Craniocervical "tucking", a biomechanical fallacy and common cause of extracranial IJV stenosis

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  • Опубліковано 18 січ 2025

КОМЕНТАРІ • 342

  • @jeanine219
    @jeanine219 2 роки тому +76

    Chin tucks are promoted by so many physical therapists. I had significant Neuro symptoms and occipital pain as a result. You are presenting essential bio- mechanical information that is ignored or unknown by the many McKenzie chin tuck promoters on UA-cam. Thank you so so much for sharing your knowledge and EXPERTISE with us.

    • @dhineshkumars1991
      @dhineshkumars1991 Рік тому +2

      Hi have you recovered from the occipital pain ?? Can you help me ,,even I have occipital pain and neuro symptoms.

    • @jeanine219
      @jeanine219 Рік тому +9

      @@dhineshkumars1991 It sounds like you may have some degree of cranial-cervical instability. All of the nerves and blood supply to and from the brain passes through your cervical spine. If there is cranial/ spinal misalignment, it causes compression on these nerves. For example the nerves that travel within the carotid sheath are the vagus, hypoglossal, and accessory cranial nerves, as well as branches of the ansa cervicalis and sympathetic nerves. Genetic predisposition, head/upper spinal trauma, chronic poor posture, chronic neck hinging/ bracing, etc can esp over time cause pain and dysfunction. I would suggest you get a C-spine MRI to rule out anything more serious. What has helped me the most is getting rid of slumping/ head forward posture and strengthening muscles that pull head up and back as well as upper thoracic spine. It takes time, effort and consistency to change your posture, and subsequently relive pressure and compression on important structures in head neck area. I can give you some exercises that have helped me the most.

    • @jeanine219
      @jeanine219 Рік тому +5

      @@dhineshkumars1991 Looking at a side view of yourself, would you say that you have some forward head position?
      Our front muscles are all intrinsically stronger and pull harder than our back muscles. Plus most of what we do is down and in front of us. All of those muscles are dominating and pulling us forward. That includes pulling your cranium and cervical spine forward. This causes spine dystructure. It is hard work to strength muscles that pull you back and upright, establishing more of a balance. Look at pictures of poor spine posture vs normal. Look at your posture in side view. When relaxed does your ear, shoulder and hip all line up? That is the goal. At first it is hard. But over time if you strengthen the right muscles and change poor habits, straight upright posture will become easier and feel more natural.
      The Superman exercise strengthens all posterior muscles and stretches front muscles. You can start out with a few reps and eventually increase to 60. Correct form is everything with this exercise. For example when yo lift up, make sure your head and neck is in a straight neutral position, your nose facing the floor. Do not tip your head up, ONLY pull mid to lower head back. It is a similar muscle activation to this:
      Lie on your bed flat facing the ceiling. Chest out and push the mid lower back part of your head gently into the mattress.... face square with the ceiling. DONT tilt head up or down... maintain neutral head/ neck. The mattress contact point should be only the mid occipital portion of the skull. While pushing your head back if you feel muscle activation in the lower portion of your skull to where it joins the neck, that’s correct. Those muscles are very weak and neglected in most people.

    • @snbrains9341
      @snbrains9341 Рік тому +3

      @@jeanine219 so have your symptoms resolved? I think the muscle you are talking about is the suboccital. I also feel mine is very week and infact when i lay down on my back my symptoms and neck pain gets worst as it feels like the neck contact with the bed/pillow is making it weaker.

    • @jeanine219
      @jeanine219 Рік тому +4

      @@snbrains9341 My headaches, neck pain and neuro symptoms are so much better from these strengthening exercises. At first the exercises made things a bit worse. But within a month or so I started feeling better. The suboccipital muscles are tiny muscles that stableize the connection between your head and upper cervical spine....so important that these muscles are not neglected, weak and tight. Your head is use to forward position, so when you lie flat on bed (no pillow), it feels awkward, painful and perhaps dizziness etc. Face ceiling and don’t tilt head up up or down. You will feel contact of part of skull behind your ears with the mattress. Just gently at first, press head into mattress. Make sure at the same time your upper shoulders are touching the mattress and your chest is out. These are all of the muscles you need to strengthen, that are currently weak and stretched forward. Expect it to feel awkward and uncomfortable at first. If you sleep on your back, do so without a pillow, as the pillow just reinforces that head forward position. A small towel roll under your neck is ok. Superman exercise will help your entire spine because even lower spine misalignments can translate to forward head position.

  • @Drevo103179
    @Drevo103179 2 роки тому +30

    This video has helped me immensely. Every therapist I worked with taught me the wrong way to do chin tucks. And they had me doing it wrong 100x/day and then blamed me for not doing enough reps! Your advice was a game changer

    • @visionquest414
      @visionquest414 Рік тому +1

      have you found any more videos similar to him? I would like to see 2nd opinions, etc.

    • @Tsugimoto1
      @Tsugimoto1 Рік тому

      He's saying that chin tucks are evil and make you shit your pants or something.

    • @vaughny7258
      @vaughny7258 6 місяців тому

      Can show video of the right way please? 5 years of pain here

    • @BornvsMe
      @BornvsMe 4 місяці тому

      ?did you see good results

  • @twilly602
    @twilly602 Рік тому +6

    you sir might've literally saved many lives including mine with this video. i can't thank you enough !

  • @movingbody6472
    @movingbody6472 6 років тому +37

    That´s a really interesting discovery. I´ve experienced just that. Fatigue, dizzyness and high tension in the suprahyoid muscles when sitting a lot at my computer. Will definitely try to change that and see what happens. Great info Kjetil.

