Secrets of the Shoulder Episode 3: Relieving Chronic Pain ASMR with Dr. Russ

Our patient Skip has a chronic issue in the left shoulder related to an old injury and some underlying systemic inflammatory issues. In this video, I demonstrate how to assess and treat a chronic shoulder issue with myofascial release and chiropractic structural work.
This video is meant to go along with Secrets of the Shoulder Episodes 1 and 2 which you can find here:
Episode 1: The Terrain: • Secrets of the Shoulde...
Episode 2: Unlocking Impingement: • Secrets of the Shoulde...
We have so many shoulder treatment demos for many different body types and causes, please check out our other videos!
In Skip's case, we found a strong adhesion in the teres major and latissimus, deconditioning of the teres minor, trigger points in the triceps and upper trap, and firm restriction in all of the shoulder joints. The main issue seemed to be at the coracoacromial arch, and I demonstrate a release of that region.
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Dr. David Russ
Chiropractor
Portland, OR
www.happyspinepdx.com
linktr.ee/russfamilychiropractic
Anatomical images are in the public domain via Wikimedia Commons.
Timestamps:
Intro and assessment 0:00
Sidelying assessment of the musculature 3:50
Teres minor and infraspinatus muscle tests 8:00
Sternum, clavicle, and coracoacromial arch assessment 9:56
Axilla palpation 11:25
Myofascial release posterior shoulder and axilla (armpit) 12:10
Clavicle and acromion adjustment 15:40
Triceps trigger point release 17:56
Cervical adjustment 20:20

Пікірлер: 42

  • @ultramet
    @ultramet6 ай бұрын

    I know there was someone trolling this treatment video, but having had this condition, i can tell you that these mobilization and myofascial release techniques worked for me. It took some time, but it worked. Also, i like the way you gently introduced the mobilization, knowing that this takes time. Really great job here.

  • @juliannacodde8633
    @juliannacodde86336 ай бұрын

    Oh my goodness, I am in Seattle and would love to take a trip out to receive care from you! You are so gentle and knowledgeable, thank you for sharing.

  • @ARIXANDRE
    @ARIXANDRE6 ай бұрын

    Another knowledgeable and entertaining video. Thank you, Dr. Russ. 🙏🏻

  • @rover5788
    @rover57886 ай бұрын

    Thank you doctor.

  • @81pjbeattie
    @81pjbeattie6 ай бұрын

    Excellent a new video. I’ve been craving my fix lol 👌🏻

  • @lancehawk2220
    @lancehawk22206 ай бұрын

    I love your addition of anatomy diagrams! You did a good job of making your videos more dynamic.

  • @DrRussInYourPocket

    @DrRussInYourPocket

    6 ай бұрын

    Thanks! I am working on that so I appreciate hearing your feedback.

  • @ryannofziger669
    @ryannofziger6696 ай бұрын

    Amazing video your the best

  • @user-wu4pz7pm2k
    @user-wu4pz7pm2k6 ай бұрын

    Hi dr. Russ . Where this location ?

  • @DrRussInYourPocket

    @DrRussInYourPocket

    6 ай бұрын

    Portland, Oregon!

  • @cripmeister9104
    @cripmeister91045 ай бұрын

    Chronic nerve 5th lumbar, mark it with dried out marker

  • @robertloerwald3
    @robertloerwald36 ай бұрын

    Great video, but mid-roll ads keep it from being usable for Asmr

  • @DrRussInYourPocket

    @DrRussInYourPocket

    6 ай бұрын

    You're right! I disabled that. Thank you for the feedback!

  • @robertloerwald3

    @robertloerwald3

    6 ай бұрын

    @@DrRussInYourPocket Thanks!

  • @JUSSTTIINFU3K
    @JUSSTTIINFU3K6 ай бұрын

    Feel free to provide data backing your claims

  • @DrRussInYourPocket

    @DrRussInYourPocket

    6 ай бұрын

    Hello! I appreciate your comment! Was there a particular claim you were concerned about the evidentiary basis of, or is it the whole thing?

  • @JUSSTTIINFU3K

    @JUSSTTIINFU3K

    6 ай бұрын

    Thank you for your response. However, I must express deep skepticism regarding the methodologies and claims presented in your video. The application of myofascial and structural work, particularly when combined with ASMR, appears to venture into the realm of pseudoscience, lacking robust, peer-reviewed scientific validation. The presentation of such practices as effective treatments for chronic pain is not only misleading but potentially harmful, as it may divert individuals from evidence-based medical solutions. The onus is on practitioners promoting such methods to provide substantial scientific evidence, which, as of now, seems conspicuously absent.@@DrRussInYourPocket

  • @JUSSTTIINFU3K

    @JUSSTTIINFU3K

    6 ай бұрын

    Thank you for your response. However, I must express deep skepticism regarding the methodologies and claims presented in your video. The application of myofascial and structural work, particularly when combined with ASMR, appears to venture into the realm of pseudoscience, lacking robust, peer-reviewed scientific validation. The presentation of such practices as effective treatments for chronic pain is not only misleading but potentially harmful, as it may divert individuals from evidence-based medical solutions. The onus is on practitioners promoting such methods to provide substantial scientific evidence, which, as of now, seems conspicuously absent.@@DrRussInYourPocket

  • @RobK32

    @RobK32

    6 ай бұрын

    Shut up

  • @JUSSTTIINFU3K
    @JUSSTTIINFU3K6 ай бұрын

    I must express deep skepticism regarding the methodologies and claims presented in your video. The application of myofascial and structural work, particularly when combined with ASMR, appears to venture into the realm of pseudoscience, lacking robust, peer-reviewed scientific validation. The presentation of such practices as effective treatments for chronic pain is not only misleading but potentially harmful, as it may divert individuals from evidence-based medical solutions. The onus is on practitioners promoting such methods to provide substantial scientific evidence, which, as of now, seems conspicuously absent.

