Acupressure For Pain Relief | Mark Perren-Jones | Skillshare
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51 Lessons (3h 28m)
    • 1. Acupressure for Pain Relief

    • 2. Welcome to my course!

    • 3. How does acupressure work?

    • 4. The treatment area (lower the table)

    • 5. Acupressure the right and wrong ways to perform it

    • 6. How do we apply pressure? The Goldilocks zone.

    • 7. How to get the acupressure timing correct

    • 8. Your posture and body mechanics are vitally important!

    • 9. How often should you treat someone

    • 10. 2 Very Powerful Pain Relieving Points You Can Use On Each Condition

    • 11. When in doubt, don't.

    • 12. Helping Lower Back Pain

    • 13. Lower Back Pain Questionnaire

    • 14. The causes of lower back pain

    • 15. Ok, it's time to start treating!

    • 16. Treating Lower Back Pain and Sciatica

    • 17. Bonus Section! Deep Tissue Massage Techniques for the whole back and neck!

    • 18. The best exercises for lower back pain and sciatica

    • 19. A great self treatment to help lower back pain!

    • 20. Neck Pain

    • 21. Neck treatment

    • 22. Deep Tissue Massage Techniques For The Neck

    • 23. Neck Self Treatment

    • 24. Exercises for neck pain

    • 25. Referred Pain

    • 26. Helping hip pain

    • 27. Acupressure for hip pain

    • 28. Exercises and home treatment

    • 29. Helping tennis elbow

    • 30. Tennis elbow treatment

    • 31. Tennis elbow exercises

    • 32. Helping Carpal Tunnel Syndrome

    • 33. Treating carpal tunnel syndrome

    • 34. Carpal tunnel stretches

    • 35. Helping someone's Shoulder Pain

    • 36. Where is the pain coming from? Your shoulder or your neck?

    • 37. The causes of shoulder pain

    • 38. Treating shoulder pain with acupressure's most powerful points.

    • 39. Stretches for the shoulder. No.1

    • 40. Stretches for the shoulder. No.2

    • 41. Helping Knee Pain

    • 42. The causes of knee pain

    • 43. Treating knee pain with Acupressure's most powerful points.

    • 44. Knee Exercise 1

    • 45. Knee Exercise 2

    • 46. Knee Exercise 3

    • 47. Knee Exercise 4

    • 48. Helping Upper Back Pain

    • 49. Treating upper back pain with acupressure's most powerful points

    • 50. Ankle Sprains/Foot Pain/Injuries

    • 51. Congratulations! you have completed the course


About This Class

Learn acupressure massage techniques from best-selling instructor, Mark Perren-Jones today!

"This acupressure massage course is informative and enjoyable i really want to just keep going with it I cannot put it down. Learning so many beneficial acupressure massage techniques and skills this course is a secret gem. It was such an engaging and informative course which I could not put down - the most interesting and clearly explained course to date.  Learn from the BEST"

"Once again, the best specialized information. I love the way Mark gets straight to the point without holding out important information. Great job, top of the line instructor/teacher please keep it up."

So what makes my acupressure massage course so different to other courses?

In this acupressure massage course you will learn a methodical, systematic approach to treat each condition just like I do in my massage clinic-not simply learn a few acupressure massage  points and basically just hope for the best which the majority of acupressure massage courses and books tend to teach

In this acupressure massage course we deal with lower back pain and sciatica, neck pain, upper back, shoulder and knee pain. Each painful condition is structured so that you know exactly how to treat your client/friends/family or yourself by using specific acupressure massage techniques.

1. Questioning before doing your acupressure massage treatments

Firstly, you will ask questions about the person's pain so that you gather information about the symptoms/severity etc so that when you see them for their next acupressure massage treatment you can then ask how they have progressed and how their pain is since you last saw them. Or if you are treating yourself you will be able to assess your own progress.

2. Address and remove the causes of the pain.

This is such a vital step which hardly ever is addressed!

Let's say that you or your client/partner/friend has lower back pain and/or sciatica. You do some acupressure massage and give the person some temporary relief but the pain keeps coming back and you have no idea why.

Well, have you addressed what is causing their pain in the first place? 

No...Probably because firstly you have no idea what causes it so the person continues to harm their backs every day and therefore remain in pain.