  • @user-eq1cj8pi5r
    @user-eq1cj8pi5r 2 роки тому +6

    Love this guy!! I keep referring back to his videos over the years he’s the only one I trust!

  • @herdmentality101
    @herdmentality101 Рік тому +6

    Great video! I only had a styloid on my right side from a childhood whiplash injury. I have had chronic vascular and neurogenic symptoms for the past 46 years and my symptoms always got worse with posture correcting therapies. I just had my styloid removed in February 2023 and finally getting relief. Just the cognition increase and end of brain fog has already been amazing.

    • @emilysha418
      @emilysha418 11 місяців тому

      I just flared my symptoms doing some gentle chin tucking. What was your experience?

  • @Orthotropics
    @Orthotropics 4 роки тому +49

    Excellent video Kjetil, hope that you are keeping well. Under the spotlight of the establishment at the moment, so have been bolted down. When this is all over I still want to come up and visit you. Hope all well, Mike

    • @michielbancken1884
      @michielbancken1884 4 роки тому +9

      What do you think of the chin tuck Dr Mike? Because you recomended the chintuck exercise in one of your videos. Thanks appreciatie all the effort

    • @MSKNeurology
      @MSKNeurology  4 роки тому +5

      Hope to see you soon, Mike.

    • @minaalgeria5688
      @minaalgeria5688 4 роки тому +2

      @@michielbancken1884 haven't understood he said that we should avoid chin tucks ? i'm not native speaker

    • @michielbancken1884
      @michielbancken1884 4 роки тому +7

      @@minaalgeria5688 Kjetil said dont do chintucks(with a very covincing explanation) while Dr Mike the chintuck exercise recomended. I used to do them untill i saw Kjetils Video about it. Its good to see how two very genius experts meet eachother. Cheers

    • @Grays_Plays
      @Grays_Plays 4 роки тому +6

      Please make a collab video on this subject, I'm sure it would be incredibly enlightening to see both of your perspectives on this topic in the one video.

  • @user-eq1cj8pi5r
    @user-eq1cj8pi5r 6 років тому +14

    This is me to a T.... years and years of doctors no relief and diagnosed with the Thoracic outlet syndrome neurogenic arterial and venous all combined:/
    I get these episodes as I call them where I can’t think straight dizziness headache off-balance visual disturbances overall just a horrible feeling when I do chain taxes I have been advised by every physical therapy I have ever seen for forward head carriage! Would always leave there feeling so horrible could barely drive home-i’ve actually gone to the emergency room several times in bed and Medicaid with doctors thinking I was having a stroke-super scary! I am making an appointment for a consult with you because I honestly think you ARE the only person who understands any of this the proper way so many of us have been injured and harmed by different doctors across the entire gamut!
    God bless you can’t wait for my consult!!

    • @user-eq1cj8pi5r
      @user-eq1cj8pi5r 6 років тому

      Sorry...typo...NOT CHAIN TUXS meant “CHIN TUCKS!”

    • @szyszak9424
      @szyszak9424 4 роки тому

      @@user-eq1cj8pi5r how r u now?

    • @user-eq1cj8pi5r
      @user-eq1cj8pi5r 4 роки тому +2

      Szyszak hi there! He is awesome! I had a consult with him and he was very helpful! I’ve been BAD about doing the exercises he recommended so I am in a mild episode now! He is very knowledgeable with this topic

    • @salmanalltheway
      @salmanalltheway 4 роки тому +1

      Sam hey how are you now? And what were your symptoms?

    • @NoahsNexus
      @NoahsNexus 3 роки тому

      This same thing has happened to me about six times. It's terrifying. I have an appointment with an orthopedist in a few days. I'm scared to be alone until then. Did things ever get better for you? Stay safe. ✌

  • @slowlynow9
    @slowlynow9 2 роки тому +4

    bro I love you lol. its good to finally see someone with just straight up critical thinking skills instead of someone just taking from a textbook and regurgitating it.

  • @umadbro998
    @umadbro998 3 роки тому +20

    Alexander technique teaches the position as cue
    Head forward and up. The hard part is learning the new feeling of the corrected position getting used to it and also trying not to force the position rather let your body do it
    But that's difficult because your body thinks the incorrect position is correct 😆
    Great video!

    • @Stinkyfisher
      @Stinkyfisher Рік тому

      Where can i find the Alexander technique ?

  • @shackyHD
    @shackyHD Рік тому +2

    great video i love this stuff ive been researching everything on facia and muscles and congestion for a few years now and the way you described how you sat and the feeling you got was easy to understand and to the point not confusing loved it!

  • @DavidDorenfeld
    @DavidDorenfeld 5 років тому +34

    Dude, finally someone who understands this and can explain it thoroughly (with a solution)!!!!!
    I never had neck pain for my entire life up until a few years ago when my dad shared a chin tucking exercise from a physical therapist, which I started doing quite forcefully and often. My neck started getting tighter and tighter and then I finally strained it severely. I'm just now recovering from it after realizing what you're talking about here in this video. But your video helps me a lot because it confirms what I've learned from experience and is a wise and important reminder to change my habits, relax and let go of the tension I've been holding.
    Thanks so much for sharing. You might the very best therapeutic trainer I've found yet and your videos are up to date and very helpful. Thanks!

  • @NightmareShroud
    @NightmareShroud 5 років тому +20

    My god, your videos are simply top quality! Thank you!

