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Tag: Injuries

  • Physical Therapy and Sports Medicine – Know the Differences

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    It isn’t unusual to use the terms sports medicine and physical therapy interchangeably. However the two aren’t exactly the same things even though you may find yourself the patient of both fields at the same time.

    While compatible, the difference between the two branches of medical discipline is clear. Both are effective for treating injuries, diseases and disorders of the muscle and skeletal systems of the body and both are useful for the prevention of future injury or disease symptom reoccurence. By taking an individual look at both types of medical assistance, you will soon see the differences between physical therapy and sports medicine.

    Let’s take a look at the field of physical therapy first. Unlike sports medicine, physical therapy as a whole is devoted to correcting any injury, disease, or disorder of the bones and muscles that can be treated with non invasive techniques. The focus is to provide patients with relief from pain, improve their muscle, joint, and bone function, while providing techniques the patient can use on their own for additional healing. The primary tools of a therapist are good diagnosing and evaluating skills, knowledge of the musculoskeletal system, and knowledge of which therapy is effective for each situation.

    One large difference between the two is that physical therapy doesn’t only deal with sports related injuries or problems. Physical therapists can choose to specialize in their careers with emphasis on things like pediatrics, geriatrics, and neurology. Other areas of expertise included in physical therapy are sports, cardiovascular sciences, and occupational therapy.

    When you are looking at the differences between these two healing arts you certainly can’t overlook sports medicine. The type of medical discipline is solely used for sports related injuries and disorders. While sports physical therapy techniques are commonly used in addition to sports medicine, sports medicine may involve surgeries, procedures, and medications not used in physical therapy. Sports medicine practitioners also can have specialty fields as well. Orthopedics and skeletal emphasis are common. Advanced study of how long term sporting activities and treating sports related injuries are always a part of this particular discipline.

    Understanding the difference between physical therapy and sports medicine may be key to determining how to best treat your physical problem. While they can and are commonly used together, each one has its own distinct benefit. Your medical care team can further help distinguish the two and point you in the right direction in terms of your health care needs. The important thing is take care of any injury, sports related or not, to ensure your body’s function in the years to come.

    The difference between these two medical approaches is obvious. Although the two are often used together, each one has its own purpose and uses. Your doctor can give you advice on which specialist is right for your needs.

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    Source by John Groth

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  • Divorce Tips: How To Heal From A Divorce In One Therapy Session

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    Healing from a divorce does take time and people going through this process are apt to experience a range of emotions including sadness, guilt, anger, resentment, anxiety, frustration and depression.

    The good news is that therapy can expedite the healing process and help people to view the end of their marriage in a more positive manner.

    Some years ago, I developed a visualization technique based on Ericksonian Psychotherapy and Hypnosis and which seems to help many divorcing individuals to heal from their loss and to restore their overall well-being.

    A description of this technique appears below.

    Close your eyes and take a few deep breaths as you listen to my voice.

    Each time you breath in through your nose and out through your mouth. And every time you inhale you take in relaxation, peace and healing. And each time you exhale you let go of or diminish any pain, sadness or any negative or uncomfortable thought or unpleasant emotion.

    So, your breath becomes a powerful healing tool. You can use your breath to adjust your mood whenever you need to do so.

    And as you use your breathing to heal yourself, you may also discover that your mind can go back in time if you want it to do so.

    And as you go back in time…

    Do you remember when you were a little boy or a little girl?

    You may remember what you looked like back then or you may have seen photos videos of yourself from your childhood.

    You may also recall what the house you grew up in looked like.

    Now, when you were a child, you probably fell down while running or while riding your bicycle. And most likely, you bruised your knee or your elbow. And your arm or your leg probably bled what felt like a lot back then.

    Then your mom, dad or a neighbor came along and gave you a hug and comforted you.

    They washed out the wound and applied an antiseptic to the injury. This probably that stung a bit. When it was placed on your wound, you may have felt like you were going to have to feel a little worse before you could feel a little better.