In this acupressure massage course you will learn exactly what are the major causes of neck, back, shoulder and knee pain and even sciatica and will then be able to remove the causes!

3.Treat the affected areas with acupressure massage techniques and other specific soft tissue release techniques

In this step you will be taught extensively how to treat each condition using both acupressure massage point techniques, trigger point release and other soft tissue techniques to decrease tension, create better blow flow and nutrients to the affected areas. You will learn how to use correct posture, correct depth, how long to treat for , how often should you treat, and so much more!

4. Differential Diagnosis

Here is another incredibly important step! Let's say that you or the person that you want to treat has a painful shoulder. You treat the shoulder but the shoulder shows no improvement. You have no idea why. What if the shoulder pain is not coming from the shoulder but it is actually being referred from the neck? That's right! It is actually a neck pathology that is referring pain to the shoulder. So you need to treat the neck not the shoulder. How do you know? I teach you very simply how to detect where the pain is coming from.

5.Home Exercises after their acupressure massage treatment

Once again, this is such an important step to becoming pain free and i see time and time again people doing the wrong stretches which actually worsens their problem. For example, if a person has lower back pain and/or sciatica due to a disc bulge(almost all sciatic nerve related problems are related to L5-S1 disc problems) then the last thing that you would want to do or advise the person you are treating is to do forward bends, knees to chest exercises and lying on your back bringing your leg across your body-it will worsen your problem. I teach you the exact exercises that have helped tens of thousands of people worldwide for each condition!

6. Self acupressure and trigger points release techniques for home

Here you learn how to self treat using self acupressure massage at home using very simple things that will keep you pain free. I also teach the benefits of foam rolling which is another fabulous method to keep your muscles loose and pain free!

In this acupressure massage course, my objective was to create the most comprehensive, most effective acupressure massage course for pain relief. I believe that i have done this. You will be able to not only help your own pain but also your clients, friends and families pain based on my 20 plus years of experience, training and knowledge.

I truly hope that you enjoy my course!