  • @patrickboerner4071
    @patrickboerner4071 Рік тому +5

    Huge thanks. I struggle with hypermobility especially in the cervical spine. This video has been super helpful. 🙏

  • @cphysio583
    @cphysio583 6 років тому +37

    It's good to see this finally being talked about as it is waaaay over-prescribed. Particularly by McKenzie credentialed therapists.

    • @karlinhahf
      @karlinhahf 2 роки тому

      yes!!!!!!! It made me get visual snow ;(

    • @GreenAlexPower
      @GreenAlexPower Рік тому

      @@karlinhahf what do you mean?? you did the mckenzie exercises for neck and u got visual snow ???

    • @karlinhahf
      @karlinhahf Рік тому

      @@GreenAlexPower yes

    • @heinz535
      @heinz535 8 місяців тому

      How are you now?

    • @yunakovc
      @yunakovc 4 місяці тому

      ​@@karlinhahf Was this the only thing that changed in your life? I have visual snow and never heard of this being a cause. I suppose it's possible but med changes or drugs more likely

  • @AM2D
    @AM2D 4 роки тому +6

    We need some people like you in France ...

  • @selfdetermined2116
    @selfdetermined2116 6 років тому +21

    Finally I found someone explaining what this. I've had it confused with forward head posture for a long time.
    Altough some muscles like longus colli needs to be strenghten in both cases.
    It's hard to identify when you're using the correct muscles and not cheating, atleast for me.
    I would really like to see some more videos on this topic, this is the only video I found.
    Keep up the good work!

    • @MSKNeurology
      @MSKNeurology  6 років тому +1

      Yes, it is hard, unfortunately. But not impossible.

    • @snbrains9341
      @snbrains9341 Рік тому

      How is it for you now?

  • @NoahsNexus
    @NoahsNexus 3 роки тому +5

    Thank you, man. This is exactly what is going on with me. I've experienced ICP about six times to the point I thought I was going to pass out and had to call someone to come watch me because it literally felt like I was going to die. Without this information, I would be in danger. 🙏

    • @NoahsNexus
      @NoahsNexus 3 роки тому +1

      (I only just learned about Intracranial Pressure through my own research a couple of days ago or I would have gone to the ER.)

    • @OurAshX
      @OurAshX Рік тому +1

      Hey man, how are you doing now

  • @joshuaroberts6712
    @joshuaroberts6712 9 місяців тому +1

    another gold mine from you my friend this is another problem I have been having. Super intercranial pressure. alot of balance issues. I was overtucking the chin per my physical therapist and other advice given like pull your shoulders back and keep them there has really caused major issues. but you have really hit home on clenching and these issues.

  • @Songbirdphoto
    @Songbirdphoto 3 роки тому +1

    Dude, you're an absolute genius! Your videos have changed my painful daily life and I'm in shock. I'm thanking the Lord for you! Thank you!

    • @Wabbelpaddel
      @Wabbelpaddel 3 роки тому

      Lmao its rare to find an orthopedist who isn't a moron

  • @lizmerrick6883
    @lizmerrick6883 Рік тому

    I watched these videos while I worked on my posture this summer, but even though I avoided the chin tucks I still think I developed this!

  • @xXJesuslovesyouXx
    @xXJesuslovesyouXx 2 роки тому +2

    THANK YOU SO MUCH! I was over correcting my forward resting head position.. I knew it had to be somewhere in between because I couldn't breath when in over corrected tuck position..but still want to fix my fhp!!! Thanks, man! YOU are bright!

  • @Sunnydreamer1470
    @Sunnydreamer1470 10 місяців тому

    This makes so much sense! I would leave my therapist with the worst headaches!!!

  • @imonislandtime
    @imonislandtime 2 роки тому

    i think you just saved me a lot of problems. considering unsubscribing from a certain youtuber insisting that's the only way to fix forward head posture. thanks so much

  • @josephjackson7659
    @josephjackson7659 4 роки тому +12

    I think you have just saved my life no joke I've had vision impairment for years now and no real understanding as to why I'm an electrician and I tend to do a lot of things with my head in this posture as I'm always doing this with my hands on top of that I had a fear when I was young of people thinking I was looking down my nose at them very strange I know i also used to do Calathenics which emphasizes the chin tuck I've had a problem with my voice also for a very long time this was in no particular order the point to my message is to say thank you so much!

  • @xmunchersxable
    @xmunchersxable 4 роки тому +11

    What about doing the chin tucks as a repeated exercise to correct neck posture, but not holding that position throughout the day, and not holding it while performing the exercise?

  • @nicowilson8032
    @nicowilson8032 3 роки тому +7

    Interesting observation of yourself experiencing chronic fatigue syndrome symptoms after holding that poor head posture! I never thought a head posture could cause those symptoms.

  • @Garcia061
    @Garcia061 2 роки тому +3

    I have cervical dystonia- it is very complex neurologically and symptomatically biomechanically complex. Your videos are helping me making sense of it in a way my Neurologist and Neurophysiotherapist haven’t. Thankyou. If you have seen any Dystonia patients I would be really interested in your views. Particularly for post-injection physio and exercise. Right now my head twists left and into extension slightly so the main neurotoxin injected into the contralateral (right) sternocleidomastoid and right splenius capitus and sometimes the trapezius (bilaterally). It’s very hard to find exercises given the amount of muscle atrophy that work while the Botox is acting on those motor nerves. To help with ROM and stability especially

  • @GentlyRains
    @GentlyRains 5 років тому +3

    I could cry rn. Thank you so much

  • @itssomechick
    @itssomechick 7 місяців тому

    Thank you so much for this information! I have had concerns about chin tucks and but have been unsure how to move forward with my patients. This was a very helpful video, thank you!

