin with, the sensitive and influential nature of the ligaments.

MLT Founder

Arik Warren Gohl has been a clinical manual therapist since 1999. In the years since graduating, he has developed numerous clinical practices and curriculums for Physical Therapists, Massage Therapists, and Chiropractors.

In the past 12 years, Arik has become well known for creating a new type of treatment called Manual Ligament Therapy (MLT) and has been endorsed by some of the most respected researchers and doctors in the world, including Dr. Moshe Solomonow PhD and Dr. Edward Glaser, owner of Sole Supports orthotics.

In his time as a therapist, Arik has continued to seek new and more effective ways to treat difficult conditions with an advanced combination of modalities including dynamic stretching, movement re-education, and manual therapies. The end result is his protocols are able to resolve both simple and difficult conditions in a fraction of the time it would normally take in conventional physical rehabilitation.

For this, he has an international reputation as a sought out clinician for those suffering all levels of symptoms, as well as being respected as an educator of advanced subject matter such as neuro-ligament sciences.

Currently Arik owns a Physical Therapy clinic in Guadalajara, Mexico which has become the “go-to” clinic for patients of all varieties as well as some of the best athletes in the country. In addition, Arik has recently teamed up with Dr. Edward Glaser of Sole Supports orthotics to focus on the treatment of the debilitating condition known as Reflex Sympathetic Dystrophy Syndrome (RSDS) with the goal of providing a non-invasive, non-surgical resolution for the disorder.

View Original Source: MLT Revolution – Gohl Program

New Injuries After CRPS

Tonight begins the 3rd day since I re injured my right foot. Any number of reasons could have been the cause. For one, I’ve been somewhat overdoing myself in healing, progress and maintaining pain levels. I refused to miss doing my stretches, or routine, even when I caused myself pain unrelated to any illness or injury. Pain that was a result of not moving or using muscles and bones for too many years. A good pain even if it hurt because no matter it was progress forward. I’ve re injured myself several times over the years and always with the same result in flareups and associated issues. Until the Gohl Program.

Another reason could have been that I’m so tired I was just absent minded to make the step I intended to, another could be I had just gotten off the slider not long before and my back was sore and my knees wobbly. That’s why I left it down in the first place. I wasn’t finished using it. I’m still fairly weak and don’t do big sets at once. I learned my lesson already. Mostly. I mis judged stepping over the bottom metal leg of the machine as I moved toward the doorway and as a result stepped entirely on it with all my weight, left hand grabbing the dresser to keep me from falling, and my foot was still on it. My entire right side was heavy on it.

While both the bottom and top is bruised it’s the bottom that’s worse. When I weight bear the knot on the bottom presses into the ground and the rest of the knot in the center pushes upward through to the top. (insert potty mouth words) but I’m still walking on it.

Normally people with RSD or CRPS wouldn’t use ice. I did. I’m getting rid of my worries and hurts and I can’t let using an ice pack be one of them. Not at this point. I didn’t have any adverse reactions. I did put a dry wash cloth between it and my skin. Voila! No problem.

Bending my toes isn’t happening right now. I’ve manually bent them. You know like how the 5 little piggies went to the market. Anyway, I’m not kidding.

I sometimes miss that quarter beat. In other words, I’ve never been a whole note. Ha!

Of course it’s something that’s a total bummer. Especially after having worked so hard these last 6 months.

It’s going to be most interesting to find out how long it takes to recover and be standing on my toes again.

As it heals from where it is now, I’ll keep working with my upper body and spine. Once the bruising and swelling comes down I’ll know better how much of a setback it may have caused. I do have a soft back support brace on now and it’s only so that my spine doesn’t shift as I’m unable to walk right. I’m minimizing anything that can get in my way of continued healing and anything that can cause the injury to want to get out of line.

I’ve come way too far and fairly fast after 16 years to fall behind now. I can’t stop, I’m obsessed, or maybe possessed. Both?

