Dr. Kevin Rose, DC, DACBSP® & Dr. Travis Rose, DC, CCSP® provide effective treatment for a variety of musculoskeletal conditions including neck pain, back pain, muscle strains, sports injuries, and overuse injuries. At Peak Form Health Center you will receive personalized care and attention that will help you recover from injury and reach your health and fitness goals. Peak Form Health Center is located in Mission Valley, San Diego.
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If You’re not gonna put words to it I’m not watching it
to others watching this thinking of buying DONT DO IT. The current models do not offer HDMI connection (only USB-c) and as a result you will have to pay a monthly fee to use the monitor
Is that true? I received mine just about 4 months ago and it has HDMI to Usb-C and HDMI to Lightening bolt.... The only monthly fee you have to pay is if you choose to subscribe to their workout videos. I'll reach out to them to ask as well. Just legitimately curious, the ease of phone hook up is one of the best features.
@@PeakFormHealthCenter yes, screen use is locked behind a paywall linked to their app
@@Yesoulisascam well that's super lame...
Is it recommended for patellar chondromalacia with subchondral bone fissure?
No real evidence to support specifically. But shockwave offers an analgesic effect which can be helpful to get a patient back to exercises/mobility more pain free which will allow for further improvement for those conditions specifically.
As the sessions go on, is it necessary to increase the power of the device if it is comfortable for the patient?
As high as you can go per patient tolerance.
@@PeakFormHealthCenter thank you for your answer
How many times a week should we do this?
2x a week is a great goal
Great video and explanation. Ive got golfers elbow in both elbows. In that case is it ok to do the first two exercises?
Yes, let pain be your guide. Some is ok, too much is not ok. Also look at other exercises you are doing (or activities) that are flaring the elbows and look at technique or amount that you do.
Does this work for a stuck neck/Forward head posture for someone who can't look up due to mobility issues in the back area of my neck
I would try more active mobility like this kzread.info/dash/bejne/oHaTsKyMZZjYoNo.html
Thank for the training couch
Happy you enjoyed it :)
thank you!
You are welcome!
is your am supposed to burn or hurt because i feel nothing doing this with my tennis ellbow
You should feel something especially towards the end of the set. You may need to slow down the movement, do more reps, or increase the resistance (green Flexbar).
@@PeakFormHealthCenter i accidentslly bought the black one
Still helping people in 2024! Thank you so much for your video! It really confirmed what I suspected and educated me on how medical professionals view and treat this.
Happy to hear it helped! Thanks for tuning in :)
thanks! great training, exactly what i searched for
Awesome! Glad you enjoyed!
Some pseudoscience Chinese mysticism bull*hit.
Great video, thanks a lot! At what point do you know you're ready to start lifting weights / normal workouts again?
Test it. Go back to the exercises you want to perform. Start with lighter weights slower reps. Some discomfort is fine, just stay away from intensity/exercises that cause too much pain, or worsening pain as you go.
Hello Peak Form Health Center ! I’ve been following your fantastic videos for different muscle groups to help anybody can run a marathon (Beginner Strength Training for Running). As a first-time marathon participant, I’m excited about the challenge ahead. Any tips from your expertise on maintaining balance, stamina, and inner strength during marathon preparation? Thanks.
Do strength training. Be consistent. It's not about doing hard workouts all the time.... do easy, and moderately challenging runs week in and week out and you will see results. Honor recovery weeks, listen to your body and take extra rest as needed. Hire a coach if you can to help navigate some of those complexities!
Can we use this for foot
You can yes. I can’t speak to the durability though. If you push firmly into it with your foot I suspect it could break.
Just the explanation I needed. Thank you
You are welcome :)
Great exercises, however, it would be great to let people know the use of resistance bands, e.g. strength of band to start and how to increase tension, by taking a slight step away from the attachment point or side step. If they find the tension too much, step closer to the attachment / anchor point. But I do like the format of your video. Many Thanks.
Yea I can easily add that in a future video thanks!
Tried probably 100 diffrent stretches for thia muscle trying to find is this is the one causing problems. Thats the one best stretch, thank you so much!
So happy it helped!
Is this radial shockwave?
yes
Back sparing living.- a hard and painful lesson one learns late in life.
Yep, Learning how to move through hips is key for many types of back pain
This is harder than when I first started planking 😵
I believe it! These muscles are rarely used!
Theres a lump in the arch of the sole of both feet. Causes???
Sounds like you have plantar fibromas. They slowly grow but can get to the point where they cause pain. Get them checked out if you haven't. There is some correlation to various conditions. Injections can help shrink them
ok i fell down a hill but caught myself, ended up hitting my heel hard and its never been the same, when it comes to trauma is there anyway to actually recover unlike the progressive deterioration, or once the trauma has been inflicted the deterioration starts immediately?