  • @elsanevis1151
    @elsanevis1151 Рік тому +5

    HI am clinician x 35 yrs and have TMD. I was confused by this, and intrigued (language, not familiar). Would love a summary at end with visual: so what I am hearing is: sit up straight, neck up, chin neutral with ? neutral spine. Where is rib cage placement? shoulder? eyes? when looking at PC, and core? engaged/not engaged. Would love more alignment tips (total alignment), as to align whole upper body with ?neutral chin slight tuck. Feeling more pointers , more demos, more visual with less descriptions. Agree: too many chin tucks, was told x 10 yrs : chin tucks after 2 whiplash accidents (hit from behind while i was stopped) and can you talk: Dowager hump x chin placment. Love that your here!

    • @marijadejanova549
      @marijadejanova549 Рік тому +4

      I also don’t understand at all what I am suppose to do

    • @marisdsvega7919
      @marisdsvega7919 6 місяців тому +1

      @@marijadejanova549yo estoy igual no entendí porque no hablo inglés y no vi nada visual que ayudara

    • @pppp67567
      @pppp67567 13 днів тому

      Me neither 🙄

  • @lanazak773
    @lanazak773 3 роки тому +1

    Thanks for the summary at the end, I needed that to confirm that I understood. Great information.

  • @MineCraft-nz9pg
    @MineCraft-nz9pg 4 роки тому +17

    I started doing chin tucks to fix my forward head,but it only gives me tensions around my neck,which were never before.

    • @TehUltimateSnake
      @TehUltimateSnake 2 роки тому +1

      Because you're working out your neck muscles..

    • @MineCraft-nz9pg
      @MineCraft-nz9pg 2 роки тому

      @@TehUltimateSnake so is that a good thing ? Or am I doing something wrong?

  • @rictascale
    @rictascale 2 роки тому +4

    Your videos have really helped me understand more about why I have had dizziness, nausea and almost passing out at times, I definitely had a hinge around C6-C7, I had trouble achieving a long neck until I noticed I had too much curve in my thoracic spine meaning T1 was coming in on a steeper angle, I am now working on my thoracic kyphosis and I’m able to achieve a long neck without a hinge. If you have any videos on the thoracic/cervical connection I would love more information, great work man👍

    • @MSKNeurology
      @MSKNeurology  2 роки тому +1

      I think I already described "the connection" here, so I don't know what more you want

    • @rictascale
      @rictascale 2 роки тому

      @@MSKNeurology thanks again man, your other video explains more,
      ua-cam.com/video/JAqtfOmSKIs/v-deo.html
      really appreciate all of your videos they have helped a lot.

  • @marijadejanova549
    @marijadejanova549 Рік тому +3

    Can you please make a photo at least of the correct position, it was really hard to follow and understand as you switch from position to position too fast

  • @Kikidevo1966
    @Kikidevo1966 6 років тому +4

    Thank you Kjetil ! Finally a voice of reason!

  • @woebetideme
    @woebetideme 6 років тому +6

    Fascinating!! I need to pay attention to my posture because I'm guilty of the chin tuck.

    • @minaalgeria5688
      @minaalgeria5688 4 роки тому +1

      I'm not a native I can't understand he means we should avoid chin tucks?

    • @RGR465
      @RGR465 3 роки тому

      @@minaalgeria5688 yes

  • @Dead-Ball-Situation
    @Dead-Ball-Situation Рік тому +2

    Dear Sir, I have a couple of questions: Are you saying avoid chin tucks altogether? Or just do them but only lightly? Also, should we extend the neck like you have showed at 4:40 as an alternative excercise? If so, for How long should we hold that position for?

    • @Tsugimoto1
      @Tsugimoto1 Рік тому +1

      So glad I'm not the only one who wasn't clear on the message.

    • @matchpoint14
      @matchpoint14 9 місяців тому +1

      @@Tsugimoto1I am not sure what he is trying to say either

    • @marisdsvega7919
      @marisdsvega7919 6 місяців тому

      @@matchpoint14yo tampoco entendí no hablo inglés y no entendí nada :(

  • @orkunsanal
    @orkunsanal 4 роки тому +2

    Omg so that's the problem i was having then! I recently started having numbness in my arms and pain on my neck, spine area but i didn't know why. I had started neck tuck and some other exercises for correcting my posture and i was about to fix the bulging on my neck. Unfortunately it was getting worse everyday, i thought i was doing the exercises right. But after this video i immediately stop doing those and tell you what? All those problems massively reduced.. it seems there is not just one solution for everybody. I am glad i discover your channel and really thankful of this. No other videos on youtube seem to tell this. It is even better to do nothing rather than doing those ridiculous "neck tucks" . At least on my case.You literally helped and saved lots of people's health.. thank you!

  • @samplestudentsm4596
    @samplestudentsm4596 2 роки тому

    I didn't even know I was doing this and it was definitely contributing to my pain, thank you!

  • @Wilwarin99
    @Wilwarin99 5 місяців тому

    Thank you, great video! I literally can feel my brain tingling and sinuses draining when I do that. Now to exercising more...

  • @thomaspatrickjensen
    @thomaspatrickjensen 7 місяців тому

    Great video and points, I have definitely done this! Also noticed that even just breathing is much easier in the correct position 👍

  • @coreyhuffman2964
    @coreyhuffman2964 4 роки тому +15

    Great video, I think I have this problem (I've had TMJD for a few years now at 23 years of age). Are there any good exercises I can actively do to fix this?

