Hey Scarlett, I seriously doubt they are lipomas... my guess is they are areas where the wavy collagen matrix is bunched due to an inability to extend, or because of additional cross-bridging and collagen fiber formation. Great Question! Dr. B2
Great video. I may have missed it, but with the trigger point- are you actually manipulating that with the instrument or are you using a static manual release? Thanks!
@@BrookbushInstitute Thank you Brent. I'll be happy to be a member. The video(s) include the groin area (pectineus muscle and adductor brevis) too. Or you don't apply in this area because of the lymph nodes ?
@@georgepnf8596 I consider these fascial sheath techniques, so we do the medial fascia lata, in videos, but do not attempt to differentiate muscles. Dr. B2
Oh God. I hope to God any doctor who considers using this technique has evaluated for and knows now to recognose various connective tissie disorder. I can see it being very easy to cause more harm than good on a connective tissue disorder patient
I've never gotten graston on my back in child's pose. Usually I'm laying flat. But this was cool to see semi what gets done to me. I get my low back done. Is it normal to get red after it? It doesn't hurt
Good question, I would think so, although I cannot speak from experience as we are not legally allowed to perform dry-needling as physical therapists in NY. Dr. B2
I do have a hypertrophy on my left side and I've always been able to notice it, but had no idea what muscle that was until today when I looked it up. How can I fix this unevenness in my lower back?
In the lumbar area on both sides i have a pt that is so lumpy/ bumpy. With years of lower back issues could that be scar tissue and could this technique potentially break up the adhesions?
Hey Gary, The bumps may change a little, but it is unlikely you will make radical changes to scar tissue years after it has formed. What may happen is you will improve extensibility of the tissue and aid in remodeling of new tissue. You need to find a couple of assessment you can use to re-assess after you have done the technique to determine if you are making objective changes to motion. Dr. B2
Gary Bruchman I have this issue and it has come with increasing pain. Mine all started with a significant injury which worsened over time. The knots are a herniation of the muscle on both sides. Fat, tissue, and nerves can protrude through the herniation causing significant pain depending on the amount of nerves. Mine were a part of a larger problem. When the doctors finally diagnosed and recently did a diagnostic numbing/steroid injection, I was pain free for the first time in five years. Side note: a spinal block had taken away about 60% of pain weeks prior. Please do not rub or agitate these areas at it can signifiicantly worsen the problem.
what if lumbar flexion causes increased pain in the low back? I had a patient yesterday who had major low back pain and hyperextending the back eased symptoms...
Hey Jaay, I refer to this as a release technique, but the response of fascia to stress is complex. Strain hardening may increase tissue stiffness, where as increased glide between layers may increase extensibility. In either case, stretching and pinching structures can both cause pain. Long story short, assess, try the technique and reassess... if it helps keep doing it, if not stop ;-) Dr. B2
Hey there. I'm a licensed massage therapist. I became a Graston provider recently and it's such an awesome advancement in my bodywork. I incorporate it in most of my massage and bodywork sessions.
Hey Shawn, My suggestion is always to use them as little as possible. Try to use other fingers, pisiform/hamate grip, elbows or fists, etc... it also helps to learn some IASTM and maybe the vibration massage techniques as additional tools to reduce the strain on your hands. Dr. B2
Hey Doktor, If you mean research, than yes... we are hoping to finish our comprehensive research review before the end of the year. I hope you will keep a look-out for our review. Dr. B2
@@brooklynbull-e3565 If you are in the United States and you happen to need a IASTM guasha tool, I can provide you with one for free,just contact me ,here is my email hypertoughness@outlook.com.
If you are in the United States and you happen to need a IASTM guasha tool, I can provide you with one for free,just contact me ,here is my email hypertoughness@outlook.com.