    And then your caretaker applied a band aid or some gauze and tape that was just the right size to cover and protect your wound.

    This helped you to feel less pain, a bit safer and a bit more secure.

    The wound may have felt worse for the next day and for even a few more days or weeks.

    You probably had to change the band aid every day or so. And you may have to wash the injured spot frequently.

    But in time, the wound began to heal, even though you may have scratched it at times, like most kids do.

    And after the passage of a little some more time, a scab formed, all the bleeding stopped and the old skin was replaced with news softer but tougher new skin.

    After a little more time, the pain subsided almost completely. Though, you still had some good days and bad days with your wound.

    Now, the pain from some wounds may not ever go away one hundred per cent.

    Many of us have physical aches and pains that stay with us, but we push on in spite of them.

    But, luckily, sometimes healing eighty or ninety percent is sufficient for us to carry on to feel generally okay.

    As you can see, the mind heals from emotional losses and wounds in much the same way that it heals from physical injuries.

    So, if you or someone you love is struggling with a loss, think about the process of healing described in the metaphor.

    Perhaps it will to help to lessen your pain, allow you to heal and to move forward with your life with a more positive spirit.

    Give it a try. Interestingly, this same technique has been used by people who are dealing with the death of a loved one.

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    Source by Jay P. Granat, Ph.D.

    Views: 0

  • Alternative Medicine Treatment of Plantar Fasciitis

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    Plantar fasciitis (PF) affects approximately two-million people in the US, of both athletic and non-athletic populations. This condition can be debilitating and significantly affect one’s quality of life in a very negative way. There are few high quality studies on this condition and the most successful treatments. Treatments range from chiropractic care, physical therapy, injections and surgeries. Fortunately this condition can typically be resolved with conservative treatment and lifestyle modifications that can prevent going under the knife. Simply put, plantar fasciitis is a strain with subsequent inflammation of the thick tissue (plantar fascia) and muscles on the bottom of the foot causing heel pain. Plantar fasciitis (PF) is characterized by biting heel/mid arch pain when first bearing weight in the morning, or after long periods of rest. The pain typically subsides within 5 minutes of walking or running, then worsens with long term activity or weight bearing. It is also associated with tired, achy feet at the end of the day and foot cramps. PF is seen in both active and inactive people, and is rarely the result of an acute injury. PF can be the result of several different factors: repetitive overuse injuries, poor fitting footwear, overtraining, structural abnormalities of the foot and improper gait mechanics. PF often becomes a chronic and/or recurring problem if not given the appropriate treatment and follow up care.

    Some contributing factors to the development of plantar fasciitis:

    Structural abnormalities: Plantar fasciitis is very commonly seen with pes planus (pictured left), or flat footed individuals. As you can see, this individual’s medial arch is almost flush with the ground. This can create strain on the plantar fascia. Severe injuries resulting in the need for surgical fusion of the foot can also create strain on the plantar fascia. In these cases of severe structural abnormalities, orthotics are typically indicated. Rehabilitation including foot strengthening exercises, chiropractic manipulation and soft tissue techniques can relieve pain and help to alleviate strain on the tissues and resolve flair ups. We use custom orthotics from Foot Levelers in our office. Using a 3-D scanner, we can have custom orthotics made to support the full structure of your foot.

    Poorly fitting footwear: Wearing improper footwear over time can lead to PF. If a shoe doesn’t fit your foot properly, your gait is altered during any weight bearing activity. This has an effect on the entire kinetic chain and can ultimately cause strain on the plantar fascia. The strength and flexibility of your foot will determine your best type of footwear.

    Overtraining: Can be a huge contributor to PF. What many athletes, weekend warriors and the like tend to overlook is the importance of recovery in their training regimens. If your tissues don’t have optimal nutrition, rest and repair time they start DEgenerate rather than REgenerate. Especially when it comes to long distance running, or quick sprints, the feet have a lot of demand.

