This is going to be a fun lecture!
We’re going to talk about osteopathic
and how we put the osteopathic
philosophy into practice,
particularly with a pulmonary patient,
and thinking about lymphatic systems
and how Gordon Zink put the osteopathic
concept into practice.
So the idea here is
if the body is linked, if the
body is a single unit,
how is it linked physically?
And as DO’s, we look a lot
at the fascial planes,
the fascial system,
and how the fascia connects the whole body.
The fascia is then bathed
in a plasma-like substance
which is basically blood without
the red blood cells.
They’re their own channels,
they’re their own flow,
and each body has its own way of
dealing with the fascia and lymph.
Gordon Zink differentiated this
into 3 different patterns.
He said, “Sure, you got an ideal
pattern of healthy people—
never need to see the doctor.
They bathe their body in their lymph.
They’ve got their plasma.
They’ve got their blood.
They’ve got their circulatory
systems working well.
The fascia links it and they’re left alone.”
He then compared that to people
who came to the doctor
and said they felt good but
wanted to feel better.
And he compared it to hospitalized patients
and so there have to be differences.
There is something that is
making people sick
or that happens to the body when it’s sick.
So we’re going to talk about
how he put it together,
where he looked at the body
for signs of disease
and where he went from there.
So the purpose of this—
we’re going to talk about Zink
patterns of health and illness,
how you evaluate a patient
using a Zink pattern,
why it’s important to identify
The most common patterns—
because you’re going to see
a lot of patterns in these patterns
where certain people will have the
same things again and again.
When is the pattern compensated
Can you be healthy in some areas of
your body and unhealthy in others?
Can you have areas of blockage
where your body is generally
going to break down?
And how does treating the key junctions
or freeing up lymphatic drainage
allowing the fascial planes
to function together?
How does that work at keeping
We’re going to start by talking about
the guy who put this together.
His name was Gordon Zink.
He was a professor at the
Des Moines University
College of Osteopathic Medicine.
In the 1970s, he put together and published
his unified philosophy of fascial
planes and lymph.
And again, what he did was take data
from the patients he was
seeing in the office,
people he knew who were healthy,
and hospitalized patients.
And he was the first to publish.
And that becomes the best practice
once it’s published
and argued and discussed in public.
So, let’s start with the fascia.
When you do anatomy,
and you dissect the human cadaver,
you notice that the whole body can be
structurally identified through its fascia.
The fascia may not have much strength to it.
It may not maintain its structure
because it conforms to the rest of the body.
But there is some connectivity.
There are sheaths and sheaths
and bands of this fascial tissue
that connects the whole body,
that helps communication through the body.
So every bone, muscle, and
nerve is going to touch
the fascia in some fashion.
Some of it is covered and encased in it.
Others are just connected through
strands of fascia.
And these twists or torsions of the fascia
that occur from the connectivities
and from different areas
can impede lymphatic drainage,
can impede communication,
and may lead to disease or dysfunction.
So Dr. Gordon Zink observed common
pathways of dysfunction.
Certain people who had
certain types of pain
would always come with somatic
dysfunction in certain areas.
There were certain findings of
or musculoskeletal fullness,
or other abnormalities
that he was able to identify.
And he did list the regions of
the most restrictions
and the most problems
and said that some of these areas
need to be focused on
to get people healthy
and to allow them to heal themselves.
So these fascial patterns are
called Zink patterns
and we’ll go through those in more detail.
Other things he noted is that
are humans meant to be bipedal?
Should they have been quadrupeds?
Should they always be on two legs?
And what happens when people
stand up and walk?
How should we be walking?
Where should we maintain
our center of gravity?
So these are some of the questions
addressed by Zink’s fascial patterns.
And if people are going to
what are they doing?
Well, according to Zink’s philosophy,
we’re meant to keep our eyes straight
to focus—if we go sideways, if we turn—
we’re going to compensate
so that our eyes are still focusing.
It gives us depth perception.
It gives us the ability to identify
either dangerous prey or prey that
we’re chasing after much easier.
So those are some of the
concepts we’re looking at
where if I’m going to turn my head like this,
I better twist my body like
this or like this
so that I can see straight,
so that I maintain a comfortable
way of seeing the world.
He also noted that fascial strains
are created when the compensation
for postural changes
aren’t working well.
So if you’re going in the same direction,
and the eyes are coming off,
that’s a poor compensation.
And that’s a poor fascial pattern.
The other thing that Dr. Zink identified
were transitional zones
and he said that “zones are areas
where you have changes
and junctions are where these
changes are occurring,
and you’re having connections
between different zones.
And the diaphragms are
areas of separation within the body
where you may likely or tend to
have more problems.”
So I’m going to let you review
these zones on your own
and just look at—these are
areas where we’re doing
a more in-depth exam—
a more focused exam.
And when things don’t work, we’re coming back
to our zones and junctions
and saying, “Maybe, we should treat them
even if their findings weren’t something
that we felt reached the level
of a treatable somatic dysfunction.
Just to make sure you have good flow,
the body is working together—
these are areas to be addressed.
I look at this as a more in-depth
The 10th step is the screening examination
and there is a separate video
on the 10-step osteopathic exam
which gives you a good sense
of the musculoskeletal—
how the musculoskeletal system is doing.
The Zink patterns will tell you how
the functioning is going
and where you may need to help
the functioning or ease the functioning
to help people maintain
and get healthier.