0:00 “Julie tell me what’s going on with your
elbow?”
“Uh well I did have an injury from some crossfire lifting that I attempted to do and
I tried to get physical therapy after that for both my elbows.
That was unsuccessful so I went in for cortisone injections and they worked for about 3 months.
Now one elbow is back to painful.”
“Um how much pain from 0 to 10 do you feel there at worst?”
“I would say probably an 8.”
“So what kind of motion aggravated it?”
“Um just bending, griping, lifting any kind of weight.
Really about 3 pounds or more.”
“So before you said you had PT cortisone shots?”
“Right.”
“Alright so I mentioned everything should not aggravate your symptoms.
So lets actually do the motion with the weight and you tell me how much it feels now.”
1:10 “See it hurts in here and to lift this way.
I would say thats probably about a 6.”
“Out of 10?”
“Yes.”
“Any other motions?”
“This motion and the gripping.”
“The gripping itself, how much would that?”
“I would say about the same.”
“Alright let me see your range of motion, bend all the way.
Do you have an issue with that?
Let me see both of them.
Okay straighten your elbow.
It’s a little bit tight not too bad.
Like this..alright let me work on that.
So this has been going on for 3 months?”
“Mm it started in March.”
“In March and subsided then came back.”
“Right came back after about 3 months, after the injections.”
“After the injections okay and you feel it localize here and going down?”
“Well it’s mostly here but I feel it gong across my forearm.”
“So is that painful here?”
3:04 “So can you explain to us what kind of treatment
you had in PT.”
“I’ve had some ultra sound and I don’t know what that tool..”
“So they used a metal tool..”
“A metal tool to break up scar tissue I guess.”
“To break up the scar tissue and how did you feel after that?”
“Very painful, very, very sore for weeks.”
“So I want you to tell me after that treatment, we’re going to break the scar tissue up,
compared to what you had before with the metal tool.
Okay this is not metal.”
“Okay.”
“Is that too much?”
“No” “Okay, I actually feel the scar tissue there.”
“You do?”
“Do you feel this, that’s the scar tissue.”
“Yeah.”
“It should feel like nice and smooth.
See how there is no scar tissue here and here there’s bumps.
You’re going to feel it more actually with this instrument.
It’s easy to feel it with the instrument.”
4:11 “Is that too much?
Make sure it’s not painful for your symptoms.
Are you right-handed?”
“Yes.”
“So do you feel pain with typing, writing or something like that?”
“Not too much with that.
It’s mostly with lifting.”
“Okay it’s going to feel cold.
Do you feel this part here, it’s the scar tissue.
Is that painful, you have scar tissue up here?”
“No it’s okay.”
“Did you injury your shoulder, your biceps, your triceps?”
“No.”
“And you will see the scar tissue as redness and you’ll feel the bumps.
You feel that?
It should feel nice and smooth like this.
Can you tell the difference?”
“Yes I can.”
“Could you feel the scar tissue with the other instrument when they used it?”
“No I didn’t look for it when they did it to me.”
“Yeah I made this design specifically for assessment to help discover and detect the
scar tissue.”
“Is that painful?”
“No it’s okay.”
“Make sure it’s pain free, okay?
Not aggravating the symptoms.”
“So theres a fine line between breaking the scar and causing it.”
“Okay.”
“If you feel any pain while using this they are actually causing more scar tissue and
more trauma to the hand.
It’s actually contradicting with the treatment itself.
You know, you’re trying to break the scar tissue and actually causing more scar tissue.
You’re going to start the healing cycle again and inflammation.
That’s why I don’t want you to feel pain while I’m working on you to make sure it’s
not causing trauma and we’re just breaking only.. the scar tissue.
Any pain with that?”
“No.”
7:10 “So Alyssa, after working on it for a few
minutes lets move your elbow and tell me how that feels?”
“It feels much better, a little looser.
I still feel a little tension here but much better than it was.
Probably went from an 8 to a 3.”
“Can you tell because you had the instruments before, the metal one, can you tell a difference
between the treatment you had before and the ASTR treatment?
“Yes this feels obviously you worked on it but when I had the metal it was pain.
It was painful for a few days after.”
“After the treatment?”
“Yeah.”
“Okay but did you feel pain with the treatment we did today?”
“No.”
“Okay so what do you think about ASTR treatment?”
‘Yes so far so good.”
“Okay awesome, thank you so much.”
“Yes, thank you.”