Session Sit In: Trap and Scalene Release to Treat Thoracic Outlet Syndrome in a Baseball Player
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- Опубликовано: 22 дек 2016
- Mike Stella demonstrates soft tissue techniques for treating and managing shoulder pain arising from scalene and upper trap referral. These techniques can be very effective for arm care in baseball pitchers, especially for conditions like Thoracic Outlet Syndrome (TOS), Biceps tendon issues, forward head posture, shoulder & cervical pain syndromes, and general neuropathies. Techniques like Active Release, Graston Technique (IASTM), and 1st Rib mobilizations are demonstrated and explained in this video. Thanks for watching! Always remember to seek a thorough evaluation prior to beginning any intervention strategy. Check out www.themovementunderground.com for more!
(Sorry the frame of the video is off in a few scenes! Filming, Narrating, and Treating are difficult to do at the same time but I am working on getting better!) 
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Dude's gonna feel like a million dollars once he's done. I need this.
Mate these videos you're doing are absolutely amazing! They're really helping me learn about why I have the injurys' I've got and learning so much about the human body. If I lived in America I'd be seeing you in an instance!
Great vid. I think one stealth problem in the mix with all this can be sleeping position. If your nick sits a certain way on the pillow or you sleep on your side, stomach, etc., you can just redo all the problems every night after stretching your ass off all day! It's really hard to change how you sleep, too. And your body basically wants to find the position that's most "comfortable", meaning not stretching anything, which is probably reinforcing the bad patterns. I think all this needs to get talked about more.
Love your videos!!!
Thanks so much!!!!
👍 well done!
This is amazing. I am a professional violinist and florist and am experiencing this with the tightening of my muscles in the shoulder/upper back. Do you know of anyone in Minneapolis who does treatment like this? Not extremely effective working with PT. Thank you so so much!
Super great information, though for anyone else watching, might need to hold those trigger points longer, especially the anterior and lateral scalenes. Those hold a lot of tension for anyone with forward head translation especially those who sit at a computer for long periods of time. 30sec to 2min holds to release trig points can give enormous relief.
That is the traditional approach, yes, but there is no magic window of time that "must elapse" in order to get down-regulation of tissue. I go mostly by feel and patient comfort. Trigger points alone are controversial, as much isn't really known of this phenomena in terms of repeatable, measurable outcomes, let alone how much time is needed to treat. appreciate the comment.
Wow. This is exactly what is going on with me. Great page
Thanks so much! Good luck and get better!
I can't tell you how much I wish I could find someone like you here in the UK. The problems you describe in this vid are pretty much me. I need relief from it. My neck feels permanently jacked up and I'm currently suffering from a right shoulder condition.
Hey Christian thanks for the comment...Sorry to hear about your neck problem. Check out Rocktape UK....They have a provider directory and generally the people on their lists are clinicians who take a similar approach as me. That may be a good place to start. Best of luck my friend! If you are ever in the states, look me up!
Athletic Movement Protocol - I may just do that, I try to visit the US at least once a year. Thanks for your advice.
Anytime buddy! Keep moving !
I do these similar techniques in my services as an L.M.T.
Its not comfortable but these scalenes can be the toughest to work on.
I had most of my right pec minor removed years ago due to symptoms in my shoulder/chest and down my arm. If the web had been around back in the early 1990s, I may have had more options.
Hey man, I was wondering (after reading anatomy trains) if you were thinking about setting up a training course. I think what you do is badass and you explain the work logically in a way that everyone from athletic trainers to massage therapists would understand and excel at. I’m a massage therapist and I’ve brought a lot of the information and techniques into my practice and they have taken what I do to a different level. Schools don’t go nearly this in-depth into sports massage/muscle work.
Thanks so much for the Love! I very well may be teaching for RockTape this coming year so stay tuned and I'll make a formal announcement and course schedule when everything is official!
Relaxing ❤️👍😴✨✨✨
My Lord! This dude got some magnificent work performed on him! Wonderful video! I'll bet this guy feels like a billion dollars the next day!
Great video! You know anyone in the Portland, OR area to refer me to? Had this going on for months and I feel like I not making any progressions in my treatments.
I appreciate watching your videos for the many modalities in treatment you use, plus the good analytics in kinesiology and anatomy. Im considering complementing my massage therapy training with techniques such as Graston/IASTM, k-taping, etc.
