The Big Lie about Trigger Points (Knots) & How to Get Rid of Them.

top and Brad the to low speed this physical their this only today hi folks I'm Bob short physical therapist Brad antic physical server we have the most famous does it go therapist on internet and our opinions Lars Bob I'm checking my Michael make sure they can hear me alright today Brad we're gonna talk about the big lie about trigger points which you might know is not right and how to get rid of them okay so there's a big topic I think for a lot right and we're talking serious reason to the three-letter word live so we got a right we got a car self engineer and there is a great great a bit of truth to this so we're going to get into it we all we hope so anyway trigger points are also sometimes known as myofascial trigger point sure and they're very it's very controversial as to what causes of that and that's it's been a issue like this by the way for like a century bread sure and generally what it is it's a hyper irritable spot and and Julia presents itself because we might stand up read turnaround sure I mean a common spot is like in the upper trapezius you're going to find a nodule and you push on that and really is sore this feels like a like a not right in the area you can get them all over a different spots here you can even get them to low back in the buttock so that's what we're going to be talking about right and there's something like there's always a trigger point right about there pretty much everyone yeah and you can feel a little bit normally there and that's because a lot of people have bad posture don't they right right so for years people Brad dot and this is back in the early 1900s than our nineteen to 1950 mm-hmm they called this they thought it was in the muscle itself and they called it fibrous itís okay that was a common diagnosis that kind of went away and now well you know what we believe in our opinion in most cases even though you're having trouble in the muscle is coming from like the neck or the spine right another irritated tissue is causing the muscle to spasm or tighten up a referral type of pain yeah it's referring it was referring from the neck and it goes into the muscle there's kind of three signs that you can look at okay to figure out if it is really muscle or for this coming from the spine before we get into the I was thinking standing people out there right Craig's out there if you are new to our channel please take a second to subscribe to us we provide videos on how to stay healthy fed pain free and we upload every day subscription buttons there or there and please take a second to like us on Facebook we're always giving away stuff I don't know what we're giving away right now but if you look we're probably giving away something that mean then restore it gets my attention right we like to be like so back to ok we're back to the trigger points number one the first thing if it is in the muscle when you test the muscle put resistance on the muscle it'll it'll hurt if it is a muscle issue so this is kind of a not a good example but if it's to the bicep that's funny boy were you a little look like a the same thing right and you could stress that muscle you put it up mid-range yep and I push on it like this and if it doesn't hurt there's no lesion in the muscle that that nodule you're feeling is not for the muscle itself it's from somewhere else right because we're stressing the irritated point if that's irritated the stress should cause more irritation right let's talk about a muscle that most people do have trouble with is the upper trapezius right very common now a simple way to test it I mean if you want to be a purist that you actually have to bring your head back to the side turn away and then bring it up and then you push on it okay so we're looking at this muscle to this muscle I'm working to maintain that posture I'm going to push here and that's going to make that muscle work even more and I send prettier and there's no pain okay now a simple way to do is just to bring it up I mean you're probably getting mostly upper true play right if you bring it up like this and again someone pushes on it and there's no pain same we can test this on right no pain you can test some of the Lord trapezius and stuff like that by doing this if I lay down like this Fred sure and I bring the arm up like this and you push on it yeah put pressure here so we're working at that little scrap right yeah thumb up by the way or if I go all here I'm get to catching the middle trap this yeah this is the lower trap sorry about that yep so if none of those love you it's not the muscle it's not hurting in the muscle so let's go to the next thing is the trigger points are they jumping around right and Brad and I see this quite often in patients that you know at one moment it's over here it's really pretty bad and then also you'll do a couple of things you move Ronaldson oh it's over here now yeah here is a different location if that's the truth and obviously you can't be in the muscle right and that's very common with upper back or lower back pain you know one day it hurts here the next day it moves and so if it was a muscle it the muscle is not going to move around right the pain and the third thing is can you create these trigger points by doing a movement like so by moving my neck does it make one of that trigger point worse right so that my by far is probably the biggest indicator right generally if you find a movement that makes it worse you generally can find a movement that makes it better right so let's talk about a few of those bread so if you're getting trigger points up in the upper TripIt traps here one of the first things quite often I want to get a towel to browser one of the first things you're going to try is we're going to do chin tucks first and so with it with this case a lot of times people are like this and this aren't author Briggs on those trigger points because the next in this position so you want to do a chin tuck where again you're not bringing your chin down you're not bringing your chin up you're just going straight back like this see does that make things any better at all sure generally that won't benefit but a lot of times what will start helping is if we start working on extension one thing I do the chin tuck chin tuck again I may have people someone with the