0:06 Hello everyone, my name is Dr. Jacobs.
I am a doctor of physical therapy and the inventor of the Advanced Soft Tissue Release
specialty.
I am a cancer survivor and I used to suffer from chronic migraines, headaches, fatigue,
and pain after my second cancer treatment.
0:26 I was able to help my condition through the discovery of Advanced Soft Tissue Release.
It is a holistic approach that treats the source of the problem with the invention of
several instruments.
0:44 The goal of this video is to go over current treatments for chronic pain patients,
highlight the most effective treatments based on the studies, and also cover the 10 elements
that I have discovered to relieve my own chronic pain and also helped my patients experience
chronic pain relief.
Hopefully from this video, I would like to challenge healthcare providers to treat the
source of the problem instead of symptoms based on research studies.
1:24 Current modalities that are used for chronic pain include massage, acupuncture,
spine adjustment, joint mobilization, stretching, dry needle, and manual therapy.
In many studies, these were found to be temporary or short-term pain relief.
1:44 Let us go over a couple of studies that reviewed these modalities.
One of the studies was done by the University of Ottawa in Canada and it reviewed 270 studies.
They concluded that, "The benefit of massage, acupuncture, and spine adjustment treatments
were mostly evident immediately or shortly after the end of the treatment and then faded
with time."
2:12 Another systematic review done by Maylor looked at the manual therapy use and exercises
to relieve chronic pain and they found that there is "high quality evidence that suggests
greater short-term pain relief than exercise (manual therapy) alone but no long-term differences
across multiple outcomes for subacute/chronic neck pain with or without cervicogenic headache."
2:46 There are much more studies on dry needle, exercises, stretches, massages, and manual
therapy that show that it provides short-term pain relief but there is no promise of long-term
pain relief.
Feel free to contact me and I will send you a link to all the studies.
I am working with students of literature who compact all the studies into one paper so
it will be easier for readers and healthcare providers to have access to that.
That is work that I have been working on for the last 6 years summarized in one paper and
we will have that available for everyone to review.
3:29 It is really frustrating as a chronic pain patient to learn what I was learning
in school and what I was using on my patient provided short-term pain relief but nothing
was geared towards chronic pain patients.
This is really sad because when we look at the statistics, there are 100 million Americans
that suffer from chronic pain, but still healthcare providers use modalities that provide short-term
pain relief.
4:10 Before we start looking at a solution, we need to look at what the problem is and
how our body works, so that we will be able to gear the treatment to treat the problem
instead of the symptoms.
In order to do that, we have to understand the normal healing cycle.
You are going to the on the screen, the process of healing.
One example is an external cut.
I am going to use an external paper cut for visualization to help us understand how our
body heals.
This process is very complicated but I am going to simplify it in this video to give
you an idea about what is going on in the body.
4:52 The first stage of the paper cut is inflammation.
During that stage there is swelling, redness, blood starts to rush to that area, and pain
occurs.
The second stage is the proliferation stage.
That is when he body starts to build scar tissue in order to heal.
If our body does not build scar tissue, it becomes an open wound susceptible to infection.
Scar tissue is essential for survival.
During this stage it is not only scar tissue, there is always fascia restriction, muscle
spasm, and trigger points.
It is a cascade of events.
The last stage is the maturation stage, in which the body starts to heal.
It actually starts to break down the scar tissue and the muscle spasms, trigger points,
and fascia restriction clears up and gets loose.
This process could take days, weeks, months, or years.
As we get older, our body's ability to break the scar tissue decreases significantly.
5:58 I will give you another visualization to know how this happens.
Let me go over Tom, for example Tom had a car accident.
When he had the accident, he started to experience neck pain.
I am going over this process that happens internally but you can visualize it with the
paper cut.
The first stage you have is inflammation which involves swelling and redness in that area.
The second stage is when the body starts to build scar tissue around the micro tear areas
in the muscle.
During that event, he starts o have fascia restriction, muscle spasm, tightness in his
neck, and trigger points.
After that, he starts to slouch forward and attain bad habits that lead to poor posture
and poor body mechanics.
