Spine Mobilization With the "MASSAGE GUN"

In this topic, we'll cover that how you can get your Spin Mobilization with this "MUSCLES MASSAGE GUN". So it's not a stretch, or at least a large stretch to think well if this oscillates, and joint mobilizations are oscillations, maybe this could help us out. According to One of Proven Scenario, I've used it a few times with clients and it seems to be having a positive benefit. Now I'm not saying this is a replacement for manual mobilizations, but it is an alternative that might help save our hands a little bit. So let's start with the sacroiliac joint, how would we make this happen. So I'm going to find his PSIS, and I know what I want to do is oscillate the sacrum on his ilium, that is what a sacroiliac joint mobilization is, at least a PA joint mobilization. I'm going to need a towel to throw over the top of his sacrum because this thing over bone hurts a little bit, but I do need to apply pressure to that bone to get it to oscillate. I'm going to go ahead and use this flat piece, round piece, a little larger surface area, you could also use the foam ball piece and what I found so far is that the second setting on these "MASSAGE GUN" works pretty good to get good oscillation happening, without being so intense it pushes me out, and not so little intensity that I just don't seem to be getting what I want. So we're going to go ahead and put our thumb over the top of the PSIS, that's going to help me know where to put the "MASSAGE GUN". Alright we don't want it over the PSIS where all I'm doing is bearing into a bony prominence and not getting anything to move, because my PSIS is part of my ilium. Once I feel like I'm on top of the sacrum which I can actually feel with my thumb being over  the PSIS, right and I get a good oscillation happening which you can also feel through the bone by adding a little bit of pressure to the device, I'm just going to hold it, and then very very slowly work my way along the entire length of the sacrum. I'm talking like over the course of 60-seconds slowly. Now this machine doesn't give you much feedback unlike a manual joint mobilization where I can feel the joint loosen up underneath my fingers, you are going to really need to be careful with assess, address and reassess. So for example if we used the Stork test which is probably the most reliable of the sacroiliac joint movement based special tests, I would want to do the Stork test before, use this device, and then do the stork test again after to see if it had an effect. Of course if it had no effect you could then try manual mobilizations, and of course if your manual mobilizations don't work either may be we don't need to be mobilizing the sacroiliac joint for this particular individual. So that's SI joint, now we're going to just follow the same logic all the way up the spine. I will admit that the lumbar spine, it's a little tough. There's just so much muscle mass down here it's hard to imagine even getting directly on a facet where you'll get some motion, but maybe using an even lower frequency like frequency one and using a smaller surface area piece like the bullet, you could get over like a stiff facet for example at the thoraco lumbar junction, go ahead and test with your fingers, use this tool again. If it works great, you have a potentially hand saving technique. If not then go back to your manual mobilizations. Outside of the SI joint, one place I've had a lot of success with using this tool is the thoracic spine, and I know you know that the thoracic spine and the the cost over tebral joints have a tendency to get very stiff, especially inour desk workers. This tool is definitely helpful, I can definitely use my spring tests to figure out where they're tight in their thoracic spine, and then rather having to try to like man handle or manipulation, or sit there and mobilize each one of those thoracic facets and maybe even then the cost overtebral joints, maybe you try just doing the same thing. We're going to go just lateral to the spinous process, put a little downward pressure, I'm on setting two, I'm holding, seeing if I can get good oscillation through whatever stiff facet I found. Or I could slowly move over a group of stiff facets. We could also use our palpation skills and go over the cost over tebral joints. if we thought those were stiff, same thing very slow. So different than our soft tissue techniques with this, I think what you will realize is you have to get right over the joint, and you're going to need to hold I think 30 to 60 seconds is probably good, and then if you are doing a group of joints you're just you're just going to move very slowly over. Again you're not going to get a lot of feedback from the device itself because there's always already so much going on with the amount of frequency we have, there's already so much vibration in our hands. You're going to have to be really on top of assess, address, reassess so as soon as I did this technique with Mike, let's say I used thoracic rotation as his assessment, I'm going to do this technique for one, two minutes. Treat whatever area I'm trying to treat, and then get up and do thorac icrotation again and see if I have got any improvement. 

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 Now if I didn't, of course I could go to my manual techniques like manual joint mobilizations or manipulations, and if that didn't work of course maybe we need to do something other than a thoracic joint mobilization. I can tell you in the thoracic spine and even with the SI joint to a certain degree, a lot of times I do have to follow "MASSAGE GUN" with manual techniques. But here's the catch, I started this because I had one of those individuals which we've all had where you know that a thoracic manipulation would help but they're so stiff it won't go. Right like you can't get the joint to let go, you can't get may be the cavitation that you're looking for. You try the screw mechanism, you try our screw technique, you try the pistol technique, nothing seems to work for you, try using this. Trying to loosen up some of those facets and then go back to your manual techniques. You might just be surprised. I was actually most successful and the reason why I started heading down the path of mobilizations with that exact scenario. I couldn't get the manipulation to go, maybe I was having a bad day, maybe this individual is just very stiff, went through addressed all the facets and cost over tebral joints that I thought were stiff, and then I went back and I did the the pistol manipulation which I am comfortable with, I like, and all of a sudden everything loosened up the patient felt fantastic. So I am very curious, obviously this is very new. I have just started doing these techniques so I don't want you to think I'm pounding, you know do mobilizations with the "Muscle Massage Gun", I just thought it was an interesting use. I thought it has potential, and I'm really looking forward to hearing how you can add to the repertoire of joint mobilizations using this thing to potentially save our hands, and save our bodies, and add an alternative way to get some of these techniques done.