Dr. Sundy helps to facilitate healing of new and old injuries in his patients by identifying and correcting deficits in body motion, or biomechanics, using manual methods. Trained in 30 techniques from Osteopathy, Chiropractic, Massage Therapy, Energy Work, and Physical Therapy, he is a true Master Bodyworker with 15 years of experience. Dr. Sundy specializes is treating knee injuries like meniscus tears, although he is highly successful at treating any body pain that is motion or alignment related.
Dr. Sundy is currently publishing case studies that show his efficacy with the conservative management of meniscus tears, the most common injury of the knee. He also recently signed a deal with a publisher to co-author a book where his chapter will describe how to heal from severe knee injuries with surgery, i.e., conservative methods, which is the gold standard of care according to the current scientific literature.
Whether you have a knee injury or some other pain, Dr. Sundy can show you how your own alignment and motion disturbance patterns are causing your problem and preventing you from healing. If you choose to work with Dr. Sundy he prefers to work through structured care plans involving 45-minute office visits once or twice weekly for a period of time where you will receive as much care as your body can assimilate in order to get you back to doing what you love as soon as possible. You may also be asked to allow your progress data to be used for publication in scholarly journals.
Janette Travell, who wrote the giant Trigger Point books, mentioned that the most common problem in the body that predisposes it to injury is an adhesion in the body, or an area of the body that is stuck together. She goes on to mention that the most common cause for an adhesion in the body is another adhesion in the body.
An adhesion in one part of the body causes more motion to occur somewhere else in the body. This additional motion somewhere else puts a strain on the muscles, tendons, ligaments, joints in that area predisposing it to injury similar to the analogy mentioned earlier involving a door hung unevenly on its hinges and digging a hole in the floor. Then, as that area of the body experiences microtrauma, the body reflexively tightens muscles around that area in order to protect it from further injury. This causes more motion to happen in another area of the body and the sequela continues. Adhesions can hide anywhere in the body, most commonly in the muscles. Massage/myofascial modalities like Hendrickson Method, Active Release Technique, etc. work well on these.
Left uncorrected for long enough, the adhesions cause neurosegmental joint dysfunctions also called subluxations. The word neurosegmental joint dysfunction describes a joint that is not being controlled correctly by the brain, which results in marked muscle weakness in one or more muscles in that area, altered joint motion in that area and even increased signaling in the sympathetic nervous system which may lean to chronic illness. Chiropractic techniques work well on these. I prefer to work primarily with Activator Methods Chiropractic Adjusting in a frame work of Sacro-Occipital Technique. A muscle that tests weak and shows decreased range of motion due to a neurosegmental joint dysfunction can have 100% strength and normal range of motion restored following a single, correct Activator Technique adjustment making stretches and muscle strengthening not necessary.
There may also be meningeal (nerve and brain membrane coverings) adhesions, these may cause distortions in nerve and blood flow to organs, which in turn may cause organ reflex pain patterns. Osteopathic modalities work well on these. These may hide beneath the surface making a chiropractic adjustment ineffective. They must be identified and cleared in order to allow a chiropractic adjustment to have any efficacy within a reasonable amount of time.
The progression of adhesions and the resultant aberrant body motion compensations to avoid pain and protect joints is variable and insidious. The managing practitioner must be astute and well trained in multiple modalities in order to effectively identify the exacting restriction that is to be corrected in the correct order for that specific patient receiving treatment.
Myofascial restrictions, shortenings of the tissue that overlies muscle, as well as partial tissue tears, tendonitis, can cause muscle weakness and joint motion restrictions similar to neurosegmental joint dysfunctions. In the most complex injuries they occur concomitantly with joint dysfuction and meningeal adhesions. They must be correctly identified, differentiated, and treated with massage modalities in order to achieve amelioration of patient symptoms and function restoration.
Understanding all this, is it no wonder that it may seem impossible for some people to heal from their injuries or for most doctors to be baffled as to the cause of a patient’s pain or inability to heal? It’s complex. It can be really, really, really darn complex.
To make things worse there can be complicating factors to healing such as comorbities, i.e. diagnoses such as high blood pressure or diabetes. Some prescription medications can even cause muscle and joint pains or inabilities to heal.
So when someone asks me if there is some exercise or some stretch they can do my response is this: I need to take a complete patient history, do a complete exam, study imaging reports from X-ray and MRI. Then, I typically need to correct some motion restriction patterns with any of 30 techniques over the course of 5 – 15 office visits. Then, I can give the patient some exercises or stretches. Otherwise, a regime of stretches or strengthening seems negligent. It would not be the correct thing to do.
If you have a truly complex injury that has not responded to any of the above or below modalities, then perhaps you need to see a more advanced practitioner such as Dr. Sundy who is trained in all of them. If your problem is movement related, chances are that Dr. Sundy is the most qualified Dr. of Manual Therapy in the Bay Area to assist you.