0:00 Alright Mike tell me what’s going on with your elbow
So pain in this left elbow down towards the back of the joint down my forearm and kind
up the back of my tricep, little bit difficult with extension.
Trouble gripping Gripping
So i had the shot and the symptoms pretty much cleared up but some residual pain and
tightness?
Tightness and a little bit of weakness.
How much pain from 0 to 10 at worse Now is probably a 2 or 3, it was as high as
an 8 And what is difficult for you to do because
of the tightness?
Mostly twisting, any kind of sports movement, golf
Swinging, twisting lifting things like this
how long has your elbow pain been going on?
1:00 mainly about a year for about a year
this is my second shot have you had any other treatment other than
the shot?
no is there anything else with this elbow?
no And you said you had rotator cuff tear?
yes And how did you do that?
Freak accident, landed on my shoulder 5 or 6 years ago.
I didn’t have the surgery just because Do you have any issue with your shoulder is
it ok? just limited?
yeah i mean I feel a little weakness every once in a while but it’s fine
but your elbow is worse?
ok so we are going to work on your elbow and make sure it’s not painful.
We are going to do some motion and see how you are doing with this motion.
2:00 Ok so this is painful here?
I can feel it, tight.Is that painful when i do that?
That one really bothered me 0 to 10 how much?
2 maybe now Does that?
Probably a 1 here Ok let me move you, how about now?
No Turn it around, that painful?
A little 2 or 3 here Is that painful?
This?
No
3:00 Alright so, let me know if you feel pain when I’m done ok
you feel this bump here this one
yeah I think I’ve gotten used to it though thats the scar tissue actually, that bumpy
area I thought this looked better, but it still
seems to me that it looks inflamed yeah thats the scar tissue
you better not feel the rest of my body doc yeah well if you did not have ASTR treatment,
I’m sure you will have scar tissue everywhere you know it’s easy with ASTR to assess the
scar tissue and treat it
4:00 That bump, thats scar tissue too yeah and you can see the redness here too
you see that redness?
thats the scar tissue You see everything like normal skin color,
I feel it with the instrument and I’m sure you feel it with the instrument
nice and smooth thats what actually causes restriction and
range of motion the scar tissue could compress a nerve and
artery and cause nerve pain symptoms Is that too much here?
No, thats okay So it seems to be more here,
Thats probably might be from your accident sure
5:00 Is that painful?
No, It’s like a tissue massage you know?
Make sure it’s not painful okay?
Yeah we can see remains of scar tissue Yeah thanks
I think if you grab the other arm we could be here all night
yeah I’m not going to do that My back too I don’t know
no I didn’t even tell you about my back
Well I’ll pass So, whats going on with your back?
I got a bulging disk So you have issues with walking or standing?
Sitting mostly I don’t know if the disk has been out of
place for that long, but I’ve had back trouble since I was young kid
When this calms down, we can work on it
6:00 This will help dissolve the scar tissue?
We actually break it down with the instrument So as long as you avoid further strain because
that’s how we did it, you know with lifting and stuff like that
So I should just be resting for a while?
Yes, we will go over what you have to do after this.
But yeah we will go over the rest of it and the exercises I want you to do after this.
But as long as you don’t re-injure this again, there is no reason to form more scar
tissue.
Then we will go over what could cause injury so that you will know what to avoid.
Is that too much?
No, it’s okay Well the good news is that the scar tissue
is breaking down very quickly.
7:00 Some patients take a little bit longer to break it down.
Okay Alright so lets move your elbow
It feels better And you feel no scar?
No And your range of motion?
Range of motion feels much better.
Now straight, any discomfort?
No Alright what do you think about ASTR treatment?
Wonderful everybody come!
Alright awesome thank you so much.