"Alright Miro, tell me whats going on with your knee?"
-Dr. Jacobs "I had ACL surgery about a year ago, and they
took the ligament away from my hamstring.
They put put in my ALC.
Ever since then I've had pain on my hamstring because that's where they took the ligament
from.
So now it feels really tight usually..
even I stretch it out before I do exercise and even then when I do exercise it feels
really tight.
(like a cramping sensation).
Also, during exercise when I start to run (start to accelerate), it kind of feels like
it's going to cramp up..like kind of pull."
-Milo "Your hamstring?
So a lot of problem with the hamstring."
-Dr. Jacobs "Yeah my hamstring.
So during my therapy they focused a lot more on my knee exercises, rather than my hamstring
area.
So they at the beginning they focused on stretching out my hamstrings before exercises, but that
was only for the first month or so.
Then after that, the next like 4 or 5 months, they focused a lot on my ACL recovery.
So I mean my ACL is okay, like it swells up sometimes after running and exercising."
-Miro "Your knee?"
-Dr. Jacobs
01:16 "But really my problem right now is my hamstring.
It's really hard to stretch out and just bend it."
-Miro "It's very tight.
So how much pain do you feel there from 0 to 10 in your hamstring at worst?"
-Dr. Jacobs "If I don't do anything it's just like around
a 3, it's not that bad."
-Miro "Constant pain?
Okay."
-Dr. Jacobs "While I'm doing exercises it's around probably
5 and after exercises is when it starts feeling even tighter, so I want to say around like
a 7.
It just feels really tight."
-Miro "Very tight and you feel that in the hamstring
area?"
-Dr. Jacobs "Yeah the hamstring area."
-Miro "And you said you had physical therapy before?
How long did you have the physical therapy?"
-Dr. Jacobs
01:52 "Yeah, I've had physical therapy for about 4 or 5 months.
They just told me to do exercises on my own."
-Miro "Okay, so what did they do in physical therapy?"
-Dr. Jacobs "The physical therapy was a lot.
First of all it's always straighten out my knee and bend it.
That was like the main focus at the beginning.
Then after that was straighten out my thigh area."
-Miro 'But nobody worked on your scar tissue, your
fascia, your trigger points?"
-Dr. Jacobs "They would work on my
scar tissue every once in awhile and they would just massage it with the hands."
-Miro
02:55 "Okay so let me assess it first.
Lets take your shoes off and we'll have you lie down."
-Dr. Jacobs "It's really tight back here."
-Miro "How much from 0 - 10, we can see it in your
face."
-Dr. Jacobs "Probably like a 6."
-Miro "Okay so let's lie on your side facing this
way.
So make sure this doesn't aggravate your symptoms.
Have you had any other treatment in physical therapy?"
-Dr. Jacobs "Uh no."
-Miro
03:36 "Just exercises and massage?"
-Dr. Jacobs "Yeah."
-Miro
04:48 "Oh you feel that?
Does it feel painful or is it okay?"
-Dr. Jacobs "No it's fine" -Miro
"After working on this I want you to compare between ASTR instrument and massage, okay?"
-Dr. Jacobs "Alright."
-Miro "Let me know if that's too much.
How does that feel?"
-Dr. Jacobs "It feels good."
-Miro "You hear that sounds like a washing board?"
-Dr. Jacobs "Yeah, I feel it."
-Miro "So this is the area right here, yeah.
Any problem with your calf?"
-Dr. Jacobs "No."
-Miro "Yeah your calf is feeling fine here actually.
Are you 100% on this side or the other side too?"
-Dr. Jacobs "Just this side."
-Miro
06:15 "So actually lets have you lie on your stomach.
I will have you have this pillow under your stomach.
Yeah you feel that?
You see that, actually visually you can see the hamstring is tight here.
It's really tight.
Is that too much here?"
-Dr. Jacobs "No, yeah I can feel it's like bumpy."
-Miro "It's very easy to see, it's like swirling.
It's not going straight.
Now it's breaking down.
How does that feel?"
-Dr. Jacobs "It feels good."
-Miro "And you can see in the instrument that it's
bumpy.
You would not be able to get that feeling with massage, like using your hands.
It's hard on the therapist actually to break the scar tissue.
I feel bad for therapist that actually trying to break it with the hands.
You need to have like really good ergonomically designed instrument to save your hands.
Is that
painful here?"
-Dr. Jacobs "A little bit."
-Miro "Make sure it's not aggravating your symptoms,
okay."
-Dr. Jacobs