One bit of constructive criticism for the videos themselves: for us visual learners, maybe try to get better camera angles and shots of the body parts youre working on. For instance, you'll be working on this clients neck, and I cant see whats going on in the shot.
Keep up the great work! Looking forward to watching a whole lot more!
Thanks for the support Ryan! I am always working on making the videos better...Truth be told, i'm a terrible film maker!!! hahahaha...And many of these videos were filmed, and edited completely on my own, but now that I have an assistant, you should see better angles in future videos! Thanks for the feedback!
Would this be a good idea for someone with Arterial TOS?
Do you know anyone in the denver area? great stuff!
Hi, what kind of gel / substance do you use to work on IASTM tissues? Regards.
When I mentioned TOS to my pcp he looked at me like I had two heads. I had to beg this guy to get a referral to see a specialist. It shouldn’t have to be that complicated. I mean being that it’s my body what would I know about it? That’s how they make you feel. Then frustration sets in. They are just not right most of the time. That’s why they call it PRACTICING MEDICINE!
commentary of what they teach in medical school. most so called "doctors" don't practice medicine. they just recite it. then they criticize us when we go to dr google. i have had much more success with TOS thru a chriopractor. at least they think outside the box. good luck.
I'm getting the same from chiropractors and doctors@@jhleerph
thank you I have a lot pain to rotation, your method could be useful.
Glad it was helpful!
Could you recommend anyone in the south of England?
How do you start the search to find a quality Chiropractor? How do you know they are quality? I worry about have damage done then help. I live on the Eastern shore Ocean City MD. Thanks for a great video.
I am having similar issues.. I've been to numerous doctors and currently undergoing chiropractic treatment but with little to no avail. Where or who do I see who would help? I'm located in the Boston area.. please help.
What product/lotion are you using? I'm on the search for something different to use in my practice. Thank you. Love the insightful videos!
They use lube in porn
JEALOUS
Me too
Know any good therapists in D.C area? Have trigger points in mid and upper trap and have been looking for release for a while.
what is that special gloves is that make massage easier ???? thanks where to get them
You're a genius, this is exactly the same symptoms I have, I've seen a sports masseuse and she touched up on the same area and I felt good afterwards, however no form of stretching the neck helps, what can I do to prevent tightness coming back?!
Joe, You are too kind!!! I am not a genius, but I consider myself a good evaluator, and I assume nothing, using my treatments as a diagnostic tool to help find the most effective techniques! Stretching the scalenes are tough, as the attachment at the rib is not 100% stable...Meaning if you try stretching the scalene, you may just cause more 1st rib elevation....try pinning down the scalenes with your fingers...just push straight down behing your collarbone, then turn your head away and extend back...Pair this, the tissue work, and do some chin tuck exercisesto strengthen your deep neck flexors, and presto! Also, watch your posture!!! if you sit at a desk, or are on your phone a lot, poor cervical posture can exacerbate symptoms. Thanks for the kind words and thanks for the support!!! Good luck!
Who would someone go to first for this procedure ?
Those gloves are fenomenal... what is the brand name of those and where I can buy them? Gloves that can hold the Graston tools! Thanks my friend... you r the best!!!!
SkinTX Nitrile gloves
How do you test if treatment is working or not?
can you recommend anyone in lv. nv. ( city ) ?
So......do you have an office in Minnesota
Hello Sir i have a question i have read many articles about tos. On the side the say that we have to release the muscles that compress tos on the other side they say that the muscles compress tos because they are to weak and they dont need myofascial release but strenght Training and when we start strenghtening for example the scalenes that the symptoms for the first gets worser but then better im very confused whats your opinion about that
Where is your office to treat. I want to come for treatment?
❤
You know ur shit. Wish u lives closer to Philly. I could use you!
My upper traps has been a bother for me for years. They're real jumpy and spasmy. I also have somewhat tight pec minor muscles and rather weak low traps. Gotta reverse it all!
Where do I find someone like you? Need this treatment!!
Hi AMP,
I'm currently going to school for Massage therapy and have background in the OT/PT field. In the program we briefly discussed TOS. How would you approach a patient/client that is hypersensitive? Very curious to learn and know, and I'm also very interested in ART. Thank you for the info!
Cherrie Laxamana key is consistency. Start as light as you have to. Reduce the time of sessions, or work on less sensitive areas first. Over time, the client will acclimatize to the pressure and you'll be able to access deeper layers. Build trust. Be patient. Be empathetic. Remember the mind is a powerful thing and some of the sensitivity could be anxiety related, so reassure them that your intentions are not to hurt them and you are willing to work at their pace. Give them the control but preach consistency.