During this event, he starts to stress out because he is unable to work properly or he
has a lot of discomfort during work.
He has a lot of stress because his car is totaled and then he starts to not eat the
proper diet that will help his body heal, so his diet is effected too.
When we look at this event or Tom's accident, there are 10 elements that are involved with
that accident.
7:30 When you look at the screen it starts with inflammation, then scar tissue, then
fascia restriction, trigger points, muscle spasms, poor posture & body mechanics, sometimes
gait problems, and then he starts to have nutrition issues because he is not eating
the proper diet, and a lot of stress and anxiety that is involved with this scenario.
At the end of it, his entire life changes and that leads to the chronic condition being
continuous.
8:05 When I looked at the 10 elements, I realized that we need to treat them all simultaneously.
As a chronic pain patient, if we do not treat those 10 elements simultaneously, it will
be hard to get long-term pain relief.
From my personal experience, I had to work on all of those elements simultaneously, but
the problem that I found with current treatment models was that when we look at the studies
for massage, scar tissue, or manual therapy, they showed short-term relief but no long-term.
This was really frustrating and it actually led me to invent an instrument to treat those
issues effectively.
These are some of the instruments I use to break scar tissue, release fascia restrictions
and trigger points, and work on muscle spasms.
9:08 When I looked at current evidence of treating those 10 elements, that is exactly
what matched the biopsychosocial model.
This model was developed by Dr. George Angel in 1977 and his approach of treating chronic
conditions was based on the physical, social, and psychological problems that involved chronic
conditions.
When we look at this model, we look at treating patients ergonomically, medically, treat the
posture, soft tissue to release tightness, meditation, stress relief classes, nutrition,
and exercise classes.
Currently, a lot of practitioners call it multi-discipline model that requires a patient
to go to 4, 5, or sometimes 6 practitioners to try and fix the problem holistically.
Let us look at the study that was presented on that model.
10:24 One of the studies, done by Guzman, was a systematic review that looked at 10
studies that was for chronic low back pain.
There were 1,964 participants involved in the study and they found that, "Strong evidence
suggests that the biopsychosocial treatment approach was more effective with functional
improvement compared to non-multidisciplinary treatment."
This is just one study, there are tons of other studies and I have the link to those
studies at the bottom of this video.
Feel free to contact me if you need more studies, there are many more studies that show the
holistic approach when we treat the problem from all aspects that lead to chronic pain
relief.
That is actually what I utilize through ASTR treatment.
11:20 The problem with the multidiscipline model or the biopsychosocial model is that
the patient has to go to several practitioners.
They have to go to meditation class, nutrition class, manual therapy, exercise class, work
with a physical therapist, get a massage for soft tissue, and ergonomic training.
When you look at this and I was reading many forms where patients were complaining that
it was very time consuming and very expensive.
You would need to block 5-6 hours a week just to treat the source of the problem instead
of the symptoms.
That is what led me to reinvent the way we treat patients.
Through ASTR treatment, I addressed the 10 elements of the problem simultaneously and
I figured out a way to readdress it in 2-3 treatments.
12:25 When I see the patient, we can address it in 2-3 treatments.
I had to reinvent manual therapy to get a good result in a short period of time.
Feel free to check the real treatment videos that I posted on my Youtube channel so you
can see the manual power of it.
Behind the scenes, I actually go over the 10 elements and I figure out more about several
conditions like tension headaches or migraine headaches, fibromyalgia, back pain.
I developed these over the period of 6 years based on the fastest, most efficient way to
relieve pain.
So far, these have worked really well for patients and I am constantly working on new
protocol and better ways to treat a patient.
I update these protocol and teach it in my classes to healthcare providers while constantly
working on new inventions and instruments.
13:37 Feel free to subscribe to my channel, you will get updated with tips on how to relieve
pain.
Also, there is over 150 videos on ASTR treatment and you can see the instruments that I invented
and the results I get with my patients.
If you are a healthcare provider who are interested in being an ASTR licensed provider, feel free
to click the link below to register for the next class.
I also included the link for my TedTalks where I shared how i discovered ASTR treatment.
See you soon!
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