I am a chiropractor and that looked awesome! PTs can manipulate, just like DCs can rehab. Look at liebenson..he probably rehabs better than 99.9% of PTs do. Why can't some PTs be good at adjusting? Haters gonna hate.
Well put, Religioso. Manipulation, "adjustment", mobilization...it's all the same thing. Period. True specificity cannot be proven. Your technique above was excellent (no doubt you screened vertebral artery first as well as you can). You provide educated feedback to the nay-sayers while remaining professional. Keep it up! You're the resason PT sets the standard for comprehensive, evidence-based, treatment!
I have been to many PT. Not one has done many any good. I have been to many chiropractors and all but one, has done me helped me. I only wish that I had insurance to visit your clinic.This is a great video. However, I wish you would show more of your techniques especially for the lower extremities. I was able to read one question for the exams chiropractors take, Man you chiropractors have to know all about the human body. Chiropractors rock.
@babybunnies It would most likely be beneficial as it could relieve some spasm in your tissues around your first rib. It affects the bones attached to your first rib. However, I would recommend getting tissue work on your upper traps, which may be more beneficial if you haven't had relief in more than 3-4 visits.
@ReligiosoPT thank you for the video. It inspired my 1st visit for an adjustment. My PT took X-Rays and checked my spine and neck alignments. He adjusted and told me facts based on my body's posture, balance and X-Ray findings. Seeing people relieved of their pain, helped me go and seek treatment for mine.
They are supposed to be taught in PT school as part of every PT ortho curriculum. That is part of getting CAPTE accreditation. That doesn't mean they are, or taught well. In Buffalo, NY they are taught in all 3 of the PT schools here.
Great video, you can use long axis traction on many manipulation moves. There was an once worked with who manipulated the cervical spine while the patient was in a traction type device and I have found good results with lumbars and si joint while the patient is in traction. Another great video! -Dr. SS
@Sondan1988 actually, in my state we have direct access, this is not a patient, but an instructional video. The "patient" was my resident PT, and we are a doctoral profession with autonomous practice. We have a much more detailed physical exam than other traditional medical professions, I had screened him for red flags and gave him an informed consent. He was treated in the past for acute facet dysfunction. So thanks for your concern, but those of us who are properly trained are fine.
This adjustment is focused on the Cervicothoracic junction, which is the vertebral joint that lies right below the lowest portion of your neck (the bony knob that is most noticeable: "Vertebral Prominence") and directly about the posterior portion of the first rib.
I also mainly do soft tissue manipulation, but some patients will not respond, and still need a bit more work to regain mobility. Thrust is the fastest (literally) way to regain mobility prior to a home exercise program.
> the research also shows the effects of the manipulation/adjustment is transient, lasting about 1-2 hours for neurophysiologic effects and only 24 hours for anagesia so, does this mean chiropractic adjustments are not cures at all?
@ReligiosoPT Can you be more specific in what type of trapezius work? I have used a TENS machine and use hot pads. It is elusive and a lot of professionals dont know what to do, for I know I cannot be the only one of millions of people who have shoulder first rib problems.
@ReligiosoPT Oh well, it happens. I was checking out your blog and it looks awesome! I had a question about the tools you're using for STM. Do you use those all the time? I would think it might be somewhat of a barrier to feeling the creep of the tissue in more subtle or more severe cases. They look great for J-stroke, though.
It's actually 80% resolve within 6-8 weeks, however when this often quoted stat was revisted, there was almost a 70% recurrence rate. That's where we as a profession come in for the education and prevention that meds and rest will never do.
firstly thank you for the video it really helped and i think your technique is great. 2nd don't let chiro's (i assume this clown is a chiro) get to you with some stupid comment on youtube... we are ACTUAL RECOGNIZED HEALTH PROFESSIONALS who employ a large variety of techniques and skills to treat our patients...not just HVT's sold to the public under the name of miraculous "adjustments" which can "cure" everything... hoping to see more good videos from you. THANKS!!!