I helped my husband carry in bags from the car today when he asked for my help. That could go 2 ways. Either why would he even have asked knowing I hurt myself or I could be glad I got myself up to do it even so. I could have said no? I’ll stick with being glad.

I’ll re ice again today. Yep, I’m starting over it a way, but I’m not starting all over from last year. That foot has had tendons and ligaments torn off bones, chip fractures, entrapment’s, surgeries, scars, dings and much more. CRPS, Achilles tendinitis, arthritis, osteo, heel spurs, plantar fasciitis, etc and so forth.

Looking forward to learning how fast I can reverse and heal from another new injury to a CRPS extremity using post MLT routines.
I’m keeping a log and photos. I’ll share any delays or progress.

All I need to know now is who has the voodoo doll?

220px-Poupée_vaudou - image source- wikipedia

Fine Lines

There can be such fine lines between doing and not doing, trying and not trying enough, managing time and wasting it, finding balance and not balancing at all.

I’ve driven now twice since not having drove but a handful of times in 17 years. While both times were only a few blocks away it is a starting point. Next time I’ll turn left and go down farther to the shopping center about a mile from home. Most likely repeating that quite a few times before trying further.

I’ve hit a few lows in wondering if all this is just too good to be true. This is because in order to maintain pain relief from the original CRPS Type 2 diagnosis and the several secondaries along the way, I have to do physical routines daily in order to keep it from ever being what it had become. These routines can cause their own pain because of the lack of activity and movement as a result of the injuries and illnesses that either initially or had eventually overcame me. Many of those things that I did to comfort myself from reaching the edge were some of the same things that were to my own detriment. Hanging my legs off the bed in order to try to sleep because my feet and legs were either too swollen, allodynia, hyperalgesia, burning etc. Using pillows, several, in order to prop myself into positions to ease pain, but at the same time it taught my body to develop even more damage.

Ever tried. Ever failed. No matter. Try Again. Fail again. Fail better. ~Samuel Beckett

We aren’t taught how to be able to care for ourselves in simple manners that are the greatest of all. We’re told go exercise, lose weight, quit smoking (if you do) and that’s about it anymore. Great advice, but it’s only advice. There isn’t any teaching in it and people leave still wondering how, how in all of it. If you have chronic pain of any type it’s because something in you, illness or injury has lasted beyond 3 months (used to be 6 months for that classification).

Some people do get the pain medications, the opioid management, pain management, lumbar or cervical block injections, procedures etc. Yet none of these get people healthier again. None of them teach living with pain. They either disguise pain awhile, fail, or side track a person from learning how to themselves. Other medications such as SSNRI’s and Anti Seizures such as Cymbalta and Neurontin are over prescribe, handed out like candy and more adverse than the opioid itself. I promise you that. Opioids taken responsibly is less a problem than the lifetime problem that stays with you long after getting off those other types. We may have natural opioid receptors in our brains, but our brains (and minds) aren’t meant to be altered to the point future damage.

I’m not anti opioid.  I’m anti leave someone where they are when there are other options in relief that aren’t suggested or believed in by mainstream western medicine. I believe in CAM or Complimentary and Alternative Medicine. I believe in the Gohl Program. I believe in Integrative Pain Medicine.

Yet these services are rarely offered, or are not covered by insurance. I myself was denied for Acupuncture my second year into all this. (2003). I could have been cured, or in remission right away, but instead we keep people bouncing the healthcare systems, costing billions, left disabled, unable to contribute to society, getting sicker when we have the capability to get people back into their lives. If we do, even more billions are lost in profits, revenues and work for the working class. Damned if you do, damned if you don’t and that’s the world we live in. If it’s not about me it’s about you. Will it ever be about us? I already know the answer to that.