Hey man, to be more effective for people to understand your point as you’re working with patients, I suggest you simplify the vocabulary and less repeating yourself. It’s clear you know your textbooks of this field, but how you can deliver this information in a way multiple types of people can get it is a whole other level. A lot of the things you said in terms of vocabulary of certain body parts can honestly be simplified down. Too much information can make the teaching monotonous. I’ve seen other videos like this with instructors who’ve been doing this a lot longer than you keep the audience’s attention more because of their simplicity in explaining and demonstration. It’s not always about what you know, but sometimes how you can deliver it in a way that’s effective to people on all levels. Do that, and you’ll be golden
I disagree respectfully, Our only intention is to optimize education for professionals. I appreciate what you are saying, but this video is not intended for the general consumer or patient. I think there are individuals who are trying to "play" to both audiences, resulting in less than ideal messaging for both. Dr. B2
@@BrookbushInstitute if that’s case, in your captions or titles for these videos, insert in parentheses “education for professionals” or something of that matter. This way viewers like me can keep swiping. Also, individuals who play to both audiences are being very effective to both parties in terms of teaching and education. But don’t worry, you’re still finding your way. May you be blessed =]
Love the information but a bit distracted by your communication with the patient. Especially as a woman, it would make me uncomfortable if a male doctor lifted my shirt and band of sports bra without first gaining explicit consent.
Would have been nice to see a ROM test before and after the treatment to measure the effect.
What if the lumps you are feeling are lipomas? Are you able to tell the difference?
Hey Scarlett,
I seriously doubt they are lipomas... my guess is they are areas where the wavy collagen matrix is bunched due to an inability to extend, or because of additional cross-bridging and collagen fiber formation.
Great Question!
Dr. B2
Lipomas are very easy to differenciate.
I see many ..
Great video. I may have missed it, but with the trigger point- are you actually manipulating that with the instrument or are you using a static manual release? Thanks!
I am manipulating with the instrument, almost like doing cross-friction in all directions around the trigger point.
Dr. B2
Is it a graston and chiropractic treatment?
What is the frequency of this kind of treatment? Every day for 10 days? Or?
I FEEL COCONUT OIL BETTER NEED YOUR SUGGESTIONS TQ
Coconut oil works, it can just get sticky and hard to clean depending on the setting for your practice.
Hi Brent, is it possible to do a video(IASTM) for the hip adductors too?
Thank you
The IASTM adductor video is done and up on the website. Become a member at BrookbushInstitute.com
Dr. B2
@@BrookbushInstitute Thank you Brent. I'll be happy to be a member. The video(s) include the groin area (pectineus muscle and adductor brevis) too. Or you don't apply in this area because of the lymph nodes ?
@@georgepnf8596 I consider these fascial sheath techniques, so we do the medial fascia lata, in videos, but do not attempt to differentiate muscles.
Dr. B2
Do need course training and certification before doing this? Thanks for advised.
Oh God. I hope to God any doctor who considers using this technique has evaluated for and knows now to recognose various connective tissie disorder. I can see it being very easy to cause more harm than good on a connective tissue disorder patient
I've never gotten graston on my back in child's pose. Usually I'm laying flat. But this was cool to see semi what gets done to me. I get my low back done. Is it normal to get red after it? It doesn't hurt
I wish I could take a video to see what my chiropractor is doing
can we take this treatment immediately after dry needling
Good question, I would think so, although I cannot speak from experience as we are not legally allowed to perform dry-needling as physical therapists in NY.
Dr. B2
I do have a hypertrophy on my left side and I've always been able to notice it, but had no idea what muscle that was until today when I looked it up.
How can I fix this unevenness in my lower back?
It doesn't cause me any discomfort whatsoever, but it just looks uneven when I bend over. It's visibly larger on the left side.
Hi Milchani, we don't give medical advice without an in person evaluation. I would recommend seeing a physical therapist first.
you should’ve started with the close up shot.
In the lumbar area on both sides i have a pt that is so lumpy/ bumpy. With years of lower back issues could that be scar tissue and could this technique potentially break up the adhesions?
Hey Gary,
The bumps may change a little, but it is unlikely you will make radical changes to scar tissue years after it has formed.
What may happen is you will improve extensibility of the tissue and aid in remodeling of new tissue. You need to find a couple of assessment you can use to re-assess after you have done the technique to determine if you are making objective changes to motion.