    Nerve Impingement: Plantar fasciitis can be a symptom of sciatic nerve impingement. The sciatic nerve is the thickest nerve in your body. It originates from your lumbosacral plexus of nerves typically L4-S1/S2 with some individual anatomical variation. Although this nerve is commonly blamed for all radiating leg pain, it is only responsible for pain along its trajectory down the posterior aspect of the leg and foot. In some impingement cases, the pain can skip the back of the leg altogether and go straight to the foot. Impingement along any portion of the nerve can result in pain, but it doesn’t have to be in the leg. If there is enough impingement along this nerve, any added pressure, say forced dorsiflexion of the foot when standing or walking, can be just the right tension to create exquisite foot pain. Our bodies are always trying to protect our nervous system; reflexively the muscles surrounding the nerve will tighten in an attempt to avoid any further stretch or tension of the nerve. Ultimately, this leads to inflammation of the plantar fascia and the surrounding muscles.

    Other Factors:

    Systemic Inflammation: Though general systemic inflammation is typically not the cause of plantar fasciitis, it will increase your symptoms. For this reason we strongly encourage our patients to eat an anti-inflammatory diet specific to their needs. We also understand no one is perfect or eats perfect all the time, which is why we encourage an 80/20 approach; eat clean 80% of the time and use the other 20% to indulge. Curcuminoids, like those found in turmeric are great to help blot down inflammation in acute cases of plantar fasciitis.

    Alternatives to conservative care:

    Cortisone or steroid injections are very commonly given for Plantar fasciitis. In some really tough cases this can absolutely be necessary to “put out the fire” that is the inflammatory cascade, to get you out of pain initially. We never recommend looking at this option as a cure. Cortisone is a very powerful anti-inflammatory that alleviates pain without correcting the underlying issue, potentiating further injury and recurrent episodes. Another option is surgical intervention. In some cases, surgery is the best option for a particular case. We prefer to exhaust conservative treatment options before travelling down this avenue. A study on an overweight and obese population (43 total) suffering with plantar fasciitis for an average of 34.8 months, were given decompressive surgery to the nerve to the abductor digiti minimi with partial plantar fascia release and tracked over a 4-year period. It was found that 75.6% of patients were in deed pain-free or had only mild pain post-surgery (pain decreased from an 8.5/10 to a 2.5/10). However patient satisfaction post-surgery was only 48%.

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    Source by Ann Barter

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  • Healing Knee Injuries: A Few Helpful Exercises

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    The knee is one of our most crucial body parts. It plays an important part in our overall body fitness. That is the reason Knee injuries are usually of grave concern as knee injuries have the potential to significantly impair an individual’s mobility or put in plain words- ability to walk or run.

    But, knee injuries are not only the culprit that makes the knee inactive or defective. There are various systemic conditions, specifically few bone diseases like arthritis(osteoarthritis) that also significantly affects the knee joint. However, irrespective of the reason causing knee defects/injuries, exercises play a vital role in the healing process. In fact, Exercises play much more important role than medications in fast recovery from the knee injuries and disorders. In this article, though, we will focus on few extremely helpful exercises that facilitates the fast recovery process from knee injuries. But, before diving further deep into the topic, let’s get ourselves acquainted with knee injuries, its types & causes in brief.

    To start with, knee is made up of the following components- bone, ligaments, fluid & cartilage. Muscles & tendons present in the knee joint helps the part to stay mobile. Understandable, when one of these structures get injured/hurt or is affected due to any systemic conditions/diseases, knee defect/injuries occur.

    Knee injuries are characterized by extreme localized or overall pain, swelling, redness and causes severe impairment in walking activities.