I’m glad that The Academy of Integrative Pain Management previously The American Academy of Pain Management has merged the concept of healing by both standards of care. I’m thrilled to have been a State Pain Policy Advocacy Network Leader (SPPAN) which is a project of of the AIPM/AAPM for several years. I’m happy to have been former California Ambassador, Executive Board Member, Advocacy Director and Healthcare advisor for the International Pain Foundation 2011-November 2016. I’m happy to still be a Medtronic Patient Ambassador. I’m glad to have represented iPain as a member of the Opioid Prescribing Taskforce via the Medical Board of California and for being 1 of perhaps 3 patient advocates who were apart of the Revised Standard Guidelines for Prescribing Controlled Substances For Pain. I’m happy that I attended with and testified on behalf of pain patients with the California Medical Association (DeSaulnier)

I’m not happy that I fell hard in the midst of the CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016 as they were being implemented, recommended and circulated. The Guidelines for Prescribing Opioids for Chronic Pain CDC. I’m blessed to be part of the public record, written and on the last call pertaining to the Guidelines. The call that determined whether or not to enact the recommendation. Which had been determined before the call had ended in case you didn’t know.

Instead of saving lives and allowing physician’s to care for their patients under their own oath it instilled fear in providers to prescribe or even address pain at all. I do not care that the Guideline’s were meant for primary care doctors because it caused fear for all doctors including pain management specialists.

I have to be a responsible patient, yes? I have to be in compliance, yes? Yet there is little to no responsibility or consequences for non compliance in others or those who believe they are above anyone else. Everybody’s pain day will come, if even by old age alone.

I’ve lost my reputation online, but offline my words are different. I’m different. This doesn’t mean I’m a different person it means that perceived perception, written content and context is taken as you will. Believed or Imagined. Generally just a fantasy in your own minds.

I’m diverse.

Online I no longer care. I’m both polite, knowledgeable, caring and I’m blunt, potty mouthed and adverse. Yesterday was the 1 year anniversary to the second time I attempted suicide as a result of pain and errors and not just my fear in it all, but the fear in overdose, the fear to prescribe, the fear to keep your medical licenses, the fear of the DEA, the fear of scrutiny, the fear to take care of your own families and I actually understand. I actually feel your side of it. I feel you when you’ll do almost anything to maintain your reputation even if you’ll lie to do it.

When you can feel my husband of 31 years side of it, or my 3 children’s broken heart in it.

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Maybe I’ll care again the same way I used to. Though I hope not because I really cared too much about everyone else, what ever one else needed, or wanted. Right now it’s all about me and overcoming the challenges of living through what I can’t ever change for me in this lifetime, or what I can never take back in the option of suicide, but I can still help change it for others.

They are fine lines, after all.

 

 

 

 

 

 

 

Advocacy and Awareness: CRPS

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Image Source: Sad Face Behind Mask by Mudabbirali

I had always maintained a level of balance when raising awareness for Complex Regional Pain Syndromes Type 1: Reflex Sympathetic Dystrophy and Type 2: Causalgia. My role was to provide accuracy over inaccuracies. Identifying, evaluating and sharing diagnostic criteria for the diagnosis of CRPS. In addition was the difference between CRPS and CPS (Chronic Pain Syndrome) Chronic Pain Syndrome is a compilation of chronic pain complaints which can include RSD or Causalgia, yet is NOT a CRPS itself.

Complex regional pain syndrome occurs in two types, with similar signs and symptoms, but different causes: Type 1. Also known as reflex sympathetic dystrophy syndrome, this type occurs after an illness or injury that didn’t directly damage the nerves in your affected limb.

Complex Regional Pain Syndrome Type 2 (CRPS Type 2) is a severely painful response to a peripheral nerve injury. CRPS Type 2 is characterized by severe, burning pain affecting a specific area as a result of the nerve injury.

Approximately 90 percent of people with Complex Regional Pain Syndrome have Type 1. 

