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Active Release Technique (A.R.T.)
Finally, there is hope for millions of people that suffer with soft tissue injuries.

Anatomy of a Muscle
Muscles are made of tiny filaments bundled together. These filaments tear when a muscle is injured, causing a physical and chemical change in the body. It fills in the damaged areas with a lesser quality of tissue called fibrous adhesions, or scar tissue. These adhesions can occur between or inside of muscle tissue.

Dr. Cassese can treat the body to break up adhesions without causing damage to healthy tissue. The only way to tell if one has fibrous adhesions is examination. The doctors of Back to Basics only take patients who will respond to care. You will be referred to the appropriate health care professional if we can't provide treatment.

What is A.R.T.?
A.R.T. treatment is a manual therapy administered by trained physicians and other professionals to certain soft tissue structures of the body. The purpose of this therapy is to relieve the body of adhesions and scar tissue, which can form when soft tissue structures are exposed to damaging forces. These forces usually come about in one of three different ways: a sudden or acute injury, a cumulative or chronic injury like carpal tunnel syndrome, or pressure injury from external forces such as poor posture.

These injuries cause restrictions of movement, blood flow, lymph flow, and nerve conduction. The adhesions may develop between the fascia (the covering of muscles), muscles themselves, muscles and bones, muscles and nerves, tendons and joints, and many other combinations involving the soft tissues of the musculo-skeletal system. These adhesions can choke off the soft tissue's own blood, lymph, and nerve supplies. When this occurs within muscle alone, it is usually the cause of the common trigger point and is often associated with fibromyalgia.

Currently no branch of the health care profession specializes in the treatment of soft tissue related disorders. No name for a doctor specializing in the treatment of muscle related and soft tissue injury... until the development of the A.R.T. method of soft tissue injury management. This specialty goes hand in hand with the type of chiropractic training that Dr. Cassese and her staff have received. They use chiropractic, A.R.T., physical therapy, massage and rehabilitation therapy in combination to treat many disorders of the musculo-skeletal system.

Most patients� conditions will respond to A.R.T. therapy soon after treatment begins - even the first visit. Incredible when you consider that most people with this type of injury can go an entire lifetime without relief.

A.R.T. Systems
Many conditions can be helped by Active Release Techniques (A.R.T.) treatment systems. Most cumulative trauma disorders can be helped by this revolutionary new soft tissue treatment. Cumulative trauma injuries develop from repetitive work over a long period of time. Unfortunately, patients are often misdiagnosed and receive less effective treatments compared to A.R.T. treatments.

There are several different areas where the median nerve may be entrapped other than the transverse carpal ligament, (which is where all carpal tunnel surgery is performed). A recent study indicates that the transverse carpal ligament is responsible for entrapment of the median nerve only 13% of the time! A.R.T. treatment has been found to reduce the need for surgery in many patients given no other choices.