Mark Perren-Jones


1. Acupressure for Pain Relief: Mark Jones from the award. Winning is the very spot and welcome to my acupressure course. Now in this court, you are going to learn so much more than acupressure. The reason I say that is most acupressure books courses. What have you Well, just teach you to press the point. Let's let's show the pain, for example. So you press the shoulder the shoulder points, but you're having no effect on the person. Why? Because it's coming from the neck. It's shoulder pain referred from the neck. This is what's called differential diagnosis. I am going to teach you a complete system you're gonna learn. Had a question. The client You're going to differentially diagnose him. Is that knee pain coming from a knee pathology or is it actually referred from the lower back? I'm gonna teach you how to tell the difference. Then I'm gonna show these incredibly powerful acupressure points and dig tissue techniques that you're gonna be used to treat the person. Then I'm going to give you rehabilitative exercises so the Persian could. Then after the treatment, do exercises that will get them better, quicker. So I'm gonna teach you all of this, so you'll have a complete system, not just a hidden hope. I'll try and hit these points and hope the person gets better because that's what the majority that causes, unfortunately do. Now the other thing are gonna give you are all my chips and his things about cramps. What is the real reason people have exercise in juice, crabs busting myths and you learn all of these different things. Lots of tips, Lots to go through. It's a complaint system. By time you finish this course, you will know what you're doing when it comes to differential diagnosis, questioning the client treating and to give them the exercise is to go home with, so let's get started. 2. Welcome to my course!: Hi. Welcome to my course. Now, in this occupation course I'm going to we're gonna start off. I'm gonna teach you the basics of acupressure how to do it properly. How to use your body weight, your weight transference. You're gonna learn. How do acupressure had a pride of pressure. We have to find the right depth, all of these things, and you can have excellent technique. And then I'm gonna show a methodology that I used for 25 plus years on thousands of thousands of clients. We're going to have a system. Okay, So, like I said before, we're not just goto rub some points and then hope that the client gets better. Now, I'm going to give you a system where you got to question the client now again, if this is for you, then that's fine. You use exactly the same approach to treating your own pains, but you're going toe question the client so you can get a really good understanding of what's going on. Is there paying getting better or worse? Do they have any referred pain is in effect mislead. They are any medications. And so on a surf of how long they had. It is a chronic is in acute. So you get a really good picture of what is going on. So then when they come back, you'll be able to refer to your notes ago. OK? Do you still have this? Because the problem is people forget so you could get a climb. Come in. Oh, yeah, my neck pain still bad when they came back, you know, three days later. Oh, is it? Do you still have the tingling and numbness in your fingers? Oh, actually, no. He's still suffering from the headaches. Actually, no, I don't. Because people do forget. So when you've got this method, this system, you know, cause then they go Well, actually, I didn't realize. And you will be surprised how often this happens that clients just because if you didn't know, then then you I haven't done any good. You know, I haven't helped them where in fact, you've helped them enormously. So it's not only positive reinforcement for yourself, but also makes them realize, Well, I am a lot better. I forgot about it. And actually, I'm sleeping all the way through the night, so I'm gonna teach you that. So we'll get a case, history will question them. Then you're going to I'm gonna teach you the causes off the pain. All right, Now, this is incredibly important. Just like I said before, if if someone is banging their their finger with it with a with a hammer and they're gonna get whatever treatment they like if they stop now, the course of the pain is being the finger with a hammer. Right? So it doesn't matter what treatment if you're still banging your finger with a hammer. So the same goes with law, back pain, shoulder pain, neck pain whenever pain. If you are causing that pain, we've got to get rid of the cause, right? And this is what so many practice practitioners just don't do. They don't look addressing the course of the pain. And it makes perfect sense in my book. Remove the causes and they stop harming themselves. And I'm going to show one of the major cause of back pain, shoulder pain, neck pain, knee pain so that you'll know. So we get rid of that. We take that out of the equation, stop harming yourself so that you can suddenly start to heal yourself. okay, They didn't teach you the acupressure questioning removed because is the next step is doing the acupressure treatment itself. And then after that, you're going to teach you how maney hell often you should see the person and that sort of thing when, when they if they ask, When should I come back? Or if it's treating yourself how often you should treat yourself on what to look for if you're over treating, then gonna give you exercises and other techniques that the person can take home special acupressure points that are the best on the body to remove pain. So, as I say, we've got this complete system that then the person will get so much better. It is a world away from just going and getting some acupressure points here. Ongoing isn't better. 