Dr. B2
Gary Bruchman I have this issue and it has come with increasing pain. Mine all started with a significant injury which worsened over time. The knots are a herniation of the muscle on both sides. Fat, tissue, and nerves can protrude through the herniation causing significant pain depending on the amount of nerves. Mine were a part of a larger problem. When the doctors finally diagnosed and recently did a diagnostic numbing/steroid injection, I was pain free for the first time in five years. Side note: a spinal block had taken away about 60% of pain weeks prior. Please do not rub or agitate these areas at it can signifiicantly worsen the problem.
what if lumbar flexion causes increased pain in the low back? I had a patient yesterday who had major low back pain and hyperextending the back eased symptoms...
Hey Jaay,
I refer to this as a release technique, but the response of fascia to stress is complex. Strain hardening may increase tissue stiffness, where as increased glide between layers may increase extensibility. In either case, stretching and pinching structures can both cause pain. Long story short, assess, try the technique and reassess... if it helps keep doing it, if not stop ;-)
Dr. B2
Could it be that her glutes are to tight? Sometimes it cause lower back pain...
@@BrookbushInstitute same problem for my patient,any new information you can share?
Where would I go to find out in my state to get this done? Thank you
Hi Gina, most physical therapists/chiropractors are familiar with this technique
Hey there. I'm a licensed massage therapist. I became a Graston provider recently and it's such an awesome advancement in my bodywork. I incorporate it in most of my massage and bodywork sessions.
Hi, do you have any advice for thumb care. With all the UPAs and STMs using thumbs, is there any tips for healthy thumbs?? Thanks!!
Hey Shawn,
My suggestion is always to use them as little as possible. Try to use other fingers, pisiform/hamate grip, elbows or fists, etc... it also helps to learn some IASTM and maybe the vibration massage techniques as additional tools to reduce the strain on your hands.
Dr. B2
Thank you. Useful.
You are very welcome!
is there any evidence for this???
Hey Doktor,
If you mean research, than yes... we are hoping to finish our comprehensive research review before the end of the year. I hope you will keep a look-out for our review.
Dr. B2
Excelente!! Obrigada!
Thank you!
No, I’m a mom with a butter knife and tight muscles 💪🏼🔪
Melissa Callia 😂
That works
@@brooklynbull-e3565 If you are in the United States and you happen to need a IASTM guasha tool, I can provide you with one for free,just contact me ,here is my email hypertoughness@outlook.com.
If you are in the United States and you happen to need a IASTM guasha tool, I can provide you with one for free,just contact me ,here is my email hypertoughness@outlook.com.
非常感谢谢您的分享。请问有很多是私享视频，如果观看学习呢？
Hey man, to be more effective for people to understand your point as you’re working with patients, I suggest you simplify the vocabulary and less repeating yourself. It’s clear you know your textbooks of this field, but how you can deliver this information in a way multiple types of people can get it is a whole other level. A lot of the things you said in terms of vocabulary of certain body parts can honestly be simplified down. Too much information can make the teaching monotonous. I’ve seen other videos like this with instructors who’ve been doing this a lot longer than you keep the audience’s attention more because of their simplicity in explaining and demonstration. It’s not always about what you know, but sometimes how you can deliver it in a way that’s effective to people on all levels. Do that, and you’ll be golden
I disagree respectfully,
Our only intention is to optimize education for professionals. I appreciate what you are saying, but this video is not intended for the general consumer or patient. I think there are individuals who are trying to "play" to both audiences, resulting in less than ideal messaging for both.
Dr. B2
@@BrookbushInstitute if that’s case, in your captions or titles for these videos, insert in parentheses “education for professionals” or something of that matter. This way viewers like me can keep swiping. Also, individuals who play to both audiences are being very effective to both parties in terms of teaching and education. But don’t worry, you’re still finding your way. May you be blessed =]
You assumed wrong 🤪😂
She's sooo attractive...
Remember that at Bent Bookbrush Institute they are big on asses.
You have hit the nail on the head right there mate!
just another name for Gua Sha
Love the information but a bit distracted by your communication with the patient. Especially as a woman, it would make me uncomfortable if a male doctor lifted my shirt and band of sports bra without first gaining explicit consent.
Good grief