“I’ve been running all my life and until recently I have been completely pain free, so I need to get this fixed because it’s causing
problems”.  
Another way to look at this…I have been driving my car for twenty years with virtually no maintenance; I’ve used it to
move everything from pianos to gravel and it’s not performing like it used to, so I’m going to drop it off with you for an hour and
when I come back I expect it will be as good as it was when I first drove it out of the dealership.

No one really thinks about their muscular skeletal system until it starts to break down.  And no one ever wants to consider that the
exercise they do in the name of health and fitness is causing them harm.   Nancy was not looking for improvement, she was
expecting a miracle.   Years of high intensity exercise with no scheduled breaks had taken its toll on her.  Despite her activity level
and years of aggressive passive stretching [using force to move a joint into a position it cannot get to naturally] she had many
restricted joints.  Muscles either create or prevent movement around a joint.  If the muscles are dysfunctional or there are
anatomical barriers to motion, the joint does not function properly.  Instead of the entire surface of the joint disbursing the load,
only a part of it bears the weight.  The smaller the surface area, the less it can tolerate.  The resulting wear and tear is called
osteoarthritis.  On the surface Nancy was a poster child for health and well-being; in actuality, her joints were telling another story.  
Her pain may have come on suddenly, but it’s possible that the muscular dysfunction that was contributing to her lack of mobility
had been developing slowly for some time due to over use and misuse.  When her system finally had enough, pain was a great
way to get her attention.  The pain prevented her from working out, which gave her body a rest and chance to start healing.  When
she resumed her activity the cycle started all over again.  

The goal of the Muscle Activation session is to try and achieve symmetry in the joints. Identifying the muscles that were restricting
her mobility was the first step. Treating those muscles (by applying slight pressure to the point of attachment between muscle and
bone) was the second step.  

Once motion was increased and checked  - to make sure the muscular system could control the new range, specific exercises
were implemented to start to strengthen the affected area.  
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