3. How does acupressure work?: So, first of all, I wanted you how acupressure works. Now we need to look at how it works in Western medicine and also traditional Chinese medicine theory. So in Western medicine, we know by pressing on the points that it released endorphins. Now, endorphins are your neurochemicals that relieve pain in the body. Naturally. So we know releases those now. So we got that. And also, when you pressing on, say, a type muscle, say the lower back or something like that, you're having a stretching effect by pressing on it, which stretches out those muscle fibers relieves muscle tension, relieves muscle specimen. There is some. Now, the other thing it does just like if you have a sponge and you squeeze the sponge, the owner said his old water and squeeze it out and you've got underwater. Then the new water soaks back into the sponge, right? Likewise, By doing this with acupressure, you're pressing onto the muscle which squeeze out old blood metabolites, that sort of thing. Waste products, and then, through negative pressure, comes back in, soaks back in new nutrients. You oxygenated blood so that in as a healing response traditional Chinese medicine, they believe in HCI, which is energy and meridians, which, if you imagine these river like things that are 14 major meridians through the body and a longer inside those meridians, the CI or energy is flowing, and they believe that if the chief stops flowing, you then have pain. So by president appoints but called local and district points. Now, local points are simply points that if you had neck pain, you'd be pressing that, that's what in that area, that's what you're known as local points. But because, for example, if there's a meridian meridian, that's a large intestine, for example, is not there, but just to say it was. And then it comes down the arm, then that also pressed points vertical distance away from the area and that will make that energy flow out. So to get the energy flowing toe unblock locally, which I'll teach you all about, unblocked locally and then give a direction to flow out okay to get that energy flying, so be pressing them both with local points and also district points 4. The treatment area (lower the table): now, when it comes to actually treating someone, what you're going to treat them on is important. Now. If you have a massage table, that's terrific. Just make sure that it's not too high because it's impossible for you to get good body weight. Good pressure if you're up like this and that's just going toe really hurt his shoulders. So make sure that whatever hide it is, make sure it's low enough that your shoulders are down when you're treating. So they're not up like this because you got the person's too too, too high and you having to do this. That is no good at all. So when you down like that, that's where you are and then you can. Plus, if it's lower down, you can really sink more body weight into them beds. Now, okay, if you have to use a bed, you have to use a bit. They're tricking, though, because you can only get toe one side of them. Say, if you're doing a family member, something like that, you're treating the lower back upper back, so it's tricky to get you. Could you put them in the side of the bed and you treat them on one side, and yes, you can get them to shuffle across. But it is awkward because you have to go to the side. You can get up in the bed, but it's not your ideal again, if that's all you got, that all you've got. But I'm I was just better than that is to get them onto the floor with some pillows and put a pillow under your knee and do the same lunch. But now you're lunch where you are, your front leg, but your back legs. You're now down onto your knee, not on both feet, and then do that you later, some pillows on the ground. Or, if you got a food on, even better, if you're going to get really into it, you can just go out and buy a food on a couple of inch high density foods on. You could buy one and use that. Roll it out when you go to do it. Otherwise just gets, um, you could use, um, some sofa cushions I'd use knows and lay them down with the person on their and that, to me, is a way better. I think you to use that a bit 5. Acupressure the right and wrong ways to perform it: Now I want to show you how to use your thumbs correctly. Because if you do not, then you're gonna be in a hard world paying yourself. So I want to show you how so. Okay, Who here? In a nutshell. What you want to do is you have the small bones, meaning that thumb align with the big bones in your forearm. Okay, so for example, have a look at this. So if I'm going to press the same here and I've got my thumb like this, you can see it's no strong at all, is it? So you don't want to be doing this. This is really weak and likewise with your fingers. You know, you don't press like that because there's no strength. You go against the alignment of the bunch. Now, if you put your thumb like this now aligned here and now you press, you can feel it's an enormously different feeling. Now you have strength, and that's the way you're going to do your activity. Whether you're in a soft fish like this or your fingers around like this, I'll show you. But this is aligned like that. All right. So likewise, you don't have your thumbs in little angles. Sharp angles like this definitely don't want to be doing that. So keep them all the lines and take a bit of practice, and then you're going to use your body weight and press that way. That is the same If you were to use your fingers. Same thing. All right. You use your fingers like that, you're using your fingers on the other thing We're not going to do you see people, but some circling. We're always stuck to these poor little bombs Have very strengthen them. They do not do Well, this was something. Yes, I surfaced. Destroy their careers because they're taught to do lots of thumbs it whether it's, you know, table using oil, found circle stamps or something and just destroys them. So we're gonna do that. All right, Now, that's how you position your thumb, the other things, their shoulders down. Remember? Throw it down on your breast like that. Okay? The other thing. But it comes depressing. Okay? I'll teach you how you should have. You should know press while you're doing acupressure. 