  • @anoncanon1100
    @anoncanon1100 4 роки тому +4

    this the best explanation for my neck issue. I need help

  • @DrRodneyMcDermott
    @DrRodneyMcDermott 19 днів тому

    Wow, such an excellent video. Thank you 👍

  • @sarahlongstaff5101
    @sarahlongstaff5101 Рік тому +1

    OMG this is exactly my problem! Thank you. I get so nauseated and it feels like my head will explode. I was told to do chin tucks but must have been doing them wrong

  • @patman1237
    @patman1237 4 роки тому +6

    Thank you so much for your videos and information. I've been battling a hunch back with shoulders and horrible mid cervical hinge for years now. I saw an incredible specialist and received my prescribed corrective exercise regimen but for whatever reason I couldn't perform the deep neck flexor exercises properly. I thought I tried everything until I just simply lifted my head like you showed.. I think the distinction or the KEY in this scenario is not to enter flexion, that is not a correct chin tuck. The correct way to activate DNFs is to sit/stand nice and straight comfortably, look straight ahead and simply push the tongue up to the roof of the mouth you will feel the relief instantly if you engage them correctly. I hope this helps others struggling with a shit cervical posture!

    • @elsanevis1151
      @elsanevis1151 Рік тому

      would love if you could explain this more, in depth. Curious. I push tongue to roof of mouth and muscles in cheek get exhausted instantly, must be doing it wrong, welcome more details, thanks so much!

    • @mamatra1552
      @mamatra1552 7 місяців тому

      Wow... I have had trouble engaging dnf as well. So if I'm getting this correctly, the way you train your dnf is just to hold the position you described, with tongue on the roof of the mouth, rinse and repeat? I'm still not sure if what I feel is dnf

  • @imageword5576
    @imageword5576 9 місяців тому

    I was having numbness in my thumbs, and everything I searched about it online went to carpel tunnel syndrome. I knew it wasn't that, and that it had something to do with my shoulders/neck area, but I couldn't figure it out. This video confirms the problem I had. I was trying to prevent the neck hinge by tucking my chin down when performing exercises and when running. When I stop tucking my chin and instead bring my chest up, the numbness is gone.

  • @robertdays6226
    @robertdays6226 6 років тому +21

    So I'm assuming the chin tuck and double chin exercises that are prescribed by nearly every physiologist on the planet are to be avoided completely? You are such a progressive visionary. Keep turning the industry in it's ear.
    I have used the chin tuck exercise to loosen the suboccipitals and therefore reduce headaches...but I always felt that they were doing damage simultaneously.
    What do you suggest for management of suboccipital tension, forward head posture and exaggerated neck curvature, (with or without hinging)? I dont have evidence of hinging but have been told that my neck curvature is very exaggerated and suspected to be the result of tight SCMs.

    • @cphysio583
      @cphysio583 6 років тому +6

      I would have a look at his blog post Robert. Well more of an article than a blog post!

    • @robertdays6226
      @robertdays6226 6 років тому +2

      I love Kjetil's articles.

    • @lindatyrie4825
      @lindatyrie4825 6 років тому

      Where do I find his blog Ciaran?

    • @jvb2098
      @jvb2098 6 років тому +3

      same question! i was told by my pt to do chin tucks for my cervicogenic vertigo but feel dizzy while doing them now.

    • @cphysio583
      @cphysio583 6 років тому +3

      You'll have to click the English button on the top right - then go to articles.
      www.trainingandrehabilitation.com

  • @brendanschroeder1862
    @brendanschroeder1862 Рік тому +1

    Dr. Larsen, very good presentation of correct mechanics in this video. I am a bit confused on one thing thought that is external to this video. It would seem to me that you are advocating for a “military neck posture”, because this is exactly how we were supposed to stand at attention in the military, hence the nickname. Is this the case? Otherwise, how would this correct posture look on a x-Ray? Would there be a reverse C curve, or would it be more straight like military neck?

  • @Andreylarin1
    @Andreylarin1 8 місяців тому +1

    I personally attest to the fact that after I started doing McKenzie chin tucks and keeping chin tucked during the day, I started to have dizziness and pressure in the back of my head. Neck hinging in the back was adding to my problems. Very harmful exercises promoted by almost all so called experts. Big thanks to Kjetil for his work.

  • @heidiccvincentz
    @heidiccvincentz 4 роки тому +4

    Excellent content 🔥

  • @deevagaranperiyampillai7616
    @deevagaranperiyampillai7616 7 місяців тому

    Great Doctor! Many GPs need to have some training

  • @mountainmolerat
    @mountainmolerat 3 роки тому +2

    Great info. Thanks. If when a person tried chin tucks to fix the dreaded hinge and their neck got stuck for a couple of days. What might that suggest to rule out?

  • @scnager1
    @scnager1 3 роки тому +2

    How do you strengthen the craniocervical flexors and longus colli without tucking the chin?

  • @timingmile7030
    @timingmile7030 4 роки тому +6

    My physio has pescribed chin tucks but they have been giving me so much pain. Absolutely useless to be paying so much money

  • @shirelleferre3460
    @shirelleferre3460 3 роки тому +3

    So how did you end up fixing your issue exactly? Besides positioning different at the computer etc, what exercises did you do to retrain your neck muscles to hold your neck correctly since the chin tuck isn’t helpful

  • @mathias6781
    @mathias6781 3 роки тому

    Legende. Man får så mye dyr- og ikke minst feil behandling i Norge.