The McGill Pain Questionnaire 

McGill Short Form Pain Questionnaire

McGill Pain Questionnaire (MPQ)

The McGill Pain Index 

The McGill Pain Questionnaire, also known as McGill pain index, is a scale of rating pain developed at McGill University by Melzack and Torgerson in 1971. It is a self-report questionnaire that allows individuals to give their doctor a good description of the quality and intensity of pain that they are experiencing.
This index is subjective. Subjective means that your pain and symptoms are based solely on what you define them to be. It contains no objective findings to establish any certainty whatsoever.
This index leads you all to believe you have the worse pain disease known to man. Above Cancer. The index describes “Causalgia” which the majority of the people with this syndrome do not have.
Upon reading this many of you will suddenly decide that you have type 2. If you didn’t have type 2 there would be less reason to be incurable and in so much pain.
Do you know how many people over the years who have been diagnosed with RSD suddenly changed their own diagnosis to Causalgia upon learning the difference? Too many.
This is why the research and documented statistics are flawed. This is why the healthcare system fails to help us and instead classifies many of you with Chronic Pain Syndrome or Somatic Symptom Disorder.
According to the respected Dr. Philip Getson “Current estimates suggest that there are between two and ten million patients with this disorder worldwide. It is my personal belief that if you subscribe to the theory that fibromyalgia is in fact not a distinct and separate entity but rather a sub-sect of RSD (as I do), that number can be as much as five times higher.” http://www.drgetson.com/reflex-sympathetic-dystrophy.html
This is because RSD and Fibromyalgia share similar subjective results (trigger points/pressure points) and complaints in addition to some objective shared findings. Overactive nerves instigated by stress. The Fight or flight response.
I can assure you that Complex Regional Pain Syndromes Type 1: Reflex Sympathetic Dystrophy and Type 2: Causalgia can be drastically relieved and has the potential to be curable without drugs, sympathetic blocks, modalities or implantable devices.
I can no longer ascribe to the belief that CRPS is without possibility in healing. I’ll not tell people they’ll never get better, and I won’t be sharing the misinformation that advocacy groups expect of me. What I’ll share are the facts that surround this misunderstood syndrome and how we never have to end up disabled, sick, emotional and grieving over something that has a chance early on for an immediate remission, without years of failed treatments and medications and doesn’t ever have to lead to an end of no return.
I think I’ve proven that.
~Twinkle VanFleet, GohlProgram.com 

The Rink

It’s been nearly 4 months since I first started the Gohl Program and underwent Manual Ligament Therapy (MLT) developed by Arik Gohl. You can check out my Case Study Documentation or my uncut documented sessions at Gohl Program TV on YouTube.

I had never skated with my 11 year old grandson. My own son who’ll turn 20 next month has no recollection of ever experiencing anything like that with me. I did take him when he was 2 and his sisters were pre teens, but only I have that memory for him. Ozra was 3 when the injury happened that led to my CRPS. Our girls were 11 and 12.

Night before last we went to pick up our grandson and we went skating. Next time it will be both he and Ozra with our girls, and a few others.

We shared on Facebook Live where I did fall in front of everyone, and I did get back up to try again. Here we are, hand in hand, (Pink blouse up against rail).

I never made it around the rink, but I made it onto the rink several times. I watched as people did all the things I once could also. Speed skate, skate backwards, dance skate. I use to love playing red light green light.

I might not be able to do any of those again, but one day, I will make it around the rink at least once.

No inline skating for me, not now, sometimes you have to start with 4 wheels.

Without MLT this would have never been possible.

 

 

 

 

Making and Breaking Habits

According to Dr. Candace Pert, Ph.D. “our physical body can be changed by the emotions we experience”. http://www.slate.com/blogs/quora/2013/05/06/does_it_really_take_21_days_to_break_a_habit.html
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Image Source: Slate – Quora

Imagine pain accompanied by negative emotions. It’s a vicious cycle. Stress instigates physical pain and physical pain complicates stress.

If we can replace a bad habit with a new good habit and form a parallel pattern that doesn’t trigger stress we can replace and reset our own ability to break or make a habit well.