6. How do we apply pressure? The Goldilocks zone.: Okay, so we've got a body white shoulders down, but using a buddy went shoulders down White transparency. We got a thumb lined up, so we know we're not doing this. We have sharp angles. We know that you can even see this. This is bad when you see this is all the time people just hyper extending their thumbs like this, Okay, Just destroys his little joints. So you don't wanna be doing this. And I said all the time, this sort of thing. So we line them up. So body weight, weight transparent, shoulders down wide across the shoulders and line up with the bone. Nice. Great strength. So that may just to the next one. What about pressing? How do you do it now? I might say simple, but what you don't want to do is jabbed him. Okay, so when you go down, it should be down and up. The same timing says down and up. So I want you to practice it. So in counted, 1212 Pressure off. 1212 You could say pressure on pressure off pressure on pressure off. Now it doesn't have to be that speed. You can go down. 12321 Okay, It doesn't matter if you when I hold them for longer, it could be a five count. It doesn't matter that just sink down gently and then back. So it's not slow. Sick on up quickly. Neither is it a jab? So you just want to practice that. So as you as you sit here watching this, just do what I'm doing. Shows it down and your lane forward. I get that feeling. 12 12 You start to get that feeling shows rhythmical. And to say it doesn't have to be 12 You can hold it down for 10 seconds if your life and then come up gently. So you go down in my tent, you 33 to go down, holding for five three to come up. Okay, so we're going to do that now. The next thing we need to do is how do you know what is the correct pressure 7. How to get the acupressure timing correct: All right, So now you've got to technique there. I need to teach you how to find the correct pressure. Now it's very important that you get feedback from your client and say, Where is your family member? Whoever you're treating and just lift them known what I always say, Please let me know if any pressure is too much or even not enough. Okay, so So the person feels uncomfortable to say What's That's a bit hard. So you do not want to have that person tensing up because your pressure is too much. Okay, because you're trying to loosen up that point, that that muscle and if they're tensing up, then you're fighting each other and it will just leave the person sore and you won't come back to see you, most probably. And so Okay, here's what you want to do. So you want. That's what I call the Goldilocks Zone. Not too heavy, not too light just right. So how do you achieve that? That will take experience. If this is all new to it will take a bit of times like any other skill, but I'll show you a little trick that really helps so when it comes to any message you want to get your point. So if I just here is all soft. But if I go, if you go down to a level, you'll feel where firms up, OK, and you get to a point you just do here. So let me show you on the forum. If I press in here, you see it. It's very soft. Okay, well, that's we want to be deeper than that. We want to get past that softness there, so you get down and you start to feel where staff to stop. OK, so it would come down, come down, come down. Yes, they feel that's where you want to pay. So you want a practice getting to that point? We just feel those tissues tough not tightening up. But you're feeling the compression. Okay, so it's no longer that just talking. So a way to do this now plenty fished. You can feel that that's where you want to do when it's unclench. That's the point where you want to go to get practices, so press clench up. Okay, I could feel that, uh, unclench and go down to that point where you feel that same resistance with the muscle starts to resist. So practice it by Clinton and then release. Go down to feel that support, okay? And then work wherever you want on your hand on your leg. You on your show. Just practice that. Remember everything I told you about what you should your time. You have to be conscious of that and then taught no to get a feeling of it. Relax. And away you go. All right, so you practice that it will take a bit of time, but that's a really sort of a quick little shortcut for you to know how to feel that that correct pressure that were called, say, the Goldie Locks on. 8. Your posture and body mechanics are vitally important!: Okay. Now, when you're going to do your acupressure, one of the most important things is to have your shoulders down. Okay, So you don't be up like this because then you're gonna need treatment yourself. So a really good position. Now, if you are working on bets on the bed on a food, run you down on your knees more. But you wanna have that back nice and straight. You don't be doing this. You don't want to be rounded at your lower back. Otherwise, say you're gonna be in worse shape than the person you're treating. The other thing we do is if you don't any of my massage courses. You know I'm all about using proper technique, which is weight transference, not muscular effort. What do I mean by that? If this is a new constitute, weight transfers is using your body weight to transfer your weight. Okay, so you're going backwards and forwards your your on your front leg or if you, Daniel needs, but your weight in front. You're not going back. You're like this, but you're doing this. Your shoulders it down and let me show you what you shouldn't be doing. This is using mustard effort where you tire out very, very quickly. There's no it's completely static. And you're doing this using your arms like this to press down. Okay, you do not want to do it like that, that it's just a strain your body now. So as you're pressing down your weight's forward, So my wife, still on my front leg, says I am not going to the back leg. I'm not your kind of way that like that. So you is pressing down, and that's the way you do. You see also that you wanna have your elbow slightly bent. If you're using your thumbs, you don't look out any joint at any time, so don't lock them out. But you're saying there's no movement. So once I got that smart, slight bend, there is no movement. There are very minimal at most. Okay, so again, it's