Would this be beneftcial for people who have an elevated first rib and compressing on blood vessels/nerves,etc?? I have had the chiro 'cracking' on my neck before but looking to push down an 'elevated first thoracic rib' that is affecting soft tissue. HELP!
thatìs a technique like others, the important thing is knowing how to do a good assessment and decide which tissue to work with (with wich technique,intensity,freq,ecc). Personally I match the Mezieres method to fascial manipulation, and almost never use thrust manipulations.
So says everyone who is not a PT and wasn't there. I was only rotating him about 5-10 degrees after the SB, and traction. Plus another 10 or so during the thrust. Every profession thinks they're the safest, most specific manipulator.
Hey, maybe UA-cam isn't the right place for this but I'll give it a shot... About a week and a half ago I had a seizure at work. I was standing behind a counter at McDonalds when it occured and I fell back, landing on my butt. Well now I have lower back pain. What should I do? Here's some info: I am 15 years old, weigh about 130 pounds, and am about 5' 9.5" with shoes on. Oh, I have no history of back/neck pain. What can I do myself to fix the pain? Thank you for your time, -Rob
Hey religiouso, im a second yr PT student. Just curious, are thrust manipulations taught in PT school or did you have go take grad ed classes post grad. I would love to add this to my list of treatment options some day also. Thanks and great work!!
@TobiasOfRaivn yeah, he was probably a chiro who has a problem with PTs encroaching on what he/she believes is their territory only. Thanks for watching! More vids at my blog
Chiropractors call ourselves doctors because weare trained in anatomy, physiology, endocrinology, pathology, microbiology, biochemistry, nutrition, and neurology. With that training we are also trained in how to DIAGNOSE issues. Although a DC's primary focus happens to be musculoskeletal, we are also exposed to a vast number of disorders related to the aforementioned as well. Not to mention a growing number of us are becoming movement specialists. For me, it's not an ego thing.
Hey thanks for the great demo and description; only 'critique' would be: take off the metal watch :) --my mentors recommended those belt loop-carribeaner-clip-on watches.
There are a few states in which PTs cannot. I think MDs can in every state, but most are absolutely not trained or qualified, their practice act includes everything. MTs cannot in any state that I'm aware of, it's not part of the curriculum.
your right, but when considering that most of the reliable resourced authors like Panjabi and white, or Gregory Plaugher (which is a great one) explains the biomechanics pretty well. I've seen how PT school is taught, and also Chiropractic, and Chiropractic doctors ALL have gone through extensive training which PT programs don't offer, and attended seminar's outside the chiropractic doctoral program which give more training. If you don't make the right contact, you can make the person worse.
mass generalisation. Every chiropractor learns extremity adjusting/ manipulation. Starting in first year with palpation, moving to biomechanics then finally to manipulation. At the end of the day if you want to get good at something you will learn and become proficient- regardless if you are an osteo, chiro, physio or GP. I am chiro who has worked with 7 physios, my chiro colleague teaches physio students, so I know that BASIC training- chiro has a much larger curriculum in SMT than physios.
This is precisely why old-school Chiropractic (traditional) falls short. Focusing solely on "removing subluxations" is a loaded statement - especially when one considers that a TRUE subluxation is no where near as common place as Chiropractic background educates. As time has past, Chiropractic has been forced to redefine its definition of "subluxation" to increase reimbursement for third parties.
@Sondan1988 Isn't that the definition of someone who is properly trained? Someone who is fine at what they do? PTs are the number one gross movement specialists in the clinical setting, working closely with OTs as well, and finally getting recognized with a doctorate level profession is a gratifying step forward. I know many PTs and not one of them has ever asked me to call them "Doctor" aside from the ones who have actually gone and gotten a DSc or PhD. @ReligiosoPT Thanks for the great demo!
@GOPSpinMachineInOD I know, I wanted to be a Chiropractor or a Neurologist. I took medical classes in high school, now I am a freshmen in college. Business Management.
And what about treating myofascial / soft tissue restrictions? And then re-educating the patient with appropriate neuromuscular techniques / strength training (i.e. actually USING the new motion achieved from maual techniques)? As time goes on, we ALL are realizing that proper patient care demands evidence-based attention to diet, psychosocial factors, and manual / exercise / pain management components. If done, a good Chiro is no different that a good PT, massage therapist, etc.
i Cried when i saw this video....i have been suffering with a problem in my neck that i have been trying to explain for years. I KNOW my body and I KNOW this kind of treatment would completely be 100% effective for me...I will be contacting this doctor and flying out to him as necessary.!
