Chiropractic, Massage and Physical Therapy part II:

So you know that I believe in chiropractic, having seen and felt its positive results. I also believe that most people need some form of treatment for their muscles, in the form of specific massage. I also believe in physical therapy.

Obviously, you aren't going to go to a chiropractor after knee replacement or ACL surgery, you go to a physical therapist. When dealing with non-surgical problems, such as low back pain, I believe in a combination of treatment.

Meaning, you need to treat the bones, muscles, and nervous system. I have seen more than a few people with back pain, where someone got better results by combining chiropractic with skillful massage therapy and stretching, than they did in physical therapy. People that I worked with personally and those who worked with associates of mine.

However, these people still needed specific exercises to help correct these problems and keep them from coming back. Skilled soft tissue work, whether it be deep tissue massage, NMT (neuromuscular therapy), ART (active release) or Myofascial Release is usually needed to release unnecessary tension in the muscles.

Of course, physical therapists practice some form of these treatments. I think in some cases, they don't have the time necessary to do as much as is needed, sometimes. In situations where only modalities such as ultrasound and electrical stimulation are used, and little or no hands on work, is where you see the poor results.

A chiropractor I used to work with, who was also a massage therapist, had a patient who was going to physical therapy for a work related injury. They only did ultrasound treatments and little else, and he got little relief. Combining massage therapy with chiropractic got much better results.

If you are someone who isn't into chiropractic for whatever reason, skilled soft tissue treatments combined with joint mobility movements, posture and corrective exercise will do nicely. Again, working towards prevention with these items is much easier than trying to fix something after it's already broke.

In my opinion, if you don't have good soft tissue quality before trying to start exercising, you might not get all the results you want. If you have knots and excess tension in the muscles, you need to deal with that up front.