0:00- Hello Everyone my name is Dr. Jacobs.
I’ma doctor of physical therapy, and I’m also the inventor of Advanced Soft Tissue
Release (ASTR specialty).
I am a cancer survivor and I used to suffer from chronic migraines, headaches, pain, and
fatigue before I invented ASTR specialty.
Alright Joslene tell me what is going on with your knees and your hip.
I guess it’s just been going on so long it just seems normal.
How long, how many year in average?
Ten, well even when I got my hip surgery nothing really came back to normal.
So you had what kind of surgery for your hip?
A full hip replacement.
Total hip replacement for your right hip?
Okay, so what kind of symptoms you currently have now?
I have no rotation in my right leg, um I can’t like lift it, it hurts if I try.
1:00- How much pain from 0-10?
Umm, well you know, you try to avoid pain so I’m not going to life it to cause myself
pain.
At worse, how much if we push it.
I’d say about 8.
That’s very tight, 8.
Okay, sharp dull aching?
What kind of pain?
It’ like muscle cramping in your hip.
And you said like ten years this cramp, pain you experience there?
Yea, this never really got better with surgery.
But then I thought I was compensating for, the left, my good leg starting getting me
in trouble.
Yea my left knee especially, I couldn’t I stopped being able to straighten it.
You couldn’t straighten it?
It really really hurt.
The left knee for ten years too or for how long?
Um, I’d say that maybe 5 years.
2:00- So the right side ten years of issues and then 5 years.
So what’s difficult for you to do because of this issue?
Stairs.
Stairs, climbing, okay.
At times i have to decline the stairs backwards.
Oh wow.
Even now I walk up stairs one at a time.
You do one step at a time to compensate.
Always holding on to the rail.
What about walking, getting to the floor, like you said you have granddaughter.
Umm, getting down on the floor is difficult I have to find things to brace myself to get
down, I have to find things to brace myself to get up.
I cannot squat.
You cannot squat, it’s painful.
Okay so we’re going to do a couple of those motions.
And we’ll do the treatment afterwards and we’ll try it again to see how your body
responds to the treatment.
So one of the motion is just flexing like this.
3:00- The other one is squatting.
Okay, lets try to squat.
Like don’t push the pain okay?
Okay.
And tell me how much pain with that?
Its painful.
Like 0-10 how much?
Like 5.
Okay, so lets go.
Sorry, okay.
Stop when you feel the pain.
Okay, can you see this, it’s 20.
Can you feel this.
Yea like 26.
She put her leg down because of the pain but it’s 26.
Alright so um bend your knee.
Okay, so we’ll measure this too.
Okay, so its 90 degrees.
Remember these numbers it’ll be on the test.
4:00- I’m gonna ask you.
Straighten your knee, lets do you other knee okay?
Bend your knee.
So you can tell the difference, this is like 105 the other one is 92 and that was 25.
Remember those numbers.
So we’re gonna work on that.
For the hip is right there.
I’m not gonna expose it but it’s okay to work on it?
Yea.
Yea?
Okay.
Okay, so that limitation for the last ten years.
Yea?
5:00- Because when I came out of surgery my, this leg was turned in and then I did physical
therapy.
Oh yea what kind of treatments you had before?
I forget to ask you.
I forget what the physical therapy was it was so long before.
So you had physical therapy and what else.
You said you had mobilization before like chiropractor?
Um, I tried different things but nothing really helped.
What else?
Oh massage, massage therapy.
So you had pt, physical therapy, massage.
You said for mobilization who did that, chiropractor or pt?
Umm, it was physical therapy yea.
New Jersey was the last time.
New Jersey?
Yea, I used to live in New Jersey.
6:00- So you will tell me the difference, this is called ASTR, ASTR treatment so you
will tell me the difference because you’ve had that physical therapy before.
If you can tell any difference from treatment using those instruments.
It’s gonna feel cold okay.
Oaky.
Do you feel those bomb here?
Yea.
That’s the scar tissue.
So we get scar tissue from accident trauma, poor posture, poor body mechanic.
So our muscle should act like a rubber band when its contracting and relaxing it does
this.
From your history of limping you start to have a micro tear in the muscle and your body
has to build the scar tissue to heal itself if our body doesn’t build scar tissue it’s
a permanent tear.
So probably because of your history you did a lot of limping for a long time so a lot
of micro tear instead of your muscles stretching like this you have a knot in your muscle so
when your muscle stretch it does not go far.
7:00- So when you try to do those rang of motions, it’s limited.
And with surgery you had scar tissue form surgery.
If you don’t have scar tissue it’ll never heal, we need scar tissue the problem is,
lift your legs up.
If we have too much scar tissue it’s in the way.
Scar tissue is something good actually but too much is not good.
