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tell me what's going on with your elbow what's happening um baseball i guess i've been pitching
a lot okay my arm just started hurting so how much pain do you feel there from zero to ten ten
is emergency room zero is nothing six six um and is that like a considered constant pain or just
comes and goes constant pain where do you feel it right here how long has been going on
one to two years and um at worst how much pain do you feel like let's get back eight
and in the same spot yeah what make it worse let me get really painful i throw it on
money you throw a lot okay so we're gonna do a few range of motion and
see if that's aggravated but before that um did you have any treatment for your elbow
no no okay so let's extend your elbow and tell me how much pain with that
five five and you feel it right here yeah okay what about
six six in here what about 10 am um
five okay
yeah so the worst range of motion is like doing this yeah okay and you feel it right in there
make sure what i'm doing is not painful okay so we'll have you turn toward me relax relax
i'm not gonna give you injection not now is that painful here
that's true
so most of your pin just localize here and sometimes it's just ready that's numbness in there
you feel this knot here yeah remember the scar tissue we were talking about
so our body has to go through three stages in order to heal first stage is inflammation
second stage is the chlorophylation third stage is the maturation
so the second stage that's when the body starts to build the scar tissue
okay and here you can feel the knot scar tissue it's like you feel on the other muscle
and you can you can see my hand is just rolling over it and i have a tools that i will show it
to you you're gonna feel it with the tools so he has a knot there yes you feel that knot here
that's a scar tissue
yeah so our muscles should act like a rubber band want to contract and relax and does this
when you have a scar tissue it's like you have another mineral so when the muscle contract
does not stretch much instead of stretching like this just
and it's very typical for golfer elbow that you have a scar tissue in the biceps
in here that because the biceps are attached here to here and when it's uh
you have a knot the lids shrink because you don't have room to stretch it so especially when he does
extreme range of motion and twisting you try to stretch the rubber band that has a knot that
prevent that stretching so does that cause because he doesn't stress before he
does exercise stretches is not effective oh it's not this it's not stretches based on the
studies not really provide anything no not even decrease the risk of injury there is better way of
decreasing risk of energy this happened either from over training or not warming up enough if
you have it like with a sports injury so i'm gonna go over the proper way of warming up
and you want to make sure he does not over train right because if you like you know work like
practice every day without praying break or something like that you're just over training or
you know so i'm gonna get i'm gonna give him some tips on how to avoid this in the future okay and
there's a couple of things we can do to actually decrease the information from the training even if
you need to train the next day there's a couple of tricks he can do too so his body will not you know
um have a lot of issue with this t-shirt how does that feel what i'm doing
and it's there's a big knob here do you feel this one yeah
so he has several knots all over scar tissue it's very typical with typical withdrawing you know
so when he has a scar tissue you will see more redness and we're going to feel
the grinding of the scar tissue do you want to feel it oh yeah yeah so it's coming out here
you feel that grinding oh wow that's that's right
feel like feel this area come nice and smooth oh yeah and here
i'm grinding that's a scar tissue it's like yeah so it's like like the tool is going over a rock
so you can feel it and you feel this one
yeah you feel that all the scar tissue and you will see in the skin where he has a scar
tissue it's um there's redness compared to the area that there's no scar tissue
you can feel the bumps yep that's a scar tissue yeah
so that's very typical with the golfer elbow or tin's elbow you feel all that scar tissue
yeah that should not be there so that pulling on his elbow and sometimes that cause inflammation
so today we'll know like if he purely stuck in the proliferation stage
or he's going back and forth between proliferation and inflammation based on his response to the
treatment so it's really him yeah well well no oh i don't know yet actually well i can
tell like i have a infrared camera to to see how much inflammation if he has inflammation
now right now i'm working on the proliferation stage
to see because he said he had a concept so we'll see how he's doing
and you can see here look
there that is red all of this in here you see like patches of red here yes that's um and so the
other area there's no scar tissue here it's like okay but you start to have more leggings in here
so where it's red that's where all the scar tissue all those bumps and you felt bombs on those areas
yeah i felt it too so so that's that's where his has a scar tissue all of that
so the blood start to rush there that redness should disappear 10-15 minutes
okay so let's do the movement now and tell me do you have constant pin or the pin has gone out
three okay so one down to three okay let's do the twisting
okay you see that was six this one was six
okay let's drink some water and we'll try it again yeah yeah okay let's move it again
all right so you can turn around and tell me what you think about the treatment
ah it's good no i don't feel no pain you don't feel pain it's good awesome thank you so much
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