Soft tissue mobilization has been performed in increasing frequency over the last twenty years due to its' efficacy in treating various musculoskeletal pathologies. The increase in use is indicated by the new CPT codes of myofasical release, and then by the soft tissue mobilization code over the last ten years.
The staff at the Soft Tissue Center serves many roles in spine care. We often serve as the first stop for the patient, so the entire diagnostic work-up is completed. The patient has either conservative care recommended, or is referred for a combination of pain management and conservative care, or is referred for a neurosurgical consultation. We are also sought for second and third opinions because our reputation is one for allowing enough time to hear the entire history and perform a thorough clinical examination. We can then review the previously performed tests and make our recommendations.
Strength and conditioning has always been part of our practice, but its role has increased over the years. Strength and conditioning, and rehabilitation can be viewed as extensions of each other. Low-level strength and conditioning can be considered rehabilitation. There is no clear cut point where one ends and the other begins. We do know we are clearly in the realm of strength and conditioning and coaching when the athletes are at the highest level of sports performance.
Dr. Horrigan has consulted on several major films in a variety of capacities: review of fight choreography and stunts for safety, script review for safety, rehabilitation and overview of training, martial arts training, and on-set monitoring of physical performance demands.
Soft tissue is everything other than bone. When dealing with musculoskeletal injuries, we are referring to muscle, tendon, ligaments, connective tissue known as fascia, and bursa. Soft tissue reacts to injury in a very unique manner.