Introduction to Bone Bruises and
The Bone Bruise Technique

 

Bone Bruises are similar in some manner to fractures: they leave energetic phenomena present in the bone. The Bone Bruise Technique can affect healing of fractures, and can facilitate healing of all aspects of bone: cortex, trabeculae, and more. Bone Bruises represent a range of integrity problems with the bone from a tiny hairline crack that might not even show up on an X-ray to a complete fracture. The term also covers bruising of the bone, which is "mealy". The bone in the area of a bone bruise may feel harder (compressed) than it should, or softer than it should.

There are many types and presentations of bone bruises. There can be a separation bone bruise of the shoulder girdle where the coracoid process is not firmly attached to the scapula. There are also intra-articular bone bruises, which present on the inner articular surfaces. There can be bone bruises in the cranial and facial vault as well as in long bones. Bone bruises can present in any bone of the body.
  

Hypothetical Model for the basic Bone Bruise Technique

There are three major directional components in The Bone Bruise Technique. These three components are stacked (each component is maintained while the next part is added). Consider the following three necessary components:
 

Part I:   Step 1 and Step 2 access the motility of the bone and bone physiology. Addressing these motilities accesses the Bone Bruise.

Part II:   Step 3 and Step 4 cause a connective tissue response. Bone is connective tissue.

Part III:   The last 3 steps, Step 5 and Step 6 and Step 7, involve a Type II technique (a concept from the Muscle Energy and 'Beyond' approach to treatment of the internal space of the bone). Quanta presents itself on 3 planes, one plane at a time. This Type II technique gives access to the disturbance of the quantum energetic forces within the bone. When the energy is normalized, the pressures on the medullary cavity, the trabecula and other canals influences the cortex and internal bone to 'fill in'.
 

Part I: Aberrant Bone Motility

Step 1. Assess aberrant bone motility. This motility is found on the body in four possible presentations:

A 1. Superior and inferior opening;

A 2. Superior and inferior closure;

B 1. Medial and lateral opening;

B 2. Medial and lateral closure.

It is possible that a Bone Bruise presents itself in the following manners:

a. A1

b. A2

c. B1

d. B2

e. A1 plus B1

f. A1 plus B2

g. A2 plus B1

h. A2 plus B2

The aberrant bone motility may be resisted in order to discern which presentation is more significant. Treat the most significant presentation first.

Step 2. Once you have determined which presentation of the aberrant bone motility is most significant, perform Resistance Therapy to the aberrant bone motility. This step is an indirect approach.
 

Part II: Fascial Glides

Step 3. While maintaining Step 2, perform a fascial glide mobility test in superior and inferior directions at the 'Bone Bruise'. Determine the direction of ease, of greater mobility, of least resistance. While maintaining Step 2, perform a fascial glide in the direction of ease.

Step 4. While maintaining Step 2 and Step 3, perform a fascial glide mobility test in medial and lateral directions at the 'Bone Bruise'. Determine the direction of ease, of greater mobility, of least resistance. While maintaining Step 2 and Step 3, perform a fascial glide in the direction of ease. Steps 3 and 4 are an indirect approach.
 

Part III: Type II Technique

Step 5. While performing Step 5, maintain Step 2 and Step 3 and Step 4. The following 3 steps are direct techniques (Type II technique). Assess mobility in flexion and extension of the 'Bone Bruise' which has demonstrated the aberrant bone motility. Determine the direction of greatest resistance, least mobility. While maintaining Step 2 and Step 3 and Step 4, perform mobilization of the 'Bone Bruise' in the direction of least mobility.

Step 6. While maintaining all previous steps, assess mobility of the 'Bone Bruise' in the following directions: right rotation and left rotation. Determine the direction of greatest resistance, least mobility. While maintaining all previous steps, perform mobilization in the direction of least mobility.

Step 7. When performing a Type II technique, rotation and side bending always occur to the same side. If Step 6 indicated right rotation as limited, perform right side bending of the 'Bone Bruise' while maintaining all previous steps. If Step 6 indicated left rotation as limited, perform left side bending of the 'Bone Bruise' while maintaining all previous steps.

Step 8. Maintain all previous steps for 6 to 10 seconds.

Step 9. Repeat Steps 2-7 ('take up the slack') and maintain for 6 to 10 seconds.

Step 10. Repeat Steps 2-7 ('take up the slack') until the end of the De-Facilitated Fascial Release.