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If the person has a fused ankle would you use the same technique. Really grateful that you share your experience and knowledge. I'm really wanting to get into this field of work.
Interesting question, Depends on where the ankle is fused and what my goals are for the patient. For example, someone with a fused talocalcaneal joint would still benefit from calf release, as dorsiflexion of Tibiotalor joint may improve. If someone had a fused Tibiotalor joint there may be benefit to releasing active trigger points, but latent trigger point or tender points may not be worth releasing as no increase in motion may not be had. Unfortunately, this is one of those times when "it depends" is the appropriate answer, Dr. B2
Thanks for this video. I have had chronic bilateral calf pain for several years, and my Dr. has no recommendations other than good hydration. Who would I get to do this? Physical therapist?
Hey Jennifer, A knowledgeable massage therapist could perform this technique... a physical therapist would be ideal. Athletic trainers and chiropractors can also administer these techniques. Dr. B2
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Is it possible to apply these same techniques effectively on yourself (ie: seated on the floor with a bent knee, allowing access to the back of the leg)?
+Chris Holloman Yes-ish... It won't feel quite as good, or be quite as effective as having an experienced manual therapist do the technique to you, but I have done exactly what your suggesting while warming-up for my work-outs. Dr. B2
Me personally, no. I think it is easier to pin the tissue by pressing the individual into dorsiflexion with my thigh and creating a broad surface to block the trigger point as it is pulled into my thumb. But... it is more comfortable for you to apply pressure perpendicular to the fibers, that is probably fine. When it comes to manual techniques I can really only assert that we are showing "1 good way" perform the technique. I have seen these techniques done in various ways in various positions. Once you have the basic idea behind the modality, it is up to you to refine your repertoire to your preferences. ;-) Dr. B2
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Hi Brent, Thanks for the video. I am in content search of help for a compressed nerve in my leg. Ive had emg but they say they don't see anything. I started having problems after my knee kept shifting then my leg gave out and I hurt it. The dots on that persons leg that you have drawn are similar to where my problem is. The top of my fibula bone hurts and it seems it starts there. I have good motor skills i think but my leg and foot feels asleep. My knee doctor is doing some injections and said maybe we need to do a knee replacement but I feel that they have to address this leg issue first. This had been and issue for over a year now. Any Suggestions.
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I can't walk for a long a time or walk very fast because my calf muscles will start acheing so badly I can't even stand. It's feels like I have bricks on my legs and I can't move because if I do attempted to keep walking through the pain and aching then my legs will get stiff and cause me to stop and sit on the ground because I can't even stand because putting pressure on my legs really hurts my calf muscle when I'm resting my legs I have to sit down it's the only way to get rid of the pain. I have to sit down to get the pain off my calf muscle. Do you know what is wrong?
@@yaneponil1470 It happened after I brought a new pair of school shoes. My old shoes I had for 3 years but they where becoming cracked and the black fabric was wearing off. So I decided to buy new shoes, The new shoes where a bit tighter around the sides of my foot but my dad said '' they will become looser once I wore them out ''. I used to walk with my toes faceing out would. But my new shoes made my foot walk straight not out like everyone one else. I couldn't afford to pay for another shoes so I begin to get used to walking differently for about a year. I soon after I discovered I lost my sense of balance after I wore different types of shoes.
@@yaneponil1470 After loosing my sense of balance to walk I begin to feel numbness in my legs more quicker than usual after crossing my legs or sitting on the ground. And I noticed I couldn't walk as fast as other people. I tried pushing my legs to speed walk faster but It was causeing my legs to ache. I noticed that my balance was off that my new shoes made my foot straight instead of out would or slightly bent. When I try to power walk my sense of balance would make my feet wobble in different directions. I hated walking slow so I forced my legs to walk faster even though it was causeing me pain and unstable balance. I would sometimes stumble on my own legs.
@@yaneponil1470 Soon after pushing my legs to walk faster and longer distance I begin to feel my calf muscle to ache. My foot would become more tired the more I stared walking. I had no choice but to keep wearing the shoes because no one was willing to buy me new shoes. After 2 years of wearing the shoes my foot and my calf have been worsened every time I walk. I can no longer walk fast nor walk a long distance without my feet feeling numb and sore.