No one owns manipulation, just as many chiros and osteopaths are sloppy manipulators. I am only stating anyone who is qualified can do it. In face, most of the quality peer reviewed research is performed by my profession on thrust manipulation. I'm sure that is not important to you, however. Even the research that chiros use to support manipulation (manipulation vs physical therapy) is often manual PTs vs modality PTs. Who is really being defensive here?
I agree with everything religiosoPT said minus one thing - specific adjustment IS possible for certain joints - not all. But PT, Chiro, Osteo - all the politics are pretty sickening, we're all body workers at the end of the day. - Dr. K.
It's not really about a gross manipulation or a segmental adjustment. It's about freeing up the nerve system not just at the spinal level but the tension on the CNS itself. It's not how you do it but what you accomplished. Not just success according to dogma but a real vivifying of the bodymind. I should be able to go into your office blindfolded, feel spines of the regular patients or clients and think I am feeling people much younger than they actually are. I don't care how you get there
No, we're not chiros any more than chiros are PTs. Every profession thinks they're the most specific, safest, best compared to the others. The truth is it's impossible to be specific, and research done by PTs only, in actual peer reviewed journals also shows it's not necessary to achieve successful outcomes. In fact, you don't even need to use hands on techniques, the McKenzie method is superior in long term studies b/c it empowers the patient, something no adjustment would ever do.
I've heard that the territory fight in the USA is terrible. PTs in Australia (me included) don't really have that angst towards Chiros and Osteopaths that exists in the US. However the "Dr" title really puzzles me, why on earth Chiros call themselves Drs and how they believe they've earnt the title is beyond me. I guess It must be similar to a guy asking his wife/gf to call him "Pharaoh" in the bedroom. An ego thing.
ok you're right. Maybe for me the problem is that here in Italy physiotherapists are not always allowed to do thrust manipulations ...I know it's strange...there is no stated laws, but a kind of tacit denial of physicians. Some physician allows the use without any problem,others don't.The absurd thing is that the non-medical osteopaths (a profession not currently recognized in Italy) do thrusts whenever they want. Sorry for the socio-political explanation.
I am a DC. This is outstanding. This guy knows what he is doing more than most DCs I know unfortunately. Thanks for uploading.
Hi, this is Chuck Norris. You have learned well my disciple.
I am a chiropractor and that looked awesome! PTs can manipulate, just like DCs can rehab. Look at liebenson..he probably rehabs better than 99.9% of PTs do. Why can't some PTs be good at adjusting? Haters gonna hate.
Well put, Religioso. Manipulation, "adjustment", mobilization...it's all the same thing. Period. True specificity cannot be proven. Your technique above was excellent (no doubt you screened vertebral artery first as well as you can). You provide educated feedback to the nay-sayers while remaining professional. Keep it up! You're the resason PT sets the standard for comprehensive, evidence-based, treatment!
I have been to many PT. Not one has done many any good. I have been to many chiropractors and all but one, has done me helped me. I only wish that I had insurance to visit your clinic.This is a great video. However, I wish you would show more of your techniques especially for the lower extremities. I was able to read one question for the exams chiropractors take, Man you chiropractors have to know all about the human body. Chiropractors rock.
One of the best neck manipulations I have ever heard......
@babybunnies It would most likely be beneficial as it could relieve some spasm in your tissues around your first rib. It affects the bones attached to your first rib. However, I would recommend getting tissue work on your upper traps, which may be more beneficial if you haven't had relief in more than 3-4 visits.
@ReligiosoPT thank you for the video. It inspired my 1st visit for an adjustment. My PT took X-Rays and checked my spine and neck alignments. He adjusted and told me facts based on my body's posture, balance and X-Ray findings. Seeing people relieved of their pain, helped me go and seek treatment for mine.
that looked amazing!! Must have felt so good.
I just tried this on my elderly neighbor, how long does it usually take for the swelling to go down?