  • @geoffreyjarvis1791
    @geoffreyjarvis1791 4 роки тому +1

    Yes, I'm a subscriber now, you take it that step furthr that often explains why although I thought I was doing the right thing, turns out i wasn't and proved by the results.

  • @vaughny7258
    @vaughny7258 6 місяців тому

    Can you do the tuck for us. Too many different ones out there.

  • @atmonotes
    @atmonotes 3 роки тому +1

    I have a quite straight cervical spine due to an injury and I was told by physicians to do the chin tuck and all it does it cause teeth pain after. I immediately stopped of course, but it still left behind consequences for doing it.

  • @jackprot351
    @jackprot351 2 роки тому

    Can a combined hinge and craniocervical tuck, as seen at 1:25, also cause tautening of weak scalenes continuously throughout the day, contributing to TOS CVH?

    • @MSKNeurology
      @MSKNeurology  2 роки тому +2

      Neck extension in general tautens the scalenes, so yes it can contribute. Hinging, though, doesn't really extend the lower neck just the upper, so it does not always cause scalenus tightening. I have had many patients, eg., migraine patients (TOS), WORSEN with proper neck posture initially because it causes tautening. So we had to go very gradual.

    • @jackprot351
      @jackprot351 2 роки тому

      @@MSKNeurology With those patients, how did they manage to untauten the scalenes in proper posture? Was it more a matter of proprioception ie learning to lift the head up and flex the neck without involving the scalenes, or waiting until the scalenes were strong enough through isolation exercise to then be able to go into proper posture without them tautening?

    • @MSKNeurology
      @MSKNeurology  2 роки тому +1

      @@jackprot351 You are overthinking this. Obviously if the patient had crap postsure for years and then completely changes their position, some muscles will get tighter and some will get looser. Some will activate more, etc. The key will be to go gradual, along with correcting the underlying issues cf. my tos article

    • @jackprot351
      @jackprot351 2 роки тому

      @@MSKNeurology Thank you. Makes sense.

  • @garnerjazz58
    @garnerjazz58 Рік тому

    What a lesson! Thank you

  • @jackprot351
    @jackprot351 2 роки тому

    I’m trying to use the Ledwitz-Rigby paper that you mention in this video, and cite in your vestibular impairment article on your website, however I cannot find the actual paper anywhere on the internet. Would you mind seeing if you have access to it and point me in the right direction? All the best, thank you 🙏

  • @arthurkhaimov5432
    @arthurkhaimov5432 7 місяців тому

    How do i check if i have jugular compression or decreased blood flow

  • @swesolowskaborowy
    @swesolowskaborowy Рік тому

    WOW! I booked with you already. All these exercises and learning of how to be aware are not as easy as they seem:-)

  • @stinkydiapey2154
    @stinkydiapey2154 5 місяців тому

    I have this neck tuck posture and also intracranial hypertension. But I think there is an issue with my back somewhere down the chain. I have severe iliopsoas injuries

  • @adamjensen5832
    @adamjensen5832 Рік тому

    I have blurry vision. Sore heads.
    Static vison and have really bad posture.forward head posture is something I have pretty bad. Aswell as pretty bad hunch back. How do I sort it ?

  • @ruparkyitin
    @ruparkyitin Рік тому

    i think
    sound recording has problem ??
    or
    my ears are not good.???

  • @lalabyelulu4021
    @lalabyelulu4021 4 роки тому +3

    I agree with the chin tuck, it made things worse for me. One question: Do you think it's appropriate to try and restore the cervical curve with Dennerolls or other devices, or will it restore naturally over time if you work on your posture and strengthen neck? Thank you for all the information you provide!

  • @chancepatterson1972
    @chancepatterson1972 2 роки тому +1

    This is interesting. So I'm 31 and have worked out and kept relatively good nutrition since my teens. I started a desk job about 6 years ago and have had major issues ever since. I've had 3 ischemic strokes and frequent migraine with auras. Every test and scan always says I'm healthy as a horse. I know for sure I've been obsessive on trying to "correct" my posture because I've had breathing issues and felt like crap. Is it possible most of those stem from what is presented in this video? No Dr. Or Neurologist has been able to explain thus far.

  • @Allnew_K
    @Allnew_K Рік тому +1

    Can Too much chin tucking lead to military neck? ( lack of lordosis in cervical spine )

    • @salvatore5415
      @salvatore5415 Рік тому

      Nah , military neck occurs after an accident or genetic

    • @MSKNeurology
      @MSKNeurology  Рік тому

      Military neck happens from crap posture and neck clenching. There's probably a genetic component as well. That said, chin tucking sucks and shouldn't be done.

  • @rakzz1720
    @rakzz1720 2 роки тому +1

    How does this sort of resting position translate to the longus colli and capitus exercise. Would the exercise have to be modified or would the increased strength of the muscles make it easier to obtain this sort of resting position? Thank you

  • @sahilmehra9779
    @sahilmehra9779 3 роки тому +1

    Hi
    My C1 is touching skull, have terrible variety of symptoms . Have straightning of curve .Can you pls suggest some exercise.
    Thank you

  • @wl3678
    @wl3678 Рік тому

    What would be the best sleeping position in regards to this video??

    • @wl3678
      @wl3678 Рік тому

      Please instruct for back and side sleepers!!

    • @MSKNeurology
      @MSKNeurology  Рік тому +2

      Lie on your side with your head a little bit forward. When it comes to sleeping, it doesn't need to be perfect; just avoid dreadful positions.