It can still heal significantly but depending on the presentation you may need to be aware of it ongoing. If pain starts worsening, really go back to supporting it, taping it etc. Assuming you got it x-rayed/checked out? How long ago was it? Heel fracture would be something I would want to rule out immediately if someone came in with this presentation.
It's a great video and very informative. I find it hard to activate core muscles with pelvis tilted foward, however I do strenght exercises on a regular basis. How can I work on this problem?
When you rotate forward, you should feel comfortable/"locked in" between the handle bars, seat, and pedal. You shouldn't have to hold that position with your core much at all. Then when you pedal, you should feel some core activation when driving down into the pedal with your leg, especially during hard efforts or climbing. Deadlifts (double leg and single leg) with a barbell help with the positioning and training maintaining spinal position while transferring force through the feet.
Thanks
you are welcome!
Thank you - helpful
Happy it helped!
You might have just changed my life
I really hope I did!
Does it break up bone chips and calcium build up in joint? Both shoulders are frozen cant lift over head.
The theory is that is "softens" the calcium deposits to allow for more flexibility. The main mechanism it can help with is decreasing pain that allows for more motion so you can rehab the shoulder more successfully.
@@PeakFormHealthCenter I just got my shockwave machine and I notice if I spread the joint open then use the gun I get way better results. I have bone chips in my hands from being a fighter when I was young and when I pulled each finger to open the joint and did the treatment and the result shocked me! Have you tried to stretch the joint open then did treatment?
@@scottbentley2825 Interesting! I will have the patient move the arm (foot, knee, elbow) in different positions while I keep the applicator in the same spot which seems to help. Fingers would be pretty easy to "gap" so that sounds like a great idea. If I had an assistant with me I could see maybe pulling the knee into traction or shoulder inter traction while doing it....
@@scottbentley2825 Just out of curiosity. Where did you get your machine? What model?
@@PeakFormHealthCenter Amazon I will get model # later for you
What's the make and model if I want to buy one ?
D-Actor 100 Storz medical through Kinas medical
Does it lock into place or do you have to keep holding it with your hands?
Keep holding with hands. Pretty easy to use. I have thought about using a Theraband or strong rubber band to keep it locked in but honestly probably more hassle than to just use your hand
Why do other videos have the heal showing and like the skin building up around the circle or is this the same thing
Not sure what you are referring to or asking. This short is our long video sped up. Taping in general, for most areas there are various ways providers tape to help... I just find this one to be the most effective for fat pad.
@@PeakFormHealthCenter alright thanks. Have you had fat pad syndrome before?
@@alexgberg1991 yes almost 15 years ago
@@PeakFormHealthCenter and it hasn’t come back since? How did you get it and what did you do to keep it away
Did a Half Ironman and ran in a new pair of shoes with a much lower heel drop than I was used to (this was well before they really listed what those measurements were and I didn't know anything about that stuff yet). Developed fat pad syndrome, PF, and my calves were messed up. Took me 3 years to fully recover; I got over the fat pad syndrome in about 8 weeks with proper footwear. I also couldn't run at the time due to so much pain in my calves so I am sure that helped.
Is it possible for it to go away completely or will it keep coming back as I go faster in runs? Vaporflys are my go to shoes trying to only wear them once a week. I got a cortisone shot in my foot and that took the pain right away but I can see it coming back. Starting to develop Achilles tendon pain on the other foot idk if it’s related to this issue. I wear custom orthotics. Just pissing me off trying to keep a consistent training schedule. I’m taking dyclofenac sodium I’m hoping this is t causing weight gain and putting more pressure on the heal. Any thoughts?
Fat pad syndrome can go away, you just really have to protect it so it has time to heel up. Do you have plantar fasciitis? Usually pain with fast running will exacerbate PF. Fat pad usually just hurts all the time and then worse with jumping, hard heel striking when running. Carbon plated shoes/high stack will put more stress into the plantar fascia and Achilles, so possibly related. Also, I would discuss the custom orthotic with a run specific provider. Depending on what it is addressing, what materials, etc. can cause more force into all those same areas... Hard to offer and specific advice, but it all comes down to load management. You can train through all those types of pain but it is a balancing act of not doing too much but also not doing too little. So working on volume/intensity and how it relates to symptoms is huge to be able to run consistently and avoid excessive time off. Strength training is huge as well to help support the calf/achilles/Plantar.
@@PeakFormHealthCenter I saw a podiatrist she thought it was a mix of pf and fat pad, but all the pain is only in the center of the heel. I ran two fast halfs in the vaporflys 1:18 and 1:19 and I think that started the injury but I’m not sure. As for a run person do you mean like an ortho surgeon or a podiatrist who specializes in running?