  • @DrRussInYourPocket

    @DrRussInYourPocket

    6 ай бұрын

    Hello! Thank you for engaging respectfully. Links will be at the end of this comment. The manual treatment of myofascial and articular pain is well-documented and widely acknowledged to be the best first step in the conservative management of pain. That you are unaware of this is not unusual. Each type of lesion that I address has been histologically and anatomically validated. The assessments that I use have strong interexaminer reliability, with the exception of the palpation skills that I have developed over 25 years of practice. And finally, the interventions are all based on physiology and have been validated repeatedly as being as effective as--and safer than--anything else. If you are interested in learning about the evidence basis for the types of manual therapies that I use and demonstrate, I recommend you start with Dr. Leon Chaitow, who wrote extensively on the research and conducted his own research. There is also the work of Irwin Korr going back to the 1970s on the neurological effects of biomechanical lesions, specifically segmental facilitation in spinal levels associated with articular restriction. Travell and Simons wrote and extensive and deeply referenced work on myofascial pain. More recently Carrick has done extensive work on the neurological changes that occur with the restoration of joint function. There are numerous peer reviewed publications available as well, the most prestigious of which is Spine. You might also like to look at the index of Journal of Bodywork and Movement Therapies, Journal of Manipulative and Physiologic Therapeutics, and Journal of Osteopathy. That would be a good start. As a provider and presenter, I would ask you in the future to claim your own credentials for evaluating the evidence basis, what is your education and what is your interest in making this comment? Are you a medical examiner? An ER doctor? Do you have any education in clinical research? Or are you a self-appointed protector of the public interest? Regards, Dr. Russ leonchaitow.com/category/articles/ www.bodyworkmovementtherapies.com/article/S1360-8592(04)00026-9/pdf shop.lww.com/Travell--Simons---Simons--Myofascial-Pain-and-Dysfunction/p/9780781755603

  • @jenni8200

    @jenni8200

    6 ай бұрын

    Your comment makes very little sense. All you need to do is pop on over to pubmed and do a generic search on massage therapy or myofascial realease to find a plethora of peer reviewed scientic papers with positive conclusions for these techniques

  • @JUSSTTIINFU3K

    @JUSSTTIINFU3K

    6 ай бұрын

    @@DrRussInYourPocket Thank you for your detailed reply. However, I remain deeply skeptical. The integration of various manual therapies, despite their historical and anecdotal significance, often strays into the realm of pseudoscience as defined by the lack of empirical evidence and the failure to adhere to the scientific method. The works of Dr. Leon Chaitow and others, while notable, do not uniformly align with the rigor and empirical validation expected in conventional medical practice. Critical reviews in the Journal of Bodywork and Movement Therapies, and similar publications, often reveal a lack of consensus and insufficient high-quality evidence in the field of myofascial pain treatment. The reliance on practitioner experience over reproducible, peer-reviewed research is a significant concern. Manual therapy, especially in the context of myofascial and articular pain, remains a contentious topic with practices often falling outside the boundaries of scientifically validated medicine. In the future, I urge a more evidence-based approach, aligning closely with the standards of medical research, to validate the effectiveness and safety of such therapies.

  • @DrRussInYourPocket

    @DrRussInYourPocket

    6 ай бұрын

    @@JUSSTTIINFU3K you haven't addressed anything that I'm doing particularly, you're talking broadly about some vague types of bodywork. I'm not here to answer for anything that anyone else does. If you have an issue with anything in particular that I'm doing, please be specific.

  • @JUSSTTIINFU3K

    @JUSSTTIINFU3K

    6 ай бұрын

    I have reviewed the specifics of your treatment as outlined in your video description. While the detailed assessment and targeted approach to Skip’s chronic shoulder issues are commendable, my concern lies in the general applicability and empirical validation of such methods. Myofascial release and chiropractic structural work, though popular in certain circles, still require more robust scientific backing, especially when claimed to treat complex conditions like chronic shoulder pain due to systemic inflammatory issues. The specificity of your treatment to individual anatomical findings, while tailored, does not necessarily translate to widespread efficacy or standardization in medical practice. The scientific community demands replicable results under controlled conditions, which these methods often lack. This critique is not a dismissal of your experience but a call for greater rigor and transparency in validating alternative treatment methods against established medical standards.

  • @daniilslesarchuk3878
    @daniilslesarchuk38786 ай бұрын

    Thank you

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