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.
0:27 alright Isaac tell me what’s going on with you lower extremity or leg, your thigh
and IT band.
Well as soon as i start walking, i go to cal state Fullerton, i’m a student there, it’s
a big campus as soon as i start walking far, and i also take nature hikes with my daughter
and i start walking too far my the were my IT band meets my knee, it just start hurting
way too much and my leg and my walking gets way unstable i start hiking a lot more, recruiting
other muscles to compensate.
muscle weakness.
1:07 Ok tell me a brief history when this started, what happened.
um, when i started working myself out of the wheelchair, i was pushing myself to walk farther
and farther.
and my muscle weakness and imbalances were so much that i was my gait was so infective
that it caused me a lot of pain.
ok so why are you using the wheel chair what happened.
I had a stroke because of brain tumor surgery.
ok what year.
2011.
2011, we are in 2018, so you’ve been having this highness since 2011?.
yeah well it took me almost a year to get out of the wheelchair so.
ok from recovery.
so what kind of treatment did you have for the IT band after the 2 years recovery?
2:03 I’ve just been dealing with it, just stretching.
did you do physical therapy?
any other treatment?
massage or anything?
well physical therapy got me out of the wheelchair and to of the AFO that i was using, the orthotic
for your ankle.
yeah because i had really bad foot drop.
foot drop, how is your foot drop now?
it’s better.
I mean i would like to walk barefoot.
My AFO right now is my shoe.
Ok so if you’re not wearing that.
Yeah my toes curl down a lot and it’s hard to walk barefoot on hard floor.
so you have flexure contracture in the lower extremities and your quads are weak.
ok so how much pain do you feel in your IT band and from 0 to 10.
8/9.
is that constant?
2:58 when walking far distances and trying to do a lot of squats.
squats you start to feel it?
and where do you feel it exactly?
right here.
ok. but then it works all the way down on the outside.
all the way down to my ankle.
so thats 8/9.
so if we have you do squats yo might have symptoms so we can evaluate that before and
after.
ok so lets actually stand up and i want you to do 10 squats we are going to observe that
before the treatment and look at your stability.
two ok.
stop if you are feeling pain and let me know how much pain.
yeah that’s enough.
0 to 10?
3:57 a 9 and my legs start to wobble and i’m feeling very unstable.
ok i will have you lie on your back.
let me see actually your walking, i want to see your gait just walking back and fourth.
we’re going to check your gait.
do yo usually fold for hands like this?
i do because this throws me off and i start losing my balance so i should just leave it?
just hold your hand that’s fine whatever you usually do.
yeah i usually do this or this.
yeah front is better.
front is better?
ok let’s do that and walk back and fourth.
ok couple of times.
ok.
last time.
ok.
right let’s lie on your back head over there.
5:01 see all my socks get this full because my left toe yeah.
let me know if this is too much.
yeah right there.
can you feel what i am doing? yeah it’s fine.
you feel the tightness here?
right yeah.
It mostly hurts from the hair pulling but the tightness.
it does feel like a good massage as far as the muscle goes.
ok it’s going to feel cold.
yeah you’ve got a little scar tissue there.
6:15 well i can’t have my daughter just sitting watching tv all day.
i’ve got to go out and hike and walk with her.
yeah i think it’s good as long as you can do it without a lot of pain it’s good to
be active i want you to be active.
the goal is to help you to walk further without discomfort.
you have a lot of scar tissue here.
i feel that.
you have a lot of scar tissue in your quads IT band.
did anyone work on this with you?
no. is that too much?
make sure it’s not too much
6:57 it was slightly too much yeah.
ok so this isn’t too bad as you IT band.
your IT band is worse.
here do you feel this one?
i actually felt my foot wake up a little bit when you’re doing that.
this?
feels good yeah.
ok and move your toes and curl you toes.
can you guys see this?
ok i’m going to release it and curl your toes i’m going to release it and we will
see how far you can go.
Painful or is it ok? ticklish?
yeah ticklish.
ok don’t kick me ok.
i know some exercise so be careful.
Feel that scar tissue here?
that tickles haha. that tickles?
it’s actually fun to be here so.
That actually feels really good.
i’m making a mess everywhere don’t get that on the camera.
lotion everywhere on the floor.
do you feel that here?
oh my goodness that feels really good.
let me know if it’s too much ok? yeah you’re reaching the limit.
sorry.
it’s ok.
don’t apologize to me.
you’re helping me a lot right now.
can you tell the difference?
well this isn’t the problem it’s this that is the hard thing to do.
this is the hardest?
the extension is hard.
I want you to lie on the right side.
ok.
9:32 ok so i’m going to do the entire back here and make sure it’s not painful.
sorry i got some lotion everywhere.
it’s ok.
yeah too much there.
here?
too much or its ok?
do you see what i did?
it’s a big mess.
i usually don’t do that.
clean up on aisle 4.
this is just today you know.
I’m limiting lotion it’s a little bit more today and i don’t know why.
lets blame that on the patient.
too much? sorry.
is that too much or is it ok? is that too much here?
do you feel that scar tissue.
thats very deep one.
you can see it in the instrument.
it’s jumping here it’s not going smoothly.
yo use that?
its just like vibration here.
10:41 compared to this nice and smooth.
let me know if it’s too much.
man we have some work to do here.
now it’s time to clean the mess.
sorry i got it everywhere.
you need to apologize for all the times you’re apologizing no need to apologize.
ok
11:26 ok so just stay where you are now.
I’m going to do a couple of release.
let me know if it’s too much ok? ok. that’s the spot.
yeah i know.
you can come here.
let me know if it’s too much ok? ok.
ok how does this feel now?
feeling better yeah.
sorry it’s too much there.
how is it now or is it too much?
ok so let’s lie on your back ok? ok.
alright so.
ok so.
12:50 ok so let’s actually see lets try to flex and extend your toes.
how’s that.
can you tell a difference?
yeah it’s feeling better yes.
you’re going further see that?
that’s huge right there to improve my walking.
can you see the difference?
that’s good range of motion.
lets stick for leg straight up, down.
bring it to the side.
do you see how i kept my toes in extension lifting that up, that’s huge.
that’s going to help with my walking so much.
beautiful, lets do the side, slide it to the side, toes up all the time, and bring it up
to the side.
Ok let’s stand up, good.
ok so we are going to do the squats again.
14:01 do you feel any pain now?
it feels good.
no pain?
beautiful.
ok let’s try the squats and see how much you can do we’ll try 10 ok.
you’re moving faster that’s good.
if you feel weak just stop ok.
any pain or discomfort?
I reached 6 and i’m feeling good.
ok let’s walk back and fourth, we walked the first time without the shoes and that’s
whats helping yo know tell me how’s that.
and turn around.
can you tell a difference with your walking?
yes?
what’s the difference.
i’m feeling more stable.
more stable in your feet?
not like i’m consciously having to correct my, you’re gait?
my stability on my left leg on my hip. and back ok
15:12 do you feel any pain now or is it ok? doing good it’s doing good.
just have to stop now because i can feel my left toe, contracture, contracture from fatigue.
ok yeah so what do you think about ASTR treatment?
i like it so far.
15:39 feel free to subscribe to my channel to get update about helpful information and
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if you are healthcare provider feel free to register for ASTR class to learn how to actually
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in ASTR class i utilize over 400 research study that is actually what i use as part
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effectively as research study.
See you soon!