So and you feel those bombs here so thats where you have trouble with flexing your knee.
And before I went to do surgery, this right leg was shorter.
Sorry sorry, make sure it’s not painful okay.
Okay, lets actually lie on your side.
8:00- Next time bring shorts okay, so we can work.
Is this painful what I’m doing, sorry.
Make sure it’s not painful okay.
And don’t kick me.
Okay.
It’s all so painful.
Sorry.
It’s painful here too, yea but less.
Really a lot right here.
Is it because of the position?
Bend your knee, so its sensitive to touch.
What about now?
Still pain.
Oh man you got a lot of scar tissue here, you’re not tolerating that.
I’m gonna do something else okay.
9:00- So let me so you said it’s right in her where you had the surgery.
Make sure it’s not painful what Im doing.
i’m going to work on breaking some of the scar tissue here.
Is it painful.
No.
Feel the bomb here?
Yea.
This is the side she had the total hip replacement so we’re working on the scar tissue there.
She had it ten years ago you said.
2002, we are in 2018.
So it’s 16 year.
Wow 16 years.
Is it painful here, do you feel the scar tissue?
I feel it but it wasn’t the same thing I was feeling.
We got some work to do here, you have a lot of scar tissue here.
It’s like all the sudden the areas come alive.
Yea.
10:00- Good thing it’s still alive, you know?
Let me know if that’s too much okay.
So for your knee when you’re bending, it was all in your quads the pain or where you
were feeling the pain?
All in my knee mostly.
Just the knee joint yea?
Yea.
And you had shots and.
Let me know if it’s too much okay.
Okay.
Sorry.
Don’t scream, we’re recording.
Nah it’s okay just make sure it’s not painful okay.
11:00- Sorry, sorry sorry.
You definitely have a lot of inflammation.
Okay lets lie on your back.
And I’ll telly you something, recently I was able to lie on my stomach.
I haven’t been able to lie on your stomach.
Oh wow.
I don’t want you to lie on your stomach it’s not good for your neck.
Just sleep on your side or your back but not on the stoamch.
Okay.
Okay lets try to take the range of motion again.
Bend your knee.
So this was 92, lets see how far we can go.
Can you see that?
It’s a 105 the same as the other side.
105, like the other side.
That’s good, so 92 to 105, 13 degrees.
12:00- Is that correct.
Okay so, lets straight leg raise, that was 25, lets see how far.
Can I bend this knee?
Yea sure, it doesn’t want to go anywhere.
Okay, so lets work.
Where do you feel it?
Right in here.
Let me, Im not gonna use my hand Im gonna use instrument, is that oaky?
Yes.
Okay so bend your knees.
Oh thats another thing when I wanna get in and out of the car I have to lift my legs.
Well thats related to muscle weakness.
Relax.
We just need to strengthen whatever we do here you’re not gonna get range of motion
we just need to strengthen it.
So i will know today or limitation if it’s just soft tissue or just weaknesses depending
on how you feel.
13:00- Is that painful.
So how long you cant do straight leg raise?
Ever since my surgery.
16 years?
So 16 years lets see.
I’m sure there’s a lot of weakness here.
We will do a couple of things.
That’s a smile okay.
Let me know if that’s too much okay.
It’s okay.
Too much or its okay.
It’s okay.
So 16 years you had problem with straight leg raise.
It was 25 degrees we’ll see.
Too much or it’s okay?
It’s okay.
14:00- So try it again.
Let’s do the straight leg raise again.
Wow that is wow.
I have never been able to do that.
That is 53, you see that.
Magic. 53.
16 years you can’t do this.
It just felt like a piece of dead weight.
It was 25 degrees now it’s 53.
It really really hurt.
Lets ry it again okay.
This is the second visit for Joslene.
So we worked on it on the first visit and now we are going to measure the hip flection
after working on that total hip scar tissue.
15:00- So I had Linda work on the scar, there was a scar on the front and the back.
And the range of motion originally was 25 degrees on the first treatment so now we’re
gonna check ow much she can lift her leg up.
And you tell me if you feel any pain okay.
Okay so start.
I’m starting to feel a little pain but I can’t believe this.
Okay, so look at this it’s 100 degrees.
It’s a little tight here but it was 25 originally.
This is the second treatment.
I couldn’t even lift it I couldn’t even bend it like that.
How much pain the first treatment, it was like 8 or something like that.
Yes, yes, yes.
How do you feel now, after just two treatments and that range of motion.
I am amazed, I, no let me do it again because I can’t believe this.
I cannot believe it.
16:00- Ugh.
Alright so what do you think about ASTR treatment.
I think it’s like amazing.
Yea thank you so much.
Overwhelmed, yea I’m glad you’re doing better.
Yea me too, thank you.
Thank you.
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