They are supposed to be taught in PT school as part of every PT ortho curriculum. That is part of getting CAPTE accreditation. That doesn't mean they are, or taught well. In Buffalo, NY they are taught in all 3 of the PT schools here.
I knew the 'rear naked choke' had some sort of therapeutic use!! I like it!
Very cool adjustment there Dr., bravo!
Great video, you can use long axis traction on many manipulation moves. There was an once worked with who manipulated the cervical spine while the patient was in a traction type device and I have found good results with lumbars and si joint while the patient is in traction. Another great video! -Dr. SS
@Sondan1988 actually, in my state we have direct access, this is not a patient, but an instructional video. The "patient" was my resident PT, and we are a doctoral profession with autonomous practice. We have a much more detailed physical exam than other traditional medical professions, I had screened him for red flags and gave him an informed consent. He was treated in the past for acute facet dysfunction. So thanks for your concern, but those of us who are properly trained are fine.
This adjustment is focused on the Cervicothoracic junction, which is the vertebral joint that lies right below the lowest portion of your neck (the bony knob that is most noticeable: "Vertebral Prominence") and directly about the posterior portion of the first rib.
I also mainly do soft tissue manipulation, but some patients will not respond, and still need a bit more work to regain mobility. Thrust is the fastest (literally) way to regain mobility prior to a home exercise program.
please tell me the difference between manipulation and segmental adjusments
What medical model are DC's not observing?
Your videos are fantastic.
Thanks!
> the research also shows the effects of the manipulation/adjustment is transient, lasting about 1-2 hours for neurophysiologic effects and only 24 hours for anagesia
so, does this mean chiropractic adjustments are not cures at all?
Me LOVE! I have big problem with my neck!!
It's been a while since I shot this, I don't even wear a watch anymore! Thanks!
Are these skills transferable? i mean can i use this for self defense ?
@ReligiosoPT Can you be more specific in what type of trapezius work? I have used a TENS machine and use hot pads. It is elusive and a lot of professionals dont know what to do, for I know I cannot be the only one of millions of people who have shoulder first rib problems.
Am an LMT. In my state, only chiropractors may perform high amplitude thrust adjustments-- MDs, PTs and MTs are prohibited.
@ReligiosoPT Oh well, it happens. I was checking out your blog and it looks awesome! I had a question about the tools you're using for STM. Do you use those all the time? I would think it might be somewhat of a barrier to feeling the creep of the tissue in more subtle or more severe cases. They look great for J-stroke, though.
Is an agresive manipulation,gonstead is more safe
So what is a difference between this and when a Chiropractor adjusts my neck?
He was an intern. Naturally relaxed!
It's actually 80% resolve within 6-8 weeks, however when this often quoted stat was revisted, there was almost a 70% recurrence rate. That's where we as a profession come in for the education and prevention that meds and rest will never do.
firstly thank you for the video it really helped and i think your technique is great. 2nd don't let chiro's (i assume this clown is a chiro) get to you with some stupid comment on youtube... we are ACTUAL RECOGNIZED HEALTH PROFESSIONALS who employ a large variety of techniques and skills to treat our patients...not just HVT's sold to the public under the name of miraculous "adjustments" which can "cure" everything... hoping to see more good videos from you. THANKS!!!
very nice technique, we need more patients that can relax as well as the patient you're manipulating :)
People who can manipulate can (hopefully it's within their practice act). The best of us all practice very similarly! thanks!
where did you learn this move?
Would this be beneftcial for people who have an elevated first rib and compressing on blood vessels/nerves,etc?? I have had the chiro 'cracking' on my neck before but looking to push down an 'elevated first thoracic rib' that is affecting soft tissue. HELP!
thatìs a technique like others, the important thing is knowing how to do a good assessment and decide which tissue to work with (with wich technique,intensity,freq,ecc). Personally I match the Mezieres method to fascial manipulation, and almost never use thrust manipulations.
What a satisfying crunch.
