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Green Leaves



Examination, indications, and approach

The following is a summary of some samples of the symptoms we see often in our clinic, examination processes and explanations of techniques

Examination: We start by asking you how, when, where you feel pain, immobility, or discomfort, and then we inspect, touch, and move the area to see what is going on in joints, muscles, tendons, ligaments and so on.            

Indications: You may have questions such as "What kind of symptoms are indicated?" "I don't have pain, but I want to prevent it and promote my health or improve my performance," please refer here for more information.        

Approach: We identify the area to be treated and use the appropriate techniques for the condition. There are various approaches, please refer to here.

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  • Daily Activity Injuries
    Various Injuries occurs on the shoulders and lower back No matter how big or small the stress is, body parts will get damaged when it cannot handle the tensity. ​​​​​​​​72 hours after an injury is generally considered the acute phase, and early care during this period greatly affects subsequent recovery. We aim for early functional recovery and improvement of QOL (quality of life) while adjusting treatment methods according to the degree of pain and inflammation.
  • Recreational Activity Injuries
    Even if it is an exercise for recreation, some of you may set goals or even participate in games/races and pursue higher records. Depending on the goal, it is recommended that the body be conditioned to improve joint range of motion and muscle contraction and lengthening.
  • Musician Injuries
    It is often mistaken that you will not get injured from playing musical instruments. Although, musicians often keep the same posture for a long time, and also the motion is repetitious which leads to constant pressure on particular parts of the body. Practicing and performing on stage in the same posture puts a lot of stress on musculotendinous tissues. The amount of this overuse stress on musculotendinous tissues and joints will be the same as that of sports athletes. This is called Cumulative Trauma Disorder. Prolonged muscle contraction, repeated use and sustained pressure on soft tissues, all decrease blood supply to the area, which result in hypoxic condition. You may not realize that your body is “injured”, but hypoxia with increased internal pressure and friction within the tissue can produce scar tissue. In order to remove the scar tissue and to allow each organization to perform correctly, we will need a careful palpation and treatment for muscles, tendons, ligaments, and fascia. If you can remove the stress and pain from your body, it will surely change the sound of music.
  • Martial Arts Injuries
    Budo (Bujutsu) is for training your body and soul. The goal of it is to make the opponents neutralized effectively, not by the power but by technique. Being thrown, kicked, hit...The risk of getting injured will get higher compared to other general sports. Recovering quickly from injury is the first priority, but it is also our goal for the martial artists to achieve stronger stability of the pelvis and to improve flexibility of the hips.
  • Specific Sports Injuries
    Some specific sports for both professionals and amateurs required special movements: kick, throw, hit, run, jump, row, swim, pick up, push, and pull. The type and degree of the injury differs from one another depending on what kind of movement you repeated and what percentage of maximum muscular strength you used. Whether the stress is high repetition and low load, or high load and low repetition, either way the athletes need to brush up their specific motion and challenge on games to win. We recommend the periodical treatment to prevent athletes from getting Cumulative Trauma Disorder, and to maintain their body so that it won't outbreak as pain and dysfunctions.
  • Desk and Computer Work
    <Stiffed shoulders from sitting> This causes symptoms such as neck pain without a reason, numbness of your hand, and low pack pain from sitting too long. Sitting on the chair for a long period of time in same posture has higher stress on your body than you think. The muscles behind your neck constantly contract to keep your heavy head in the position. The muscles between the scapulae are constantly stretched and will cause poor blood circulation. When it gets worse, it causes tension headaches with pain in the back of the eyes. Prolonged muscle contraction or sustained pressure on soft tissues decreases blood supply to the area, which results in hypoxic conditions. You may not have realized that your body is “injured” from just sitting at the desk for a long time, but hypoxia with increased internal pressure and friction within the tissue can damage muscles and produce scar tissue. In order to remove the scar tissue and to allow each tissue to perform correctly, we need treatment for muscles, tendons, ligaments, and fascia.
  • Artist Injuries
    For the athletes, sports doctors and physical trainers will take care of their body but artists also need physical care. For using the body for expression, or creating objects, physical posture and movements varies. If some parts of your body hurt even if you're not "injured", you may want to consider the possibility of Cumulative Trauma Disorder. Keeping the same posture for a long time and repetitive motion will have an impact on certain body parts. The amount of stress and physical fatigue of muscles, tendons, ligaments and fascia of artists could be the same as that of athletes. We recommend you the periodical treatment to prevent artists from outbreak as pain and dysfunction and from getting Cumulative Trauma Disorder. We will approach the individual’s goal such as reducing pain, improving joint range of motion or achieve higher performance regarding the next stage or exhibition while considering the degree of injury and amount of activity. Your physical condition will affect your artistic expression.
  • Physical Work Injuries
    People usually remember what and when the acute injury was caused. With physical work, the contraction of the muscle is close to maximum muscular strength and only one or two times of wrong body movement or incorrect posture will lead to pain and numbness. We will modify the treating approach depending on the degree of the pain and inflammation and aim for the quick return to your work. It is important to get treatment as soon as possible if you feel discomfort or change in your body.
  • Rehabilitation After Immobility
    If you don't move your body for a while due to breaking bones or illnesses, your body will face degenerative changes, e.g. muscular atrophy, declination of bone density, restriction in range of motion, and adhesion of tissue, more than you think. You will often face difficulties in daily activities and playing sports due to muscle weakness and restriction in range of motion after taking off the plaster. Even if it looks completely healed on x-rays, it may still cause pain for months if there is adhesion in soft tissues such as muscle, fascia, and tendons. Also after immobility such as being hospitalized and staying in bed for a while will cause difficulty in moving due to the muscle atrophy and restriction in range of joint motion. Getting treatment at an early stage is ideal, but we encourage not to give up on easing the discomfort and pain after many years from the injury.
  • Nerve Entrapment
    Neurologic manifestation is more difficult to be treated than "pain". Generally, the symptoms appear more peripherally (more distally) than the actual damaged site and area the pain is not telling us the site of injury. The symptom varies, from the pain and numbness to decrease of cutaneous sensation if a sensory nerve is involved, muscle weakness if a motor nerve is involved. We will carefully observe the pattern of neurologic manifestation and influence on the dermatome and myotome, deep tendon reflex, palpation, examination on range of joint motion and will approach the entrapped nerve.
  • Pregnancy and Postpartum Care
    It is indeed troublesome to compensate for the weight gain and change of the balance while you're pregnant. It causes achiness in low back, pain in hip joints, shoulder stiffness, and upper back pain. And as you gain weight, you might feel the pain and stiffness on your heels and sole of your foot. We will approach safely and gently to the affected area, considering proper positioning depending on weeks of pregnancy. Actually, your body is under a lot of stress after childbirth. Lack of sleep and exercise, plus feeding and holding the baby will put your body in overworking condition. Early care for postpartum conditions such as discomfort in your pelvis and hip joints, stiffness of your back, tenosynovitis, plantar fasciitis will lead you to a quick recovery.
  • Relaxation and Maintenance
    It is necessary to maintain your body in order to enjoy your daily activities and to perform better in sports. It is the same as the necessity of periodical examination and maintenance for high tech mechanicals, luxury automobiles, and musical instruments. In our body, some tissue damages are reversible due to abundant blood supply, but some are irreversible or slow to be healed due to the lower metabolism caused by poor blood supply. That's why we need prevention and maintenance at the stage of small discomfort before your body actually outbreaks injury. We all wish to be able to stay active in the long term. It is important to take care of your body with periodical treatment to prevent you from getting injured. We are going to use our body for the rest of your life!
  • Mobilization
    Joint mobilization is a subtype of joint manipulative therapy in which the therapist moves the joints gently in specific directions and depths with, or without, the patient's assistance, to stretch the joint and its surrounding tissues. We check the function of the joints and address hyper/hypo-mobile joints to restore the normal range of motion.
  • Adjustment
    One of the unique treatment methods that only a licensed and trained Chiropractor can administer to a specific joint based on scientific evidence. It is a rapid movement of high-velocity, low amplitude (HVLA) thrust. It is referred to as a chiropractic "adjustment". What it does is to restore the joint function and normal range of motion, and on top of that it gives stimulation to the physiological condition and nervous system surrounding the joint.
  • Soft Tissue Approaches
    We provide varieties of techniques, such as ART® (Active Release Techniques®),Graston Technique®, FaST(​​Instrument Assisted Soft Tissue Mobilization), MRT (Myofascial Release Techniques)、PIR(Post-Isometric Relaxation), trigger point therapy. ​​When we talk about "soft tissue", we tend to think only of muscles, but it also includes tendons, ligaments, joint capsules, fascia and skin. We remove tissue tension, adhesions, contractures (scar tissues) from old injuries, lack of joint motion and friction between tissues. Dr. Abe is a full-body certified and advanced ART® provider. She is also a provider of Graston Technique®. There are only a few well trained and certified ART® providers in Japan now.
  • Exercises / Rehabilitation
    Stretching, taping, muscle strengthening, core muscle training, coordination and balance exercise. These are crucial parts of treatment to decrease your pain, to correct your problem faster, to stop recurrence and to prevent further injuries.
  • Physiotherapy
    Thermotherapy, ultrasound, electrical stimulation and other physiotherapy modalities to assist treatments.
What's ART® (Active Release Techniques?