not this. We're not doing that. Even with body. What, you don't be doing this key, things relaxed but rigid, and that's the way you want to do it. So you want a practice that so if you need to get out of your chair now doing do that. So if I was at a table. That's how we doing and keeping that lower back make sure. So you wide across the shoulders, your shoulders it down so you don't be hunched. Assumes your hunch. Let's say you compress your shoulders and everything is going to get really awkward and painful very quickly. So you want brought across the chest, so that opens at your shoulders on. You've got nice wide stance. I'm lunch dance here, and then you treat that person like that. If you were doing that on a boots on on the ground, then you'd be you back your back leg, be on your knee, that sort of thing. Get a pillow and you need that sort of thing. So just to make it more comfortable for yourself, so that's what you're looking for. Okay, showed us down wide across flat back is a neutral spine, no rounded dead. And neither do you want to be over arching your lower back, either. So practice that I just get punched that movement as you're working. If anything, you should feel a burn into your front thigh because that's where your wages 9. How often should you treat someone: Okay, so now that you know your technique, the next thing you know want to know is, how often would you treat someone? Now, if it's for yourself, I'll give assumption basic guidelines here. If it was your own neck pain, I do it several times a day. Just be aware that you'd and also recommended to someone if they could treat themselves as well. But it's just what you want to do is treat yourself to say about neck pain three or four times a day. Just don't make yourself to soar. If you make yourself sore, then you want to back it off a little bit. Okay, so if you are now, they're really starting to hurt those points. Then you want you're doing a little bit too much. So if you're treating someone, let's say you've got a spire about such clinical what have you, and you want to do some treatment. Someone's come to him to see you with lower back pain. Now there are two types of painted acute meaning. It's just happened and chronic, so let's just go through this because this is really important. So you don't want to be. Let's say someone's brain to rankle. You don't want to go, you know, they just do it today. They want to ice them. They want to do the old rest. Ice compression bandage, elevation rice. Okay, so then it's arrested for the 1st 48 hours. I sit there every day, 10 minutes, every hour, that sort of thing. Put a compression bandage on if it's possible and elevated about the heart. Okay, that's and then after that treatment. But you don't again. If you say a ligament sprain, you don't want to be going in there really hard working because you got ligament so you don't want to be on that point. But you could work. Other points is will go through in the course. Okay, now it's chronic, then no problems whatsoever. Someone had it for years, that sort of thing. So I would treat someone ideally three times a week for the 1st 2 weeks and then maybe two times after that, trying to taper it off. Okay, depending on the results, because you want to see results quickly. Now, if it's for yourself, if you got your own elbow pain, then again, it's always you're not making yourself to soar. You could do it every day. You do your treatment 34 times a day just to say, Just be aware that you don't make yourself sore. Likewise, if you've got a client that's got the same knee pain, advise them to use the points within a point. So sharp points, if they can, whatever that that the injury or there the pain is and get them to do it three or four times a day. So you recommend them to do home treatment. Okay, but whether it's a coup, painless after that 1st 48 hours, you treat them and just be careful, that sort of thing. Like I told, get feedback, that sort of thing. Andrea Good, hopefully three times a week, if not twice a week, because whether it's an acute pain or chronic pain, you want to get them seeing results quickly so you don't wanna go well. Come back in two weeks because you know, if that we wanted to start relieving pain as quickly as possible, which encourages them and then begin otherwise after two weeks, it's just way too long between treatments 10. 2 Very Powerful Pain Relieving Points You Can Use On Each Condition: okay, we just have to get going. But first, I just wanted to show you, too, that the two best pain relieving points on the body that I want you to do in any treatment that has anything to do with the pain. So with pain. So whether it's back pain, neck pain, shoulder pain, whatever add days to in on every treatment. Now, if you can't, because larger test on four, which I showed you previously. So let me just show you how to find this, because I want you to stimulate them and stimulate both sides. So if someone's got right sided shoulder pain, it doesn't matter. Do the left one and do the right one. OK, Sam, other two on the thing, which I'm about to show. So because these are the less points for relieving pain, any type of pain, by the way, that could be musculoskeletal pain that someone's got headaches. Um, menstrual pain, any sort of pain, abdominal pain. So use it. Just think if there's pain, use these two points. Now let me show you the 1st 1 The 1st 1 is large and test on fourth importantly, as I'll tell you throughout the course if you're pregnant or your training sounds pretty, you can't use it because it's Contra indicated pregnancy and had a strong down with force and can report the baby. So it's contra indicated to you so longer supposed not pregnant, you can use it. All right, here's how you find it. So you see the crazy between the thumb and the forefinger just above that finger and you press in towards sir, When you find it, it's strong. It's So you press in right there, So right in there. So at the end of the cruise, into a figure, another way, confined. Just going to there. That's another way to target address it or just straight in there. And