Backstory: I'm still a student but during my clinic hours I have a regular who comes in and complains of sharp shooting pain in her calf but its really only when they are walking DOWN stairs. So far the only thing that seems to help is compression but its only been a temporary fix because they come back everyday for the same massage and as much as I enjoy their company I want to be able to make long term results for them. Would this technique work better than the compression? If not what would be better?
Potentially... this technique works great for active trigger points (which could be a cause of your patient issues). You may want to take a more holistic approach and look at ankle dysfunction, checking the tibiotablor, talocalcaneal, distal and proximal tibiofibular joints. Looking for other plantar flexors that may be over-active (tibialis posterior, FHL, FDL), adding stretching for the calf, and activation for the tibialis anterior and tibialis posterior. Following this up with eccentric strengthening and stabilization work should have better carry over. Dr. B2
Hi Brent! First-time commenter, long-time watcher. Would there be any additional benefits to pumping the ankle with your thigh to move the tissue back and forth under your thumb in a contractile myofacial release fashion?
+Xena WarriorPrincess Great question Xena, What you are alluding to is often termed a "dynamic release", "active release", or pin and stretch technique. We will be doing a separate video for this variation as the intent, hand position and protocol is a bit different than static release techniques. Thanks for the question, Dr. B2
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+raytor12 I needed Brian for some of the other videos that we will be publishing in the upcoming weeks, so he was stuck with me on this one as well. Every once in a while I need to give Melissa a weekend off too ;-)
I've done the stretchs that my consultant has given me. But in his last examination of my ankle, he still noticed there was limited mobility in my ankle that Is why i have gone with the surgery to take away heal, tendon pain
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I never regret spending time watching your vids brent. nice tip with tensioning the calf with the foot speaking of thumbs, what do you think of massage tools? I don't get any joint pain in my thumbs and I'm conscious in avoiding extension stress points but my thenars don't half take a battering!
+Karl Humphreys Great question Karl, I don't use massage tools, but I am not against them. As I have both the practice and education company to keep going, I generally don't see more than 4 - 5 patients in a day. I think this saves me a lot of wear and tear. I am careful with my technique and generally don't have any issues. I have tried to use massage tools in the past, and what bothers me is the inability to "feel" taut bands, nodules, trigger points, etc.. I have not found a tool that both saves my fingers and allows me the same tactile response. I do use IASTM, which despite having a different intention, does help to break things up a bit and give my hands a rest. Hope that answers your question Karl, Dr. B2
When I am waking up, the first couple stretches, I'm not even fully awake yet, sometimes my left inner gastro will slowly stretch out to it's limit, which I feel, am aware of, but still sleepy, and once or twice a year, I can feel it start to roll over, a hideous feeling, I know I have to stop or.... I try to stop, relax, sometimes, I get it in time, but evry once in a while, it's too late, it teeters back and forth a couple times like it's on an oval pulley, I don't have enough lucidity yet to know which way to move it, and POP! rolls over the wrong way.... oi, happened today s.o.b. Doc, s.o.b lol So i've been trying your pro lesson plan on myself, can't get it released.omg, it hurts so much when you touch right on the fold, arrggghhh haha
Sounds to me the causes to all the symptoms were weaknesses and tightness in several major muscle groups from the lower half of the body. Feet pointed out- week foot arch, glutes medius, and hip abductors. Calves turning into stone by end of day, muscle tightness- calves, soleous, abductors, hip flexors. Possibly anterior pelvic tilt was contributing to the issue- weak glutes, abs, and hip flexors. Foam roll, massage, stretch, and strengthen should help clear all this. Respectfully, get up off your @ss if you’re sitting all day. Work and strengthen the glutes, glutes, glutes both medius and max. Once you’re back to normal, go for a walk, making sure your glutes are engaged helping the other leg muscles. There are plenty of vids on these exercises and stretches. I know this thread is old, but here’s a solution if someone is reading.
Why is Brian’s lumbar spine in extension? It’s not helpful for educational purposes when treating the triceps surae 😉with the greatest respect of course, just pointing it out 🦋🌸
Actually he checks in with him frequently. He doesn't ask verbally, but checks his facial expression every time he applies pressure. I think warmth would be a bit out of place (even awkward) in an educational video like this.
@@Kelly_Ben You're mistaken mate as I'm experienced and it wouldn't hurt to do it verbally to indicate good practice - ridiculous excuse to say because it is an educational vid - that makes no difference.
