Libro: The medicine of tying: A medical guide to shibari, bondage, and BDSM

The medicine of tying is a comprehensive practical reference for shibari, bondage, and BDSM. It combines medical expertise with practical application and is designed as both a learning resource and a reference manual.
The book explains the functional anatomy of the musculoskeletal system, the biomechanics of positions, and the body’s responses to physical stress during a session.
It draws on current medical knowledge from anatomy, sports medicine, trauma care, emergency medicine, manual therapy, and physical therapy.
What this book offers Systematic analysis. The book examines all body regions from the specific perspective of rope bondage, explains their functional anatomy, and identifies medically critical areas. Evidence-informed teaching. Complex relationships are made visible through numerous anatomical illustrations. Clear practical relevance. Case examples show how theory translates into practice, without promoting specific tying techniques or following any particular school. Safety first. The focus is on early recognition of warning signs and proactive risk reduction. A whole-session perspective. From functional load capacity and pre-existing conditions to consent and risk assessment, the book considers the full course of a session.
This book takes individual histories seriously and describes them without judgment. It is written for everyone who wants to understand what happens to the body in shibari, bondage, and BDSM. The better you understand the underlying mechanisms, the better your decisions become, the calmer your sessions feel, and the more effectively you can reduce risk.

Table of Contents

Part I Foundations (pages 9–76)
• The body as a system
• Anatomy and physiology in function
• Pathophysiology in function
Part II Anatomy, physiology, and biomechanics (pages 83–180)
• Lower extremity
• Head and neck
• Trunk
• Upper extremity
• Monitoring during the session
• Troubleshooting complaints
Part III Monitoring, risk, and consent (pages 180–219)
• Warm up and stretching
• Consent and communication
• Error and risk management
Part IV Tying with medical conditions (pages 220–266)
• Cardiovascular conditions
• Vascular conditions
• Pulmonary conditions
• Seizure disorders and episodic conditions
• Metabolic conditions
• Musculoskeletal conditions
• Infectious conditions
• Mental health conditions
• Chronic pain
• Approach when limitations are of unknown origin
Part V References and glossaries
• References and further reading
• Glossaries of medical and rope specific terms
• Index