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Fascia; facts and fantasies

Journal: European Journal of Translational Myology Date: 2023/03, 33(1):Pages: 24-25. doi: Subito , type of study: article

Full text    (https://pagepressjournals.org/index.php/bam/article/view/11247)

Keywords:

article [2076]
conference abstract [108]
connective tissue [26]
fascia [261]

Abstract:

Classical anatomy of academic medicine describes bones (osteology), joints (arthrology) and muscle (myology). There is no specific category which describes fascia as an independent anatomical entity. Likewise, academic medicine does not recognize fascia as a pathogenetic entity other than when considered as connective tissue under the broad heading of rheumatic diseases. This is different in osteopathic medicine. The founder of osteopathic medicine, Still, A.T. (1828-1917) viewed the human organism very much as a mechanical contraption that needed to be balanced to function properly. As a MD, trained by his father, he abhorred the drug medications of his time, which he (rightfully) considered dangerous. Instead, he corrected the mechanical causes for disordered bodily functions by adjusting the bony framework. For Still, the power to cure depended on the knowledge of the right or normal position and the skill to adjust bones, muscles and ligaments accordingly. As broadly speaking connective tissue (ligaments, fascia, tendons, connective interstitial tissue) is responsible for the connectivity and the positioning of the body elements in 3D space, it follows that these elements have become a major focus in osteopathic medicine today. Academic medicine sees connective tissue as composed of collagen, elastin and matrix with mechanical properties depending on the quantity and arrangement of these elements harbouring various sensory elements and important parts of the immune system and response. However, academic medicine does not see somatic dysfunctions in general related to myofascial function or dysfunction. Osteopathic medicine has a different perspective and sees fascia as a key mediator in somatic disease and pain conditions. Over the last 20 years a sizeable osteopathic literature has developed on these issues. This merits a closer look at fascia function and malleability in view of their potentially overlooked relevance for pathological processes in human disease.


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