problem over here in the shoulder blade and I'll start doing a chin tuck and it changes the trigger point pain or that not pain right Judith chin tuck changes how that feels or move the location of it it's telling me I've got to look at the neck it's not in the muscle it's in the neck the neck is causing that muscle pain and sometimes yeah we're going to work on probably extension is probably one of the other ones we're going to try and if this is painful when you do this one again it's probably is the cause of it but to just try shorter arcs if it hurts and then if it still hurts you may want to try the towel trick which we Brad and I have done many times so one way the Brad way the Bradley Hynek technique is to actually just put it down low like this pull down like this and then you can kind of lean back and work on doing some extensions here and quite often that takes a lot of the stress off the neck all you want to show that way - yeah what yeah I didn't have the other towel but this works better than that using the when they call it the selvage of the towel we're going to use this right a lot of times there's a little edge on the towel and a different way to do it is actually take that edge and put it up underneath your ears like this and you're going to pull up this way now and work on extending back if you see how my arms are moving along with my neck and with this selfridge you can go lower too and work on different levels and working like this and again see if that changes the trigger points and you're all going to do these if it helps it makes it feel better okay if this irritates it you're just going to stop and you need to go approach it differently right one last neck one that often works Brad is the chin tuck and a side Bend sure if the pain is on this side the trigger point is on this side a lot of time if you chin tuck and bend to that side again you're going to do these you can do these every hour sure and again as long as it's making things better and not worse and even eventually sometimes people get to this point and then they give it even a little stretch light stretch you know don't pull hard on it it's a gentle stretch but you know one of the problems that I see with trigger points quite often especially in the upper trap and the traps is I think they're coming from right and once you turn around after I don't think they're coming from the next per se unless it's really low neck or maybe a little bit of what we call the upper mid-back that's a Rasik area this area here right here is really hard to treat yeah and that's why a lot of times people go well that neck is not affecting my trigger points at all they need to get into this area here and it's really hard to do so I'm going to show you a couple ways to try one thing you can do you can take a couple tennis balls I actually have two lacrosse balls in here in a sock and you're going to put them you're going to roll on them and I wanted to show on Brad where they are so you put one on each side of the spine and when you roll on this it'll help extend that part of the lower neck neck and upper mid-back and it can get some movement in there and by doing that every so often helps get that moving and takes away the trigger points right you can do this well we'll show you on the table but you can do it against the wall building a wall - and I did this my son was having trouble with this area and I worked on it manually as a therapist I know how but it's really hard to treat yourself sometimes and that's why these things stick around so you know again all I have to do is take the two balls put it on one on each side of the spine and this actually works pretty good Brad yeah hold on to it then it really I'm really working that area I'm not having to move too much but and I know you're not seeing any of it yeah just take our word for it that it's working but that's why you use the fact is to hold the balls you know in the general right location if you don't use that they're rolling all over the place and I'll show the mid-back one and then we can maybe go over to the wall real quick if you're show it okay but it's the mid-back one again if it's maybe even a little bit lower it's good to hang in a ball like this and you put it you can move it in different spots for the mid back then we're very thorough okay and then you can do stretches up over the ball like this a little spongy of a ball not like a basketball or something that'd be too hard you need a little give in it yeah and you can move it up and around and you can try to get that that higher spot and then it works I mean it I can actually feel that bread it's going right into that upper area right and do that again Bob I'll have patients if they respond go to this I'll give a little over pressure as long as it feels good and they'll say oh that feels like a good stretch does feel good sure alright last thing Brad you wanted your ball yeah are you going to play kickball a little Foursquare done what that means I'm sorry um did you want to show against the wall well yeah oh thanks bread yeah got some attention huh okay so this is actually kind of hard to do by yourself until you get used to but you're going to leave get there and they're there you got it it's a little hard Bob to get it leg up but you can do it I got one little higher than the other but I have to work that out but right it might be one in my actually iPhone I got it now it's good it was easy to do it on here yeah I put a lot more weight on it then right so all right Bob this is wonderful now I got it lined up but yeah probably you know on the floor carpeted with paid carpet or even a hard floor you could you know you can't do it then on the saddle so another good use for lacrosse balls or tennis balls you know you just think I'd have some fun with this out remember folks we're not just pretty now we're pretty ugly no we're pretty pretty helpful in handling it yeah make sure you subscribe that be careful you

Channel: Bob & Brad

Views: 1,499,838

Rating: 4.8640184 out of 5

Keywords: family friendly, physicaltherapyvideo, famouspt, bob schrupp, brad heineck, famous physical therapists, physical therapy, Bob and Brad, myofascial trigger points, trigger points, knots in shoulders, trapezius knots, pain nodules

Id: 01W9RCXKgys

Length: 12min 7sec (727 seconds)

Published: Tue Jun 13 2017