You could even try having them put their hand on top of yours and that they can control the depth. Control definitely helps people feel more at ease. The more they can relax, the less force you'll need and more effective your treatment will be. Thanks for the comment!!!!! Hope his helps!
I'd like to know as well.
Does your technique work for venous TOS?
Would you know a therapist in the Toronto Canada area that offers your technique?
Sure- do u use lube
Wish I got this done I have bilateral cervical ribs getting pain with certain movements. Who do I go see for this a physiotherapists?
Yeah that would be a good place to start
Who dink ask for to do this bro?? I live in Santa Barbara california ! Needs this ASAP before I try surgery please
Where are you located
Does he have tos ??? Just curious??
ok so how do you measure whether or not it's working? where's the data? why not measure radial pulse before and after?
Just a question / observation, but being an orthopedic therapist myself for 20+ years, doesn't it take away from the myofascial work to use so much of the cream? Because we were trained to use a teeny tiny bit, or none at all, in order to be able to really grab and pull the fascia, to hook it for the movements and NMT part, and to soften the muscle tissue. And also, is it necessarily sanitary to dip your hands in the same container as that of the one that is being used for other clients? I would be careful with that contamination.
How do I find someone who can do exactly this in Frisco, TX?
Same issue , same location, Arlignton TX . Did you find any ?
Did you end up finding someone in SF? I live here too and looking for help 😅
Do you also help with elevated ribs? My first two are popped out along with my scalenes & scms being tight ropes
You guys are 2 hours from me but it may be worth the drive if you think you can help. My TOS got so bad and is bilateral affecting almost all fingers but I don’t want surgery 😭
Hey Kallie, sorry to hear. We could certainly take a look. Rib flare is a common finding in TOS patients. Can be a result of breathing habits, diapahragmatic control, etc. When I have clients from out of town, I generally do a 2 hour eval, treat, and program design session, and then we can collab remotely. We also have virtual sessions. Check out our website for scheduling at www.themovementunderground.com
@@themovementunderground2464 awesome thank you! Is there a certain instructor I should choose for this issue ?
@@kallievangas9730 I’d see me(Mike) or Brian
@@themovementunderground2464 awesome thank you! Gonna check it out now
I am a professional dancer and struggling with the same issues, tightness in the neck and in mid-back between the scapulas. Did some PT, exercises, acupuncture, cupping massage but the effect is not very noticeable. Do you know someone who is good enough in Seattle who could perform similar techniques? Would love to schedule with you next time i am in NY!
Check out BESPOKE TREATEMENTS in Seattle! My friend Phillipos will take great care of you! Tell him I sent you!
Please do come visit when you come back to NY! Thanks for the Love!
Thank you so much, already contacted them!
You are in GREAT HANDS!
Do you use PNF or PIR techniques for lengthening the scalenes and traps?
Sure you could definitely do some PNF stretching, I like to really work isometrics on the neck, find them easier to do at home for my clients. Just some way to have a person be active in the new ROM we gain after treatment.
What kind of gloves do use are they basic latex or some other material that works well with body work?
I use Nitrile gloves for a few reasons. They are more sturdy, meaning they dont rip as opten when doing manual work, and I don't have to worry about people with Latex sensitivity. The brand I use is called SkinTX, which I have found to be the best combo of price and quality. Hope this helps and thanks for the comment!
He mentioned nitrile gloves
Nice breath
Why are you not in England!!! 😔
I wish he was aswell, I really need this
I have such pain in that same area.
Over time, with treatment, can someone have permanent relief in this area?
Yes! It is a process to make the necessary changes to posture, movement, and whatever dysfunction is causing your pain. Consistent, proactive manual treatment by a good therapist, paired with a corrective exercise program, good nutrition and lifestyle and workplace ergonomics can make a huge difference! Good luck, I am glad this video was helpful to you!
Where are you located? City and state.
You can’t afford me
I'll be happy to give a massage to that guy .lol
things people dont pay attention to
1. he is wearing gloves to so called sanitary,
but dips into his cream repeatedly which the next client will get the previous clients residue..lol
Bull, that’s bull; the gloves provide the right grip and glide and are not for hygiene.
Good point.
I’m sure he did not say the gloves were for sanitary purposes.
Why do you wear gloves
“Clean out grainy tissue” there is 0 science behind any of that