    Knee injuries can be caused due to any accidents, sports activities or by simply awkward twisting of any one of the ligaments or tendons present in the knees. Treatment procedures for knee injuries usually contains a blend of medications & physical therapies( which mainly includes exercises), but in few cases surgical interventions ( such as knee replacement surgery) becomes necessary. In those cases, exercise becomes the only route to recover.

    Some of the major knee injuries include but are not limited to-

    a. Anterior cruciate Ligament (ACL) injuries- Very common in people who are very active in sports such as- soccer, basketball. It usually occurs due to the drastic direction change of the knees which in turn injure the ACL which is one of the connecting ligaments between shinbone & thighbone.

    b. Fractures- It is the second most common cause for knee injuries. Apart from injuries, fractures can also be caused due to osteoporosis which gradually weaken the bones.

    c. Torn Meniscus

    d. Knee bursitis

    e. Patellar tendinitis usually affects the avid runners, skiers, cyclers, etc.

    Knee injuries can also be caused by some other body conditions like- excessive body weight which puts pressure on the legs, to be precise on the knees, dislocated kneecap (which can be treated through a knee replacement surgery), gout, rheumatoid arthritis, due to relapse or getting hurt on a previous knee injury site, due to decrease strength and flexibility of the muscles (may be caused by any number of reasons) and last but not the least due to participation in any type of dangerous sports.

    However, irrespective of signs, symptoms & causes, healing from knee exercises with relatively fast and naturally involve exercises. Types & sets of exercises depends on the nature, severity & type of knee injury and must be prescribed and authorized by the caregiver. Additionally, those exercises can only be done under guidance & supervision of a trainer. Here are few example of relatively simple knee exercises, that usually helps in healing knee injuries.

    Exercise 1-Leg straightening & stretching.

    Lie on your back preferably on a hard. Flat surface. Next, bend your one knee and place the foot on the flat surface. Then, straighten the other leg and raise it in air at the level of the bended knee. This makes the quadricep muscles of the thigh work and puts put very little or negligible strain on the knees. To get the best results, the exercise should be repeated daily 10-15 times in two-three sets. It is recommended to start with low frequency initially and gradually increase the frequency and number of sets gradually and slowly.

    Exercise 2- Hamstring exercises

    This exercise is relatively simpler than the other ones and can be done anywhere, anytime. This simple and easy exercise is known to benefit the knee joint b strengthening the hamstring muscles that are present in the back portion of the thigh and are important for proper knee joint functioning.First, stand on a flat surface, preferably on the floor. Then slowly raise heel of one let as close as possible to one’s butt and is required to stay/hold in that position for 25-30 seconds. Later, with practice the duration can be increased to even 1 minute. Then, repeat the same with the other leg. This exercise is also commonly known as “Hamstring curls”.

    This exercise should be done minimum 15-20 times a set for 4-5 sets daily.

    Exercise 3- Squats

    Squat is known to be extremely beneficial exercise for knee injuries. The position required to perform this special exercise, work up the knee muscles and charge them up leading to fast healing from the injuries. This exercise is an advanced form of knee exercise.

    First, one need to stand straight against a wall or a sturdy, flat and hard surface. Secondly, after standing, one needs to spread their legs apart in line with their shoulder-width. Next, bend very lowly keeping your back straight against the wall/surface. Hold on to that position for 15-20 seconds. But, if one feels uncomfortable, it is recommended to immediately stop doing the exercise.

    It is usually good for the knees if done regularly 10-12 times in 3-4 sets/daily.

    Exercise 4- Calf raising exercise

    Stand with back facing to a chair / sturdy table. One can also stand in front of a wall. Get your hands on the wall surface if needed for supporting your body weight without straining the knees. Then, slowly raise your heels as high as possible by you. Hold on to the raised heel position for 10-15 seconds and then slowly, very slowly lower your heels in the normal position.

    Repeat the exercise daily 10-15 times for at least 3 sets.This exercise helps the knee to get in better shape and help to recover fast from injuries.

    Exercise 5- Step ups exercise

    Very common and extremely helpful exercise for knee injuries.