@@user-xn2hf9re8r The purpose of the vid is to teach experienced professionals further techniques, not to say "look I'm warm and fuzzy. " The mirror in front of the patient that he checks constantly is more than enough feedback when they've probably already spoken ahead of time about the video focusing on technique instead of the client's reaction to it. Educational videos are a different type of filming. If your " experience" doesn't help you understand that, not my (or the doctor's) problem. The only arrogance I see here is yours. Good day. :)
@@Kelly_Ben are you really so ignorant as it's fascinatingly delusional response. It is on UA-cam so open to everyone and anyone with any level of professionalism wouldn't be getting their educational training on here. Plus I've never seen any insurance company which accredits UA-cam vids as your professional training you stupid cow.
You lost interest? This video is for a knowledgeable practitioner, not the general public. I have been practicing for 12 yrs and believe me, you need all the information and visual to understand what he is going correctly.
Out my scope but still doing it. No money for doctor. Thank you
self help is different that doing things to clients when it's not in your scope!
Excellent demonstration of trigger point and pressure techniques.
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Do you have a video about recovering from calf muscle tear?
If the person has a fused ankle would you use the same technique. Really grateful that you share your experience and knowledge. I'm really wanting to get into this field of work.
Interesting question,
Depends on where the ankle is fused and what my goals are for the patient. For example, someone with a fused talocalcaneal joint would still benefit from calf release, as dorsiflexion of Tibiotalor joint may improve. If someone had a fused Tibiotalor joint there may be benefit to releasing active trigger points, but latent trigger point or tender points may not be worth releasing as no increase in motion may not be had.
Unfortunately, this is one of those times when "it depends" is the appropriate answer,
Dr. B2
Thanks for this video. I have had chronic bilateral calf pain for several years, and my Dr. has no recommendations other than good hydration. Who would I get to do this? Physical therapist?
Hey Jennifer,
A knowledgeable massage therapist could perform this technique... a physical therapist would be ideal. Athletic trainers and chiropractors can also administer these techniques.
Dr. B2
it is a sports chiropractor. he or she can use the class 4 laser on it. Good luck.
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I have pain same area can’t running long distance. How can you help please ?
Is it possible to apply these same techniques effectively on yourself (ie: seated on the floor with a bent knee, allowing access to the back of the leg)?
+Chris Holloman
Yes-ish... It won't feel quite as good, or be quite as effective as having an experienced manual therapist do the technique to you, but I have done exactly what your suggesting while warming-up for my work-outs.
Dr. B2
question, would you not want to go perpendicular to the fibers when you put the pressure on?
Me personally, no. I think it is easier to pin the tissue by pressing the individual into dorsiflexion with my thigh and creating a broad surface to block the trigger point as it is pulled into my thumb.
But... it is more comfortable for you to apply pressure perpendicular to the fibers, that is probably fine. When it comes to manual techniques I can really only assert that we are showing "1 good way" perform the technique. I have seen these techniques done in various ways in various positions. Once you have the basic idea behind the modality, it is up to you to refine your repertoire to your preferences. ;-)
Dr. B2
Brent thanks for the scope disclaimer. I watched and I promise I didn't learn anything. 😬😬
I second this lol
We'll see how easy it is to say that when you have a client in a pretzel
@@blackopal3138 I was being facetious. 🙄
@@jarondavis9795 🤣👍👍
@@anibaljrbalt ...So was I😮 I was too lazy to go to the emoji page, lol. peace
Great video !
Great video! Clear and concise. Thanks!
You're very welcome David, happy to help!
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Hi Brent, Thanks for the video. I am in content search of help for a compressed nerve in my leg. Ive had emg but they say they don't see anything. I started having problems after my knee kept shifting then my leg gave out and I hurt it. The dots on that persons leg that you have drawn are similar to where my problem is. The top of my fibula bone hurts and it seems it starts there. I have good motor skills i think but my leg and foot feels asleep. My knee doctor is doing some injections and said maybe we need to do a knee replacement but I feel that they have to address this leg issue first. This had been and issue for over a year now. Any Suggestions.
have you had an MRI on that knee or for the spine? and how did the condition start in the first place?
Am new here .
I have the smane problem how can i be helped plz. 5:32
Hi Agnes, we are a virtual education company and working on a referral list for providers.