  • @axagra815
    @axagra815 4 роки тому +2

    Hi Kjetil, thank you for this video. It seems I have this condition and so far doctors have been treating me only on the cervical hinge part, not the craniocervical tuck part. I have the symptoms - protruded trachea, chronic fatique, dizziness and so on. Probably has been caused by few of my habits - looking down on laptop and phone, reading on stomach etc. The cues you have shown are so far helping me, I just wonder, can you overdo the part of putting the head forward and keeping long neck (going too far forward on atlanto-occipital joint for example)? Or will it just get "fixed" there in correct position by surrounding muscles? Don't want to go too far, if it's possible...

    • @MSKNeurology
      @MSKNeurology  4 роки тому +1

      Yes, easy to do wrong.

    • @axagra815
      @axagra815 4 роки тому

      @@MSKNeurology Alright, will be careful then. Thanks for answer!

    • @snbrains9341
      @snbrains9341 Рік тому

      How is it now

    • @axagra815
      @axagra815 Рік тому

      @@snbrains9341 Still about the same, thanks for asking

    • @snbrains9341
      @snbrains9341 Рік тому

      @@axagra815 did you get to know what is wrong exactly

  • @kathrynlang1278
    @kathrynlang1278 3 роки тому

    Can a soft collar used occasionally be a prompt for not chin tucking

    • @MSKNeurology
      @MSKNeurology  3 роки тому

      Occasionally yes, but be careful not to rely on using collars

    • @kathrynlang1278
      @kathrynlang1278 3 роки тому

      @@MSKNeurology thanks

  • @Tsugimoto1
    @Tsugimoto1 Рік тому

    I'm confused. Are you suggesting the chin tuck EXERCISE is bad, or just that head position?
    If so, what exercise should be done instead?

    • @MSKNeurology
      @MSKNeurology  Рік тому

      Bad. Why are you asking me what you're supposed to do when I literally show it in the video?

    • @Tsugimoto1
      @Tsugimoto1 Рік тому

      Probably because your accent is thicker than a cow paddy, and you're constantly info-dumping and bouncing from subject to subject.
      Why do you give condescending non-answers for the layman, instead of being helpful?
      I was just trying to clarify something that you didn't specify in your video, you literally could have just answered without being so terse.

    • @MermaidMakes
      @MermaidMakes Рік тому

      ⁠@@MSKNeurology yeah…talking down to people is a great look…Or are you just trying to get people to pay for your services instead of actually helping, and taking advantage of people in the US because you know they don’t have good health insurance and you can charge whatever hell you want. You tell them that every single physical therapist is wrong so they are too afraid to go (therapy sessions that are less than half as expensive as yours without insurance, by the way). You’re a sheister, pal.

    • @AM2K2
      @AM2K2 Рік тому

      @@MermaidMakes No...many 'informed' people in the industry advise against chin tucks. It makes sense if you think about it...the chin coming forward is an adaptation, a symptom if you will. You have to address the root cause of WHY it is coming forward, you can't just force it back.

    • @MermaidMakes
      @MermaidMakes Рік тому

      @@AM2K2 I’m positive there’s a lot of incorrect common medical knowledge out there that we will eventually find to be incorrect. It happens all the time, so even if I’m wrong in trusting PTs I’ll accept that I’m wrong. The one thing I cannot accept however, is how much of an unhelpful prick this guy is when people are asking genuine questions. If he wanted to really help people he wouldn’t be shilling his overpriced sessions in America where insurance usually doesn’t pay for this stuff and instead be answering these very basic and earnest questions. He’s been doing it to everyone who questions him.

  • @eliaspkay
    @eliaspkay 2 роки тому

    Can you do the mckenzie chin tuck that is explained by Mike Mew? He has a video on it

    • @MSKNeurology
      @MSKNeurology  2 роки тому +2

      I strongly disagree with this. Mike is my friend but here we disagree heavily.

    • @eliaspkay
      @eliaspkay 2 роки тому

      @@MSKNeurology alright, it’s just different from me I believe because I have Ankylotis Spondylatis or at least early signs from my spine it really sticks out. I’m gonna visit a chiropractor and check it out but I read online that McKenzie Chin tuck could help but I’m unsure if it really is my best option now because of this video and yeah I don’t want to do anything that will cause more harm than good!

  • @rocfella
    @rocfella 4 роки тому +3

    Hi, I did a chin tuck and at the same time I leaned my head to the right and back, and now i hear pulsating hiss of blood flow in right ear, do you know what could be?

    • @minaalgeria5688
      @minaalgeria5688 4 роки тому

      He means we should avoid chin tucks plz answer i m not native speaker

    • @ImpulsoCreativo9322
      @ImpulsoCreativo9322 4 роки тому

      I have that too. Did you find out what it was?

    • @rocfella
      @rocfella 4 роки тому

      @@ImpulsoCreativo9322 no not yet, it is very slowly getting better though

    • @ImpulsoCreativo9322
      @ImpulsoCreativo9322 4 роки тому

      @@rocfella which exercises are helping you?? I get the hiss pulsating of blood flow when I go from laying down to standing. On my right side, which has the right scm always

    • @rocfella
      @rocfella 4 роки тому +2

      @@ImpulsoCreativo9322 no exercises, just leave neck alone for some time, neurologist told me that

  • @kassi4837
    @kassi4837 Рік тому

    I am trying to learn how to do this. I can’t even feel the back of my head to elongate my neck though. That’s been the greatest challenge for me.

  • @SunshineQ_91Vibe
    @SunshineQ_91Vibe 4 роки тому

    This describes my issue thank u for info!! But how often to do what u said to fix issues?? Fwd n up head posture?