    One can use staircase for this one or can also use a raised but flat platform. Keeping one’s pelvic level steady, put one foot on the raised level and then slowly bend your knee and then raise your knee. Next, repeat this exercise with the other foot.

    Recommended daily 10-15 times for 4 – 5 sets. Once comfortable and well-practiced, one can raise/increase the height of the platform gradually. The above mentioned are few very easy and simple exercises that are known to benefits knees recovering/healing from injuries. But, one should always remember that of doing any of knee exercises makes you uncomfortable or increases pain, swelling of the knees, then stop exercising immediately and consult your doctor/trainer/care provider without further delay. Staying alert and cautious are the keys.

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    Source by Gagan Deep

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  • The Risk/ Reward Approach, To Better Health: 4 Scenarios

    The Risk/ Reward Approach, To Better Health: 4 Scenarios

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    Doesn’t it, make sense, to be more willing to use, more extreme approaches, possibilities, and approaches, if there is a serious, and/ or, life – threatening, treatment, than, when, this doesn’t exist? Several years ago, I remember watching a television advertisement, for a prescription drug, for treating, foot – nail fungus. This product, perhaps, effectively treated its desired ailment, yet, when the contra – indications, etc, were listed, which included causing cancer, liver ailments, etc, I wondered, why, anyone, would use this, for a seemingly, less – than, life – threatening ailment. With that, and similar issues, considered, this article will attempt to, briefly, consider, examine, review, and discuss, 4 possible scenarios, and, whether, they are warranted, using the risk/ reward approach, and mindset.

    1. Chronic ailments: Many of us, suffer, from one, or more, chronic ailments, especially, as we age. Some people learn to live, with the discomfort, and/ or, address it, by using some safe alternative remedy, and/ or approach. Others, either, are so uncomfortable, have such a low pain/ discomfort threshold, etc, they seek more aggressive treatments, and modalities. A chronic ailment, is one, which lingers, on an ongoing basis, either, consistently, or on a sporadic time – frame.

    2. Acute ailments: Acute ailments are those, which come on, rather suddenly, and may, come from known, or unknown causes. Known causes may include injuries, due to falls, strains, etc, while, unknown ones, often, come from something, we may not even recall happening. The smart approach is to, first, recognize, and consider, the reasons, and causes for the discomfort/ ailment/ pains/ aches, etc, and, then, evaluate the possible remedies. It is always wise, to contact, and consult, a trusted, health professional, as soon as possible, in order to ensure, nothing is overlooked! Once, more serious ailments, and/ or, causes, have been ruled out, it is often wise, to consider alternatives, which may be safe, effective approaches.

    3. Life – threatening illnesses: Obviously, if you are diagnosed with a life – threatening disease, such as cancer, etc, it makes sense to consider using a more aggressive treatment, with potential severe side – effects, than it is, for lesser ailments. If, without the treatment, your chances are somewhat poor, your risk is limited, and reward enhanced!

    4. Options/ alternatives: If you don’t pay keen attention to taking care of yourself, no one else will! Examine your true needs, medical causes of your discomfort, and your options and alternatives. The lesser, the danger of the ailment, it is wise, to take fewer risks/ chances, and vice versa!

    Take care of your health needs, by using the risk/ reward approach, and consideration! Doesn’t that make sense?

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    Source by Richard Brody

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  • Take Ownership of Your Health: Hold Yourself Accountable

    Take Ownership of Your Health: Hold Yourself Accountable

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    Over the years, I’ve conducted extensive research on health topics such as obesity, osteoporosis and cardiovascular disease. I have also studied theories of behavior change. What jumps out at me the most is how many of these conditions are preventable. Yes, there are non-modifiable factors however, it is our behaviors that are causing damage to our health and wellness. Essentially, we are all aware of our unhealthy behaviors and the consequences associated with them. I feel like I’m a misfit in society because I actually enjoy physical activity, going to the gym and pushing my body to its limits. I was also criticised heavily because it took me nearly two weeks to finishing watching the third season of Stranger Things. Let that sink in. We live in a society where it is the norm to watch an entire season of a television series over a weekend, let alone one day and this is completely acceptable, even encouraged. I feel like I have to justify why I don’t binge watch television, why I wake up early to exercise and why I restrict processed foods (among many other ingredients) from my diet.