@@alexgberg1991 Someone who knows running injuries, and treat running injuries regularly. Most commonly a Physical therapist, Sports chiro, a good running coach (who also knows strength and conditioning). In my experience orthos and podiatrists have very poor skills (or don't want to spend the time)at discussing a training load management plan, go through the specific exercise progressions etc. For specific orthotics, injections, procedures, 100% podiatrists/orthos are the way to go but that doesn't sound like what you need at the moment.
@@PeakFormHealthCenter I’ve been going to the chiropractor as well so I’m doing exercises. They seem to agree that the insoles I bought are good cause I tend to over pronate a bit and it’s got like that heal thing in the back like a heel raise piece. Vaporfly seems to hurt it more but I need them to go fast in. Just wish it would heal
@@PeakFormHealthCenter what kind of exersizes are best for fat pad sydrome?
Blud said "im breaking this"
Can this be used under the armpit to reach the different muscles of the shoulder?
yes
Ahhhhhhhgg! I have SCROLLIOSIS!
That is really funny 😂
@PeakFormHealthCenter I have to laugh, it's a defense mechanism. This really hurts and makes work as a machinist difficult. Thanks for the informative video.
This saved my back!! Instant relief thank you so much for sharing this!
You are welcome :) happy to hear it helped!
Great improvement, just with cadence 😮!? No other corrections ?
Honestly just cadence... He had pretty low cadence to begin with so over stride, too much sinking down, foot drifting to midline. Quicker steps reduced all of that. Still see him out running, still no injuries!
The best
Five sessions done, 7-10 days apart. Now 2 weeks after the final sessions. Did absolutely nothing for plantar fasciitis and metatarsalgia. I'm getting bored with the merry go round of expensive, cash pay miracle cures that all have an "80-90% success rate" but I manage to fail two dozen of them in a row.
Sorry to hear that :/ we keep records of patients that have success, it stays right around that 80% rate, which the available research shows as well. There have definitely been a few patients that had zero benefit after following the protocol. We have only used shockwave for metarsalgia a couple of times and it hasn't worked, I now discourage patients that ask about it for that specifically. Hopefully as more research comes around for plantar fasciitis, they will be able to determine patients that should have a more positive response. Have you been working on exercises around the foot/lower leg? Have you been walking regularly/running? Just curious, clearly I do not know your history.... seems like if both those areas are causing pain that there are other things going on with the function of the entire leg... addressing the foot but also a significant dive into full body movements would be the route that I would recommend. Let me know if you have other questions or pertinent history information that may be helpful.
So I’ve been using mine about a year or two now, still in perfect condition for anyone wondering and I’m a more muscular type of athlete and it’s upheld. I’ve just been curious, if your head touches the ground a tiny bit, is that taking away from the stretch? Or should I raise it higher?
Sounds like it might be too low. The pull with the neck in slight flexion offers better traction. BUT if it feels productive and you get relief, probably is set up just fine. Try a little higher, assess, then do what feels best 👍
@@PeakFormHealthCenter thanks for the quick reply! I will try it a little higher :)
This really helped me take off some pain. I suppose if consistent this could help in ling run. I wish you show more exercises with exercise ball for both liwer back and leg pain. Thanks for thos video
You are welcome. We will keep adding videos so stay tuned :)
wow i have terrible pains on the side of my right shin on that area. this stretch helped a ton!
Instant relief! Wow! Thanks
Happy to hear it helps!
squeezing the sides of my heel hurts. bottom of heel hurts when I walk in it. Got a steroid shot months ago that started relieving pain in a couple of days. none of the plantar fasciitis therapies help.
Sounds like you have fat pad syndrome. Sides of the heel and bottom usually represent that. Are you still feeling the pain?
If the knee pain is cause because there is no cushion in the joints where your bone on bone does this procedure cause those tissue to grow back or numb the pain temporarily
Will not grow back cartilage with any significance, but can substantially reduce pain which allows for more exercise and thus preservation/conditioning of the tissues around the knee.
This is a really helpful video. Thank you!
You are very welcome!
Thanks for tips
You are welcome :)
Trying to hook my leg in that last stretch has me feeling like I’ve fallen out of a window. 😅
lol ease into it! you can try hooking a towel around the ankle to make the stretch more accessible!
Any taping ideas for a lateral fascia tear?
Tape along the fascia on the bottom, put a small piece across the arch close to the heel. You can try a couple pieces in each of those directions. It can help take the edge off, and you need time to heal and eventually loading the fascia/foot/leg to get the tissue stronger/more supportive. Hope that helps!
@@PeakFormHealthCenter Thanks.