ART® is a system that treats problems with muscles, tendons, ligaments, fascia and nerves. Certain types of headaches, back pain, carpal tunnel syndrome, neck and shoulder pain, sciatica, plantar fasciitis, knee problems, shin splints, and tennis or golfer's elbow are just a few of the many examples that can be resolved quickly with ART®. These conditions are commonly from injury to overused structures. Overuse trauma can produce tough, dense scar tissue in the affected area. This scar tissue binds up surrounding tissues that need to move freely. As scar tissue builds up, muscles and tendons cannot function optimally and nerves can become trapped. Therefore reduced range of motion, loss of strength, tightness and pain can be caused. There are over 500 treatment protocols, very specific moves which are unique to ART®. We identify and correct the specific problems that are affecting each condition. There is no cookie-cutter approach with ART®

What's Graston Technique®?

Graston Technique® is successful in effectively treating all soft tissue conditions, whether they are chronic or acute and post surgical. Graston Technique® is an innovative, patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively break down scar tissue and fascial restrictions. The technique utilizes specially designed stainless steel instruments to specifically detect and effectively treat areas exhibiting soft tissue fibrosis or chronic inflammation.

If you have any questions, please feel free to call us. Please note that enquiries about individual symptoms may be difficult to answer by email. Dr. Abe speaks English.

Active Release Technique
Graston Technique
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