So says everyone who is not a PT and wasn't there. I was only rotating him about 5-10 degrees after the SB, and traction. Plus another 10 or so during the thrust. Every profession thinks they're the safest, most specific manipulator.
what do you do with a neck belgeon the right side
Hey, maybe UA-cam isn't the right place for this but I'll give it a shot... About a week and a half ago I had a seizure at work. I was standing behind a counter at McDonalds when it occured and I fell back, landing on my butt. Well now I have lower back pain. What should I do? Here's some info: I am 15 years old, weigh about 130 pounds, and am about 5' 9.5" with shoes on. Oh, I have no history of back/neck pain. What can I do myself to fix the pain? Thank you for your time,
-Rob
Hey religiouso, im a second yr PT student. Just curious, are thrust manipulations taught in PT school or did you have go take grad ed classes post grad. I would love to add this to my list of treatment options some day also. Thanks and great work!!
Okay, thanks. Helped a lot.
Looks like a comfortable, suffocation contact.
Is this Mulligan's mobilisation technique?
Jatin Singh no. It's a thrust manipulation.
I went to a chiropractor once and whatever he did caused me to have terrible back n neck pain for years ..
Great video
@TobiasOfRaivn yeah, he was probably a chiro who has a problem with PTs encroaching on what he/she believes is their territory only. Thanks for watching! More vids at my blog
wut hpnned to him?
Chiropractors call ourselves doctors because weare trained in anatomy, physiology, endocrinology, pathology, microbiology, biochemistry, nutrition, and neurology. With that training we are also trained in how to DIAGNOSE issues. Although a DC's primary focus happens to be musculoskeletal, we are also exposed to a vast number of disorders related to the aforementioned as well. Not to mention a growing number of us are becoming movement specialists. For me, it's not an ego thing.
I'm going to try this on all the people at the bar tonight.
Interesting adjustment. Must try this one. Thanks :)
Hey thanks for the great demo and description; only 'critique' would be: take off the metal watch :) --my mentors recommended those belt loop-carribeaner-clip-on watches.
Completely agree with spynldoc. The neck is too fragile for any moving at all. I suffered from two strokes after an adjustment.
God damn that sounded amazing !
@YurrahAlHadi Yeah i guess that's why it takes 4 years of Chiropractic college & a license to do it to people
This maneuver looks like it might stretch the ligaments, not quick enough.
Are you a chiropractor?
I'ts a bit of a strange position with the arm for me, but if it works it works!
eric bana just got the adjustment of his life
@chiropractic45, glad I could get you all riled up! I'm sure David Palmer would flip out to know that I'm a PHYSICAL THERAPIST, not a chiro.
That popping sound sounded nasty, yet it was relaxing at the same time.
There are a few states in which PTs cannot. I think MDs can in every state, but most are absolutely not trained or qualified, their practice act includes everything. MTs cannot in any state that I'm aware of, it's not part of the curriculum.
@samjl4 No its definetely not so easy to break necks like in films. Look some wrestling techniques with neck twist moves and you'll see it.
My favorite cervical manipulation video on youtube haha
your right, but when considering that most of the reliable resourced authors like Panjabi and white, or Gregory Plaugher (which is a great one) explains the biomechanics pretty well. I've seen how PT school is taught, and also Chiropractic, and Chiropractic doctors ALL have gone through extensive training which PT programs don't offer, and attended seminar's outside the chiropractic doctoral program which give more training. If you don't make the right contact, you can make the person worse.
mass generalisation. Every chiropractor learns extremity adjusting/ manipulation. Starting in first year with palpation, moving to biomechanics then finally to manipulation. At the end of the day if you want to get good at something you will learn and become proficient- regardless if you are an osteo, chiro, physio or GP. I am chiro who has worked with 7 physios, my chiro colleague teaches physio students, so I know that BASIC training- chiro has a much larger curriculum in SMT than physios.
This is precisely why old-school Chiropractic (traditional) falls short. Focusing solely on "removing subluxations" is a loaded statement - especially when one considers that a TRUE subluxation is no where near as common place as Chiropractic background educates. As time has past, Chiropractic has been forced to redefine its definition of "subluxation" to increase reimbursement for third parties.
Great
fantastic
wow love it
Wooohhhhhh increíble!
@Sondan1988 Isn't that the definition of someone who is properly trained? Someone who is fine at what they do? PTs are the number one gross movement specialists in the clinical setting, working closely with OTs as well, and finally getting recognized with a doctorate level profession is a gratifying step forward. I know many PTs and not one of them has ever asked me to call them "Doctor" aside from the ones who have actually gone and gotten a DSc or PhD.