    My reason is simple, I do it for my health. Health is a priority to me and I want to face the daily challenges of life with the least amount of pain, discomfort and illness as possible. I’m not a machine, I get sick on occasion and I have a history of injuries. I watch television and movies and I’m known to indulge in a meal or snack of the unhealthy variety on occasion. I try to keep my immune system optimal and reduce my risk of injury through strength and flexibility training. Let’s examine exercise. Most of us know that it is beneficial to our health, not just physically but emotionally as well. Increased levels of physical activity have the potential to lower the risk of obesity, diabetes and cardiovascular disease (among many more) according to multiple sources. We know that being inactive increases the risk of the mentioned conditions, yet many of us choose to do nothing about it. There is a disconnect between what we know and what we do. Do we not prioritize our health and quality of life? Do we get distracted with the ease of technology and everything available at the touch of a button? Do we know how many deaths can be prevented each year by modifying our behaviors?

    So much of what we experience is preventable if we take the necessary precautions. We don’t have to wait until we get diagnosed to make a change. We can make changes so that we don’t get diagnosed. We do have the time if we make it a priority. We can find a plethora of excuses why we don’t exercises of we can focus on reasons why we should. I can honestly say that I am 100% responsible for all of the injuries I’ve sustained in my lifetime. Whether it was negligence, ignorance or ego, I was at fault and I take full ownership of that. Now let’s take ownership of our health and strive for progression.

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    Source by Phillip J Schiefer

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  • Are Your Exercises Preventing Your Back From Healing?

    Are Your Exercises Preventing Your Back From Healing?

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    When in pain, are there exercises that hurt your back?

    The short easy answer is “Yes”! Exercises that you do on a regular basis may actually harm your back if you have recently injured it or are in significant pain. Many patients continue there usual exercise routine while even in a “flare-up” or after a injury. This might actually slow the normal healing time of your back pain. For the sake of being brief, I will discuss lower back pain, but some of the basic principles can be applied to most areas of joint pain. A proper low back diagnosis is recommended prior to continuing or changing your workout program.

    Back pain while bending forward (flexion-intolerant).

    This is a very common type of lower back pain. The pain will be worse when leaning forward and you might have pain into the buttocks or thighs. Any symptoms radiating further or including changes in bowel or bladder changes, see your doctor ASAP. Many common stretches involve flexion of your lower back. It is paramount to avoid this motion in the beginning stages of a back injury. Many patients will simply not improve until they stop this exercise.

    Exercises to avoid with a flexion type low back injury.

    First, avoid all exercises that bend your back forward at the waist. These include crunches, toe touches, and seated forward bends. Any exercise that involves a forward posture is not recommended. Some of the other exercises to avoid with a flexion injury are:

    Bike reading while leaning forward.

    Toe touches while standing or seated.

    Any back lying abdominal exercises.

    Pulling of one or both knees to the chest.

    Seated leg presses.

    Lying on your back and pulling a knee up while doing trunk rotations.

    Hurdler’s stretch.

    Many or at least a couple of these have probably been advised by your chiropractor or physical therapist. If you have the type of low back pain I described, try staying away from these for a couple weeks and see if it helps. After recovery, these exercises are totally fine to resume.

    Our chiropractic office in Rapid City, SD offers relief and guidance for this and many other ailments or injuries. Dr Gruba is also a licensed acupuncturist in Rapid City.

