Do fascial perturbations contribute to oxidative stress?

The existing paradigm for understanding the pathogenesis of both breast and ovarian cancer is that a small percentage of these neoplasias involve a genetic predisposition. The balance is lacking an attribution. The author proposes that the function of the lymphatic system in both areas is infl uenced by changed muscle strain patterns. When the muscle activity changes in the presence of altered strain patterns, there is a diminution of lymphatic drainage function affecting those tissues. The drainage function is augmented by muscle activity and the distribution of lymph node aggregation sites is weighted toward shoulder, knee and hip joints. The activity of these joints produces waste matter and thus a heightened need for fl uid transfer. The efferent channels contain one-way valves. The motion of the lymph network in conjunction with muscle movement induces a syphon effect reliant on the extension and contraction of each lymphatic vessel, in unison with surrounding fascial matrix. The lymph nodes in high density areas of skeletal muscles function as a pump. Gravitational pooling of lymphatic fl uid in the lower thoracic quadrants, in the cervical neck and femoral muscle compartmente, is serviced by the increase in size and number of lymph nodes in those areas.


Migratory fascia -A role in ovarian dysfunction and oncogenesis?
The existing paradigm for understanding the pathogenesis of both breast and ovarian cancer is that a small percentage of these neoplasias involve a genetic predisposition. The balance is lacking an attribution. The author proposes that the function of the lymphatic system in both areas is infl uenced by changed muscle strain patterns. When the muscle activity changes in the presence of altered strain patterns, there is a diminution of lymphatic drainage function affecting those tissues. The

Manipulations (Ebner)
How to correct the imbalance?
Firstly, the pelvic structure needs to be adjusted to its correct alignment. Secondly, the surrounding fascia needs to be Inadequate lymph fl ow may generate palpable anomalies; fatty lumps, localised swelling, cysts and ductal accretions (sometimes intraductal). Thes accretions feel granular, with projections that may become irritated an infl amed. Exacerbation from tight undergarment pressure or associated osteophytic growth can cause unremitting pain, and ingrained antalgic posture.
In summary, the pectoral lymph fl ow may be affected by the following factors, which are described more generally by the author as a part of Migratory Fascia Syndrome. a) Pelvic obliquity. In most cases, an hypercontraction of the right latissimus dorssi accompanies obliquity. Apparent leg length difference whilst a factor, is addressed elsewhere.
b) Proximal translation of the triceps/infraspinatus fascia, resulting in tightening across the scapula [5].
c) Misalignment of the Long Head of Biceps (LHB) and the contiguous pectoal head.
When the windlass effect dislodges the LHB anteriorly, the pec major tension drops to a lateral direction, easily palpable in supine with arm abducted . The relationship of pec major to the underlying pec minor is changed, compressing and dragging the interstitial lymph network caudally away from the axillary exit.
The author used two methods to achieve cuff de-rotation with the patient supine. With a little practice, the LHB drops neatly into the bicipital sulcus.
Simons and Travell (1983) describe [6] an effect of pectoral entrapment. "Lymphatic drainage from the breast usually travels in front of, and around, the pectoralis major muscleto the axillary lymph nodes.
Entrapment of this lymph duct by passage between tense fi bers of an involved pectoralis major muscle, may cause edema of the breast. These signs of entrapped lymphatic drainage and breast tenderness are relieved by extinction of the related pectoralis major TPs. No nerve entrapments by this muscle have been observed."However, this author has noted such entrapment in some cases of Thoracic Uotlet Syndrome. Pavlista, et al. (2007) found a hint of the "windlass" effect while mapping sentinel nodes [7], in 12 subjects, fi nding that.
"The axilla was divided into quadrants with regard to the intersection of the thoracoepigastric vein and the third intercostobrachial nerve. All SNs were located within a circle of 2-cm radius of this intersection in the fatty tissue at the clavipectoral fascia".

Another dimension to the puzzle
As a reaction to the windlass effect and compensating for the oblique pelvis, the right shoulder is often raised and tense The essential difference is that one strain pattern can be seen as biomechanical, while the other is more a neurological defi cit with implications for lymph/blood fl ow. These differences may contribute to DCIS laterality and zoning reported by Perkins, et al. [8].
This author proposes that where there is an oblique pelvis with an innominate upslip, the contralateral shoulder will be likely to exhibit the fi rst strain pattern, and the corresponding second strain pattern will involve C7.
The author's experience is that innominate upslip occurs most often on the left, a view shared [9], by Henry Jellett in 1910, "The lateral articular surfaces of the sacrum are usually asymmetrical. Most frequently the right surface is more deeply concave than the left, and is more overlapped by an anterior projecting lip of the ilium. The general appearance suggests that more mutual moulding of sacrum and of ilium has occurred on this side, and the fact is of interest in connection with the transmission of the body weight." As a noted gynaecologist, he may have been thinking more particularly about the weight of pregnancy, but the loads of modern day activity in work and sport are also implicated. This paper is intended to create interest in the hypothesis that myofascial perturbance can infl uence many disease etiologies in ways that may alter current assessment and treatment protocols. The lesions described in this paperare congruent with recent identifi cation of a fascial structural element in the iliolumbar area, Lelean's ligament [10]. This paper also attempts to add to the knowledge of potential myofascial behaviour under accidental provocation, and to encourage further research in that area. The inclusion of more references may detract from clarity of expression; those included here contain solid scientifi c observations which can in inform contemporaneous research. The potentially augmented paradigm for helping prevent oncogenesis does not entirely depend on current practice. Rather, it invites us to "see" strain patterns triggered by alignment issues as integral to a more useful assessment of a person's health. Using current examination techniques in conjunction with a three-point pelvic alignment assessment would immediately highlight risk factors.