Physical pain becomes a habit. We didn’t intentionally cause it, yet many other habits aren’t based on intent either they are learned responses, learned helplessness. Behaviors and habits formed by pain can be difficult to overcome.

Habits are much easier to form than they are to break. Repeating any adverse behavior often enough results in a habitual process and synaptic pathways become worn.

Our brains are most adaptive and change is possible.

Twinkle VanFleet, GohlProgram


MLT and Stretching

https://rsdadvisory.com/2017/01/31/mlt-and-stretching/

Babies – Hands on

https://rsdadvisory.com/2017/01/31/babies-hands-on/


21 days to make or break a habit?

Today

http://www.today.com/health/think-itll-take-21-days-make-your-resolution-habit-try-2D11826051

WebMD

http://www.webmd.com/balance/features/3-easy-steps-to-breaking-bad-habits#1

Yahoo Answers

https://answers.yahoo.com/question/index;_ylt=A0SO8wWxvpRY0oIAh0NXNyoA;_ylu=X3oDMTEyYTN1MDl1BGNvbG8DZ3ExBHBvcwMxBHZ0aWQDVUkyQzNfMQRzZWMDc2M-?qid=20080210120707AAquMAY

HOWSTUFFWORKS SCIENCE

http://science.howstuffworks.com/life/inside-the-mind/human-brain/form-a-habit.htm

http://science.howstuffworks.com/life/inside-the-mind/human-brain/form-a-habit1.htm

Quora

http://www.slate.com/blogs/quora/2013/05/06/does_it_really_take_21_days_to_break_a_habit.html

 

 

MLT and Stretching

MLT and Stretching
Animals, house pets, dogs and cats stretch continuously. We watch them as they roll around, stretching to wake, stretching during the day and before they sleep, manipulating their limbs, working out their aches and pains, stressors, assisting their muscles, joints, bones, internal organs.. their tendons to be usable and movable.
In considering our own bodies it would make sense that if we do the same we could minimize pain and weakness in ourselves.
Animals with ailments or who are aging still stretch.
As people, the majority of us don’t. Those with pain related diseases, illnesses or syndromes believe that because of pain they either can’t or shouldn’t.
Imagine what we do to ourselves by not doing so. Imagine that while we think we’re doing ourselves good or better in pain, we aren’t.
As pain worsens and tendons tighten, muscles waste and bones and tissue deteriorate, we deteriorate.
Add emotional trauma, past or present, life, work, day to day activities, triggers, etc and the natural ability to heal ourselves decline.
Nearly all of us are taught to keep our garbage to ourselves, especially, psychological trash. Don’t tell it, don’t talk about it, and don’t bring your negativity on the family. After all, you might become an adverse reflection, yes?
People learn to protect and defend others before themselves.
What happens as a result? Pain.
It’s not just our minds that carry memories, our physical bodies do also. Flesh, organs, tendons, muscles, tissue contain memories and recall of both physical and psychological trauma.
Manual Ligament Therapy (MLT) releases those memories in the body via direct hands-on methods.
Stretching daily activates well being, promoting proper blood flow through the extremities, minimizes or eliminates inflammation, restores healthy cell production. Cells are constantly multiplying. Damaged cells would copy themselves as damaged cells, and healthy cells duplicate to be healthy again.
Only in the most severe cases would the likelihood of cell replenishment be less possible. Generally the abnormal structure of chromosomes themselves dictate a negative outcome.
Even in autoimmunity where the body attacks itself the possibility still exists to change the path inside us. Our bodies “learn” just as our minds do. If it only knows pain, all it might ever know is the same. Reverse it and it might re learn that pain isn’t a lifetime sentence.
Abnormal processing Vs pain perception.
It might not be easy, yet it’s possible.
Imagine what people carry inside them. Once physical pain begins it will resume until the cycle is broken or reversed.
Release physical and emotional trauma and most of us could heal ourselves.
We don’t live in that world yet, but if we could?
Posted as a Note on Facebook January 29, 2017
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