How did it come to be lost? The N.H.S. accountants at its inception decided Mobilisation was too slow and so too expensive.
What is Mobilisation and why is it safer?
To Mobilise a joint is to attempt to correct its function by moving it passively; by flexing it; by using the muscles around it to pull on it; by moving the adjacent skeleton whilst restricting the movement of that joint; by manual distraction, easing the joint slightly and allowing the ligaments to realign the joint whilst they bring it together again, or any combination of these. It is not Manipulation. That is, it is not the application of direct pressure to a bone with the intention of moving that bone into a correct alignment. So it is a gentle technique that works using the body’s natural healing system to correct its problems holistically.
Mobilisation is a massage technique that moves the bones within the sockets of their joints by gentle distraction combined with pulling by the muscles to realign subluxated joints [moved within their sockets but short of dislocation].
It is less heroic and has been shown to be safer and more effective because the body is correcting its problems in a way that it was designed to do. The down side is that sessions tend to be long because thoroughness is essential; however it is so effective that often long standing problems succumb in two or three sessions.
Mobilisation as a massage technique was widely used in all British hospitals in the 1920’s -30’s and even into the 40’s but with the advent of the N.H.S. and their accountants time is money and no-one could be spared for so slow a treatment even if it is effective. So the art was mostly lost, but osteopaths were always taught the rudiments of the technique. Recently a Physiotherapist Professor working in New Zealand rediscovered this technique and within mainstream medicine it is now known as Mulligan’s mobilization with movement, and forms the foundation of a ‘new’ form of medicine ‘Muskulo-Skeletal Medicine’ which is now established within Allopathic [mainstream] Medicine world wide.
All this has spawned a well directed new movement within the scientific community researching musculo/skeletal pains which is producing fresh advances in Anatomy & Physiology and this in turn means that we now have a new & vastly improved understanding of:-
This would include Sciatica; Low Back Pain; Frozen Shoulder; Whiplash; Sciatica; Tipped Pelvis; Repetitive Strain Injury; Tendinitis; Groin Strain; Tennis / Golfer’s Elbow; Carpel Tunnel Syndrome & Pulled Hamstrings, to name a few.
This would include adhesions from Operations as well as from Traumas such as heavy falls or blows.
This would include M.E., Chronic Fatigue Syndrome and B.Ly.S.S.
This would include complex injuries where several injuries are connected like Whiplash / Chest Adhesions / Tipped Pelvis / Subluxed Ischia from a Seat Belt Injury.
Recent research proves that mobilisation is a most effective treatment for chronic problems such as:
1. Chronic Sports Injuries
2. Bloating, I.B.S.,
3. M.E., C.F.S.
This research means that massage now has a full and growing, ‘evidence base’, with the advantage of a proven ‘working model’ of how the muscles and joints interact.
Vibrational massage has always been used by masseurs and its benefits are well researched. Lymphatic pumps are a new idea but are showing amazing results, especially with Blocking Lymphatic System Syndrome [BLySS]
Together we have called these MUSCULO/SKELETAL/LYMPHATIC THERAPY or