    There is often no need to suffer from chronic lower back pain. I recommend starting with a proper diagnosis and treatment. It is always best to take an active approach at home, which includes necessary stretching and exercises. But, with poor guidance, your back pain can be a long term problem and may even alter your future.

    To Your Health,

    Greg Gruba DC

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    Source by Greg S Gruba

    Views: 0

  • Waking the Tiger, Healing Trauma, by Peter A, Levine

    Waking the Tiger, Healing Trauma, by Peter A, Levine

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    Many people who have suffered tremendous emotional trauma (for example, the recently bereaved, people in war-torn countries, those who have been tortured or sexually molested) or physical hurt (e.g. severe neglect, debilitating injuries) recover entirely or near completely from their tragedy. However, others do not fare as well and continue to relive the same horrific experiences of morbid fear, anguish, and anxiety for a prolonged period of time. These latter groups of people have been traumatized by their bad experiences.

    In their book, “Waking the Tiger: Healing Trauma,” Levine and Frederick (1997), said that this is a result of bottled-up somatosensory symptoms emanating after trauma. There are three main ways people respond when faced with a traumatic experience, said Levine and Frederick (1997). They can fight (confront the situation), flee (get away from the situation), or freeze (be totally overwhelmed by the predicament to the point of immobility). Victims who apply a fight or flee solution to a traumatic experience fare better in dealing with trauma than people who freeze in response to shock (Levine & Frederick, 1997). This state of suspended animation and paralysis occurs unconsciously and involuntarily. During this state of freeze, the victim has no way of going through all the typical reactions associated with traumatic events (Levine & Frederick, 1997). Because they are not adequately discharged by the victim, the trapped emotions wreak havoc on the traumatized individual.

    The solution to trauma is, therefore, to guide the victim along a path (Experiential Sensation-FELT SENSE) that allows them to perceive and release those trapped emotions (Levine & Frederick, 1997). This approach to healing trauma was garnered by learning how animals recover from traumatic experience (Levine & Frederick 1997). Confronting trauma, said Levine and Frederick (1997), should be mostly on an emotional, limbic brain level, and not solely on the rational, executive brain level.

    Levine and Frederick’s trauma theory is also supported in some ways by the polyvagal theory, which suggests that trauma has a somatic experiential component. If, as indicated by the polyvagal theory and by the Levine and Frederick (1997) theory, that trauma has strong emotional roots, one can apply elements of relationship models such as the DIR model in addressing trauma. After determining the victim’s functional emotional development capacity level, a DIR practitioner can begin to appeal, build and strengthen discovered areas of weaknesses, thus allowing the victim to escape the shackling phenomena of a past traumatic event. Calming the traumatized individual is a tool in the DIR toolbox with which to regulate traumatized individuals. A calmed mind creates an opportunity for further regulation of emotions and understanding of deep-rooted feelings, all of which are needed for trauma victims to extricate themselves from the shackles of the past and begin to attain new heights of functional capacity.

    Other applicable trauma theories include the NARM model, which, focusing on the mind, suggests that trauma is associated with a maladaptation in the victim’s attachment history. The PTSD model suggests that trauma victims are applying to their current problems solutions which had worked and were appropriate in the past.

    In my opinion, while attachment and trauma appear as opposite ends of the same emotional realm, it is apparent that whereas attachment is mostly positive, except, for example, in cases of extreme attachment/dependency, trauma is almost always negative, at least until it resolves. Treatment of trauma requires a dedicated practitioner, who is ready to learn from their victims and understand their challenges in order to develop an appropriate management strategy.

    Recognizing the signs and symptoms of trauma, making timely referrals to a trauma specialist, and integrating several of the modalities mentioned would likely give the best result in the management of traumatized children and adults.

    Reference

    Levine, P. A., & Frederick, A. (1997). Waking the tiger: Healing trauma: The innate capacity to transform overwhelming experiences. Berkeley, CA: North Atlantic Books.

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    Source by Anselm Anyoha

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