    • @MSKNeurology
      @MSKNeurology  4 роки тому

      Rest of your life

    • @marisdsvega7919
      @marisdsvega7919 6 місяців тому

      @@MSKNeurologydisculpa es la posición. De Alexander lo que tratas de explicar en el video ?
      Soy mexicana no entendí su inglés y no sé qué postura debo hacer
      Actualmente tengo Tinitus y lo obtuve acostada Boca arriba viendo celular
      Tengo calcificación de ligamento estiloide

  • @ultravassal913
    @ultravassal913 4 роки тому +1

    Please what exercises can I do to help this? I can’t afford sessions. This problem has made me unemployable.

    • @MSKNeurology
      @MSKNeurology  3 роки тому +2

      Well, you might try what's being shown in the video. How about that?

    • @jackprot351
      @jackprot351 3 роки тому +1

      Read his articles on his website

    • @marijadejanova549
      @marijadejanova549 Рік тому

      @@MSKNeurology but obviously many of us couldn’t capture, please be so kind and post a visual or summarize the position in a comment

    • @MSKNeurology
      @MSKNeurology  Рік тому

      @@marijadejanova549 Can't help the entire world

  • @marytorres2671
    @marytorres2671 2 роки тому

    Very informative. I have terrible episodes when I get back from the gym after using elliptical. Should I use a neck brace while working out? Going to a neurologist. Please help.💙

  • @Peshur
    @Peshur Рік тому

    So not a good idea to do chin tucks for strengthening deep neck flexors ?

  • @confettiknots4304
    @confettiknots4304 Рік тому

    I seem to over extend the neck. Now I have a lot of discomfort on the left side as well as it appears as selling although not a protruding vein just the left side of the neck seems shorter and swollen as a pose to the left that looks nice and lean.

  • @shan4292
    @shan4292 3 роки тому +1

    Great information. Though using the chin as a reference for patients with micrognathia may be problematic as chin is not where it’s supposed to be. Can use the nose or brow line to help these patients correct head position with respect to level/plumb.

    • @MSKNeurology
      @MSKNeurology  3 роки тому +1

      Meh

    • @shan4292
      @shan4292 3 роки тому +1

      Lol, thanks for your brevity : ) Another thought is learning to use proprioception to better align the head over the spine. If the head is levered over its support, it feels heavier. I’ve been using biofeedback as well (similar to blood pressure cuff) and I’ve had some success. Thanks for your work - haven’t seen anyone putting things together in such a comprehensive and common sense way.

  • @TInyK12
    @TInyK12 2 роки тому +1

    Are you suggesting to sit with neck extended forward? Isn’t that just forward head posture. Why not just keep it neutral? I sit for 8+ hours per day without much discomfort.

    • @MSKNeurology
      @MSKNeurology  2 роки тому

      You're missing the point completely. And no, it's not.

  • @PIboltzmann
    @PIboltzmann 7 місяців тому

    excellent video,

  • @tenminutetokyo2643
    @tenminutetokyo2643 Рік тому

    The thickness of the neck seems to play a roll too. I always had a thin neck but after working out and getting a really thick neck all my brain problems disappeared. CSF drainage is also involved.

    • @TaxEvasi0n
      @TaxEvasi0n Рік тому

      What was your original problem? And what's your neck training routine?
      I went to physio for neck clicking/popping etc. I had forward head posture, even though I go to the gym. Front of my neck was terribly weak. Arguably I have more neck noises but the original sympton I went to physio for is 95% better.

  • @michellemustari498
    @michellemustari498 2 роки тому

    So many chiropractors and physical therapist always tell you to do these stupid chin tucks I already have compression of my jugular veins from the C1 in the styloid process going to try to do this with my neck where are you located

    • @marisdsvega7919
      @marisdsvega7919 6 місяців тому

      Qué posición debo hacer yo no entendí el video :(

  • @accepteddebate7390
    @accepteddebate7390 2 роки тому

    what do you think one can do to address recessed maxilla? or is that something the mews would have more information on?
    Thanksm

  • @KarimBilal1
    @KarimBilal1 Рік тому

    Please help i keep hinging/pinching the back of my neck when I sleep. When I wake up I feel a pins and needles feeling in my head and blood rushing to my head. Anything I can do to stop or help this

  • @vaughny7258
    @vaughny7258 6 місяців тому

    So do tucks? Just the right way? Or just avoid them? 5 years of doibg double chins here. In pain still

  • @MPQueen11
    @MPQueen11 Рік тому

    I’ve been wondering why that exercise hasn’t helped me and I feel worse

  • @TravelosophyTV
    @TravelosophyTV Рік тому

    I have issues with migraines and a lump on my throat right under the jawline. I notice the lump get smaller when I sit the way you describe we should here, and when I sit the way you say we should not sit, it grows.
    My doctors have not found a issue with my issues. Is it dangerous when I started to get a lump?

  • @DeSam90
    @DeSam90 4 роки тому

    my neck tenses up like crazy when I dont sit with the chin tuck

  • @minaalgeria5688
    @minaalgeria5688 4 роки тому

    What can I do to get a rid of neck humo then😣

  • @domhillspt7986
    @domhillspt7986 3 роки тому

    I assume if we correct the neck position and posture should this help with Thoracic Outlet Syndrome? I have read that neck tucks should be done for TOS, obviously I won't be doing these anymore since seeing this, but i thought the more head forward position is the issue with closing off the brachial plexus bundle?

  • @shakir5604
    @shakir5604 3 роки тому

    How often to do chin tucks?