Active Release Techniques (ART)

Active Spine & Sports Care

Active Spine and Sports Care was the first to introduce Active Release Techniques (ART) to the residents of Ventura County. ART is a revolutionary form of manual therapy and is the first of its kind. It is designed to evaluate and treat damaged soft tissue. This form of manual therapy can resolve many injuries that were once considered untreatable by other forms of therapy. From young to mature, we welcome patients of all ages and activity levels who would like to stay active.

Soft tissue injuries can be devastating. If not treated properly, adhesions can form in the tissue, which restrict movement and entrap nerves. Active Release Techniques® is a non-surgical system of diagnosing and treating myofascial adhesion / scar tissue that has accumulated within muscles, fascia, tendons and ligaments. When soft tissue is injured, it literally “gets stuck”. Filaments of the tissue get bound together, forming dense scar tissue or adhesions. These adhesions impede movement, cause weakness, produce pain, and often even entrap nerves – leading to symptoms of burning, numbness and tingling.

ART utilizes principles of friction and tension to actually “shear” adhesion away from muscles, fascia, nerves, tendons and ligaments of the human body.

Using a series of hands-on techniques and protocols while the affected muscles are in motion, your doctor assesses the damaged tissue and release the adhesions, separating bound tissue and restoring function.  Your doctor treats ALL areas of “The Cumulative Injury Cycle” to ensure the root cause of your problem is fully addressed.

Chronic problems such as rotator cuff tendonitis and carpal tunnel syndrome are often remedied with this revolutionary form of therapy. The patient requires active motion so that tension can develop on the adhesion. These injuries are usually resolved with fewer visits.


Frequently Asked Questions About ART

Is the treatment painful?

Sometimes the first couple of treatments can be somewhat uncomfortable. Each patient is different and his or her tolerance level as well. It also depends on the severity of the condition. This feeling of being uncomfortable will stop within seconds of the stopping the treatment.

How long do the treatments take?

The initial consultation, examination, and treatment will can take anywhere from thirty minutes to one hours. Future treatments will take only fifteen to twenty minutes. ART treatments will depend on the severity of the problem as well as the patients overall health. A patient may be requiring approximately 10 more visits for the problem to be resolved.

How soon can I expect results?

Often after the first visit, our patients will find that they have increased movement and a decrease in the tingling sensation and numbness. There will be an increase in muscle strengthen and a better range of motion.

Is this similar to other soft tissue treatments like trigger point therapy, ischemic compression, rolfing, etc.?

NO. ART is a revolutionary form of manual therapy. This technique is predictable and ART is very specific in achieving these results.

Once my problem has been corrected what are the chances of the problem returning?

Some lifestyle changes might be introduced along with various exercise/stretch routines. The reason for this is to help to initiate movement. Reoccurrence of the problem is rare, especially if the exercise regime has been followed through faithfully.

Can I benefit from ART even if other doctors and specialists have already treated me?

You will need to discuss with Dr. Dimaano or Dr. Ayala to determine whether you will benefit from this form of manual therapy. Most of our patients have noticed an improvement in their movement after only a couple of treatment sessions.

What is the relationship between ART and the Ironman Triathlon?

There is a 2.4-mile swim, 112-mile bike race, and a 26.2-mile run in which these athletes are active participants. ART providers, including Dr. Dimaano and Dr. Ayala, are there to treat athletes who take part in the Ironman races all around the world. These events are grueling and take their toll on the athletes. Sometimes injuries occur because of overuse. These athletes benefit greatly from ART / Ironman Performance Care.

Who would benefit from this care?

Athletes or people who want to fix an injury or improve their performance will benefit greatly from seeing Dr. Dimaano and Dr. Ayala who are trained in ART.

Do I need to be in pain to receive care?

Some injuries occur when you are in an accident. However, sport related injuries could occur from overuse or misuse; some injuries build up over time and affect performance. Performance injuries occur over time and you may not be experiencing any pain. Therefore, if you think that you will benefit by ART by all means try a couple of treatment sessions for yourself and see if this revolutionary manual therapy can help you recover some motion you have lost over time.

What if I just woke up with the pain?

If you happen to wake up with pain, often it is something that has built up over the years and has been silently brewing. It might possibly be a small adhesion that has grown over the years or it could be something more serious. If you feel uncomfortable, it is better that your physician checks you out immediately.

Can anyone perform ART?

No. Dr. Dimaano and Dr. Ayala are fully certified Active Release Providers. They have undergone a series of practical testing, biomechanics instruction as well as post-graduate classes.

What if my doctor recommends surgery?

ART is non-evasive and may not have the same effects for everyone. Sometimes surgery is the only option. However, it is advisable that you try ART as your first choice.

Does my insurance cover ART?

It is better if you check with your insurance provider first to make sure that you are covered. Some insurance companies cover all ART procedures, while some only cover a percentage of the procedures. We have a special offer for first evaluations and when you have that first evaluation, we will notify you of what procedures are covered by your insurance company.