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  Dr. Jake Caldwell
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Are You Full of Fluid?

11/1/2016

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I taught my own course for the first time last month. It was a lot of fun to present my own material, showing others what I do in my practice all day. One of the major things we discussed is an imbalance in the tissues of the body that ancient healers throughout history have called "moisture." In modern terms, we call it an "excess of inflammatory fluid" in a tissue of the body, but the ancient word "moisture" or "fluid" is a more useful image.

Inflammatory fluid is a thick fluid, more like ketchup than water. It is the result of a previous injury and/or stagnant positioning. It's a big problem for almost everyone. This fluid does damage to the tissues with which it comes in contact, and it inhibits the strength of the muscles on which it presses. Many people with chronic pain are in chronic pain because of a ball of inflammatory fluid, a thick glob of ketchup, just sitting in a region of the body and making everything a mess. This glob of thick fluid creates pressure inside the tissues, overstretching them from the inside, which makes the tissues feel stiff. Many people experience this stiffness, especially in the morning.

The video below is from the class I taught. It jumps in with me explaining what it's like to have an imbalanced tissue full of moisture. I then go on to explain the opposite syndrome: dryness. You might recognize your own symptoms when you watch this video. If you do, hopefully it will prompt you to start managing the moisture, which we'll discuss below.
Managing moisture (excessive inflammatory fluid in a region of the body) is simple enough, but it takes consistent work. Basically, we have to stir the fluid, thinning it, so that the body can absorb it. The key is to keep the body moving as much as possible during the day without irritating the tissue. Walking is the number one exercise for this purpose. A fifteen minute walk really helps to stir and thin the fluid and helps to pump it out of the region. Any gentle motion that can be done easily for three minutes without causing fatigue or irritation is also very helpful for managing the fluid. The Cat Camel exercise from yoga is a good example of a pumping exercise that helps to pump fluid out of the low back in a gentle but effective way. Three minutes of Cat Camel followed by a fifteen minute walk done three times per day is a remedy I give at least two or three people per week for managing a moist low back. It works amazingly well.
References
​Adams, M.A., Dolan, P., and Hutton, W.C. (1987). Diurnal variations in the stresses on the lumbar spine. Spine, 12 (2): 130.

Reilly, T., Tynell, A., and Troup, J.D.G. (1984). Circardian variation in human stature. Chronobiology International, 1: 121.

Fam H, Bryant JT, Kontopoulou M. Rheological properties of synovial fluids. Biorheology. 2007;44(2):59-74.

Gomez JE, Thurston GB. Comparisons of the oscillatory shear viscoelasticity and composition of pathological synovial fluids. Biorheology. 1993 Sep-Dec;30(5-6):409-27.

Safari M, Bjelle A, Gudmundsson M, Högfors C, Granhed H. Clinical assessment of rheumatic diseases using viscoelastic parameters for synovial fluid. Biorheology. 1990;27(5):659-74.

Barnes. Thixotropy - a Review. J. Non-Newtonian Fluid Mech., 70 (1997) 1-33.

Proske U, Tsay A, Allen T. Muscle thixotropy as a tool in the study of proprioception. Exp Brain Res. 2014 Nov;232(11):3397-412.

Vent-Schmidt J, Waltz X, Romana M, Hardy-Dessources MD, Lemonne N, Billaud M, Etienne-Julan M, Connes P. Blood thixotropy in patients with sickle cell anaemia: role of haematocrit and red blood cell rheological properties. PLoS One. 2014 Dec 11;9(12):e114412.

McNair PJ, Marshall RN, Maguire K. Swelling of the knee joint: effects of exercise on quadriceps muscle strength. Arch Phys Med Rehabil. 1996 Sep;77(9):896-9.
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    Dr. Jake Caldwell, DPT

    I have a doctorate degree in physical therapy, an advanced certification in Functional Manual Therapy™, a bachelor’s degree in biology, a bachelor’s degree in psychology, and a bachelor’s degree in history. I draw from these diverse fields in my approach to working with the body.

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