@@BrookbushInstitute do u have branches or therapists that u can connect me ?
Great description
Thank you!
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I can't walk for a long a time or walk very fast because my calf muscles will start acheing so badly I can't even stand. It's feels like I have bricks on my legs and I can't move because if I do attempted to keep walking through the pain and aching then my legs will get stiff and cause me to stop and sit on the ground because I can't even stand because putting pressure on my legs really hurts my calf muscle when I'm resting my legs I have to sit down it's the only way to get rid of the pain. I have to sit down to get the pain off my calf muscle. Do you know what is wrong?
I'm sorry but we don't give medical advice over the internet without an in person evaluation. I would suggest seeing a physical therapist
How did it all begin?
@@yaneponil1470 It happened after I brought a new pair of school shoes. My old shoes I had for 3 years but they where becoming cracked and the black fabric was wearing off. So I decided to buy new shoes, The new shoes where a bit tighter around the sides of my foot but my dad said '' they will become looser once I wore them out ''. I used to walk with my toes faceing out would. But my new shoes made my foot walk straight not out like everyone one else. I couldn't afford to pay for another shoes so I begin to get used to walking differently for about a year. I soon after I discovered I lost my sense of balance after I wore different types of shoes.
@@yaneponil1470 After loosing my sense of balance to walk I begin to feel numbness in my legs more quicker than usual after crossing my legs or sitting on the ground. And I noticed I couldn't walk as fast as other people. I tried pushing my legs to speed walk faster but It was causeing my legs to ache. I noticed that my balance was off that my new shoes made my foot straight instead of out would or slightly bent. When I try to power walk my sense of balance would make my feet wobble in different directions. I hated walking slow so I forced my legs to walk faster even though it was causeing me pain and unstable balance. I would sometimes stumble on my own legs.
@@yaneponil1470 Soon after pushing my legs to walk faster and longer distance I begin to feel my calf muscle to ache. My foot would become more tired the more I stared walking. I had no choice but to keep wearing the shoes because no one was willing to buy me new shoes. After 2 years of wearing the shoes my foot and my calf have been worsened every time I walk. I can no longer walk fast nor walk a long distance without my feet feeling numb and sore.
Backstory:
I'm still a student but during my clinic hours I have a regular who comes in and complains of sharp shooting pain in her calf but its really only when they are walking DOWN stairs. So far the only thing that seems to help is compression but its only been a temporary fix because they come back everyday for the same massage and as much as I enjoy their company I want to be able to make long term results for them.
Would this technique work better than the compression? If not what would be better?
Potentially... this technique works great for active trigger points (which could be a cause of your patient issues). You may want to take a more holistic approach and look at ankle dysfunction, checking the tibiotablor, talocalcaneal, distal and proximal tibiofibular joints. Looking for other plantar flexors that may be over-active (tibialis posterior, FHL, FDL), adding stretching for the calf, and activation for the tibialis anterior and tibialis posterior.
Following this up with eccentric strengthening and stabilization work should have better carry over.
Dr. B2
Hi Brent! First-time commenter, long-time watcher. Would there be any additional benefits to pumping the ankle with your thigh to move the tissue back and forth under your thumb in a contractile myofacial release fashion?
+Xena WarriorPrincess
Great question Xena,
What you are alluding to is often termed a "dynamic release", "active release", or pin and stretch technique. We will be doing a separate video for this variation as the intent, hand position and protocol is a bit different than static release techniques.
Thanks for the question,
Dr. B2
You use verbiage to explain what is felt in the tissue really well.
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Where's Melissa?
+raytor12
I needed Brian for some of the other videos that we will be publishing in the upcoming weeks, so he was stuck with me on this one as well. Every once in a while I need to give Melissa a weekend off too ;-)
I've done the stretchs that my consultant has given me. But in his last examination of my ankle, he still noticed there was limited mobility in my ankle that Is why i have gone with the surgery to take away heal, tendon pain
Great! That is Shiatsu . I saw the same technic who Aikido master doing Shiatsu. Thanks for video.
Thank you too!
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Thank you!
You're welcome!
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great video, thank you
You're very welcome!
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I never regret spending time watching your vids brent.
nice tip with tensioning the calf with the foot
speaking of thumbs, what do you think of massage tools? I don't get any joint pain in my thumbs and I'm conscious in avoiding extension stress points but my thenars don't half take a battering!