@ReligiosoPT Thanks for the great demo!
I would love to see a hip pop of the sacrum area....
.... Luke? Wheres Linus?
Dexter would be proud.
you were cute
Great crack!!!!
I did this at school today, my friend stop moving.. i think i'm wanted for questioning...
1 out of 1.5 million.
@GOPSpinMachineInOD I know, I wanted to be a Chiropractor or a Neurologist. I took medical classes in high school, now I am a freshmen in college. Business Management.
And what about treating myofascial / soft tissue restrictions? And then re-educating the patient with appropriate neuromuscular techniques / strength training (i.e. actually USING the new motion achieved from maual techniques)? As time goes on, we ALL are realizing that proper patient care demands evidence-based attention to diet, psychosocial factors, and manual / exercise / pain management components. If done, a good Chiro is no different that a good PT, massage therapist, etc.
i Cried when i saw this video....i have been suffering with a problem in my neck that i have been trying to explain for years. I KNOW my body and I KNOW this kind of treatment would completely be 100% effective for me...I will be contacting this doctor and flying out to him as necessary.!
This is the type of person who is a proponent of Chiro. Despite not having the procedure, he KNOWS that it'd work for him. Just plain stupidity.
Did you get treatment?
No one owns manipulation, just as many chiros and osteopaths are sloppy manipulators. I am only stating anyone who is qualified can do it. In face, most of the quality peer reviewed research is performed by my profession on thrust manipulation. I'm sure that is not important to you, however. Even the research that chiros use to support manipulation (manipulation vs physical therapy) is often manual PTs vs modality PTs. Who is really being defensive here?
I'm not a chiro, I'm a PT! Chiro's call themselves Dr (as some of us do) because we have a doctorate degree.
whoa! Thats the "neck crank" move in MMA. I would of tapped out before the crazy POP!
Don't know many D.O's that do adjustments, most just write prescriptions
I learned all I need to know about chiropracting by watching old chuck norris and steve segal movies.
I agree with everything religiosoPT said minus one thing - specific adjustment IS possible for certain joints - not all. But PT, Chiro, Osteo - all the politics are pretty sickening, we're all body workers at the end of the day.
- Dr. K.
this is very dangerous you could totally mess someone up.
yup
nice... take out your watch though
I think it's trying to communicate.
but nice it helps a lot.
It's not really about a gross manipulation or a segmental adjustment. It's about freeing up the nerve system not just at the spinal level but the tension on the CNS itself. It's not how you do it but what you accomplished. Not just success according to dogma but a real vivifying of the bodymind. I should be able to go into your office blindfolded, feel spines of the regular patients or clients and think I am feeling people much younger than they actually are. I don't care how you get there
No, we're not chiros any more than chiros are PTs. Every profession thinks they're the most specific, safest, best compared to the others. The truth is it's impossible to be specific, and research done by PTs only, in actual peer reviewed journals also shows it's not necessary to achieve successful outcomes. In fact, you don't even need to use hands on techniques, the McKenzie method is superior in long term studies b/c it empowers the patient, something no adjustment would ever do.
i did this to my sister i made her sleep with this relaxing trick
Notice he has the instruction manual opened behind him.
I've heard that the territory fight in the USA is terrible. PTs in Australia (me included) don't really have that angst towards Chiros and Osteopaths that exists in the US. However the "Dr" title really puzzles me, why on earth Chiros call themselves Drs and how they believe they've earnt the title is beyond me. I guess It must be similar to a guy asking his wife/gf to call him "Pharaoh" in the bedroom. An ego thing.
ok you're right. Maybe for me the problem is that here in Italy physiotherapists are not always allowed to do thrust manipulations ...I know it's strange...there is no stated laws, but a kind of tacit denial of physicians. Some physician allows the use without any problem,others don't.The absurd thing is that the non-medical osteopaths (a profession not currently recognized in Italy) do thrusts whenever they want. Sorry for the socio-political explanation.
I wanna know how many cases of these guys actually breaking someones neck...