+Karl Humphreys
Great question Karl,
I don't use massage tools, but I am not against them. As I have both the practice and education company to keep going, I generally don't see more than 4 - 5 patients in a day. I think this saves me a lot of wear and tear. I am careful with my technique and generally don't have any issues. I have tried to use massage tools in the past, and what bothers me is the inability to "feel" taut bands, nodules, trigger points, etc.. I have not found a tool that both saves my fingers and allows me the same tactile response.
I do use IASTM, which despite having a different intention, does help to break things up a bit and give my hands a rest.
Hope that answers your question Karl,
Dr. B2
I need to have someone do this for me but don’t know where to even begin looking.
I do this kind of work, do you live near albany NY?
Krieg Meister I live on Long Island unfortunately
When I am waking up, the first couple stretches, I'm not even fully awake yet, sometimes my left inner gastro will slowly stretch out to it's limit, which I feel, am aware of, but still sleepy, and once or twice a year, I can feel it start to roll over, a hideous feeling, I know I have to stop or.... I try to stop, relax, sometimes, I get it in time, but evry once in a while, it's too late, it teeters back and forth a couple times like it's on an oval pulley, I don't have enough lucidity yet to know which way to move it, and POP! rolls over the wrong way.... oi, happened today s.o.b. Doc, s.o.b lol
So i've been trying your pro lesson plan on myself, can't get it released.omg, it hurts so much when you touch right on the fold, arrggghhh haha
Bryan has the expression of being messed with
Sounds to me the causes to all the symptoms were weaknesses and tightness in several major muscle groups from the lower half of the body. Feet pointed out- week foot arch, glutes medius, and hip abductors. Calves turning into stone by end of day, muscle tightness- calves, soleous, abductors, hip flexors. Possibly anterior pelvic tilt was contributing to the issue- weak glutes, abs, and hip flexors. Foam roll, massage, stretch, and strengthen should help clear all this.
Respectfully, get up off your @ss if you’re sitting all day. Work and strengthen the glutes, glutes, glutes both medius and max. Once you’re back to normal, go for a walk, making sure your glutes are engaged helping the other leg muscles. There are plenty of vids on these exercises and stretches. I know this thread is old, but here’s a solution if someone is reading.
The sub titles are on your hands and we can't see what u are doing
Hi Sumi, you should be able to click and hold on the subtitles and move them
How i wish what u were saying were true
Why is Brian’s lumbar spine in extension? It’s not helpful for educational purposes when treating the triceps surae 😉with the greatest respect of course, just pointing it out 🦋🌸
Bowen therapy. Looking it up.
Bowen? I'm confused... what are you trying to look up?
I just don't like this guy's approach there's a lack of warmth and authenticity + arrogance. He didn't once check with the patient.
Actually he checks in with him frequently. He doesn't ask verbally, but checks his facial expression every time he applies pressure. I think warmth would be a bit out of place (even awkward) in an educational video like this.
@@Kelly_Ben You're mistaken mate as I'm experienced and it wouldn't hurt to do it verbally to indicate good practice - ridiculous excuse to say because it is an educational vid - that makes no difference.
@@user-xn2hf9re8r The purpose of the vid is to teach experienced professionals further techniques, not to say "look I'm warm and fuzzy. " The mirror in front of the patient that he checks constantly is more than enough feedback when they've probably already spoken ahead of time about the video focusing on technique instead of the client's reaction to it. Educational videos are a different type of filming. If your " experience" doesn't help you understand that, not my (or the doctor's) problem. The only arrogance I see here is yours. Good day. :)
@@Kelly_Ben are you really so ignorant as it's fascinatingly delusional response. It is on UA-cam so open to everyone and anyone with any level of professionalism wouldn't be getting their educational training on here. Plus I've never seen any insurance company which accredits UA-cam vids as your professional training you stupid cow.
He was anticipating the pain. Tell him to relax and actually breathe poor instruction given to client
Wow, takes a really long time to get to the point. Lost interest after a couple minutes. Sorry Brent. Good luck Brian.
You lost interest? This video is for a knowledgeable practitioner, not the general public. I have been practicing for 12 yrs and believe me, you need all the information and visual to understand what he is going correctly.