it's really strong. So you want to go careful and again treating someone get their fever. Is that okay? Likewise, you get these people, no matter what pain the head, so long as you're not pregnant, they could do this at home. Now, just pressing there, like now do both sides. It's also known as the master point of the head, so just just figure general knowledge uses point. If someone's got headaches, anything to do with the head headaches, nosebleeds, bread, eyes, sore eyes, earaches. Anything to do with the head. This is the master part of the head. So it's a really great one for anything to do with the head. OK, so that's large intestine four. So include that in any pain that painful conditions treating. All right. Now, here's the part of the course I don't like I have to show my ugly old feet foot. So the next point is liver three. Okay, so this is this was between the first and second toes. If you're queasy, my apologies. But I gotta do it for you. So anyway, here's my foot. I'm going to show you what? Where to find it. It's off the bone. That's not on bone. And I'll show you where it is. Okay, I'm just gonna spin around it, Okay? It's right there. So his boat, we're just in there, so come up right there. And that's another strong point. Liver three between the first big Children. Second toe. That's enough of my foot. Sorry I had to do it. So that point there again, you should both sides. So these are the four points you want one A tree and in fact, collectively they're known as the Four Gates, and it's also very by the liver. Three is excellent for people that have anger, irritation, frustration, depressed, if you're feeling down, is what I call a happy point. So this is a great point for you to press your for emotional stress, that sort of thing. So those four points and a great point if you're really stressed to do the four gates, meaning these two points and those two points, it's very calming as a combination. Okay, so that's what you do at these in, let's say, long supposed not pregnant for these ones doesn't matter. With the other months on, you can use those in each and every painful condition. 11. When in doubt, don't.: Now I'm gonna show this myth methodical approach to treating people. But I just want to say very quickly Now you're going to have lots of success with training clients and getting rid of the pain, relieving their pain. And that's great, obviously. But if you do feel out of your debt or someone is not getting better or they're getting a lot worse or something, that please, please, please refer them on. They'll really appreciate it. You do your best, but obviously I can't see them personally. So what I'm giving you is your treatments that I did and the way I treated my client and that sort of thing. But every now and again, you know, I get somebody go. I'm not really sure about this. So refer them onto a primary care practitioner, and that will be very, very thankful that you did, because I respect your decision to refer them on 12. Helping Lower Back Pain: All right, let's start with lower back pain. After all, more people go to the doctor for muscular, for lower back pain. It's the number one musculoskeletal pain. So let's start with that, shall we? Now, I'm going to go out throughout the course. I'm going to speak as if you're treating someone. You know, whether your clinic expire. Family member, whatever. So I'll speak as if you're treating someone. Obviously it's for yourself. Do exactly the same system for yourself. Okay, so lower back pain. So this is the way we're going to be working. Like I said in the primary video, we want to get on understanding off the clients pain. So we're going to have to question them. Are gonna go through that with with that with you in the next lecture, question them, teach them and educate them the quarters off their pain. If applicable. And it is in lower back pain, treat them and then give them the exercises or certain stretches or some techniques that they can then use at home between treatments. Okay, so that's why you get much better. So we take away the causes we treat, and then we give them home exercises, or so let's go through the questionnaire, so you get a good understanding of how you need to question the client. 13. Lower Back Pain Questionnaire: All right. So let's just go through this question here. So this is for the lower back here, so let's just have a look. It so I can't come in to see you. Obviously you greet them, and then I would always awesome. How may I help you? And they say, I love my back. Too painful. So you want to know Where is the pain first? Where is the pain? Did you do anything to it? How long have you had it for? Is the pain getting better? Staying the same. Getting worse. Have you ever had this problem before? So you started to create a picture off, you know, off their lower back pain. Did they do it? Bending over, lifting something? Or is it just now? I've had it for years. So you start again. Idea is a cute is chronic. Where is it? It's getting worse, is of getting better. You know these sorts of things. So that's that's to give you an idea. Now I'll let you know that when treating some, if the pain is getting better problem possibly it's easier to treat a person. Then their pain is getting worse. You said no It was like a two year two out of 10 years to paint. Today to 67 it's harder to turn that around of. Someone actually is getting better day by day. It's easier thing to treat more success right now. Do you have any Batic Orleck symptoms? In other words, sigh. Attica, it going down because what you're going to do that when you get them back? You want to say, you know our savior? Oh, do you still have the pain in your back? Here's one of the things that happens often people coming to see you back are still painful . Now that could mean anything like, for example, and this is why I always question and this is well, when you have your question here, you could see what was a pain scale, for example, are still painful. Do? Last time you were in, it was it was eight out of 10. And so Oh, no, it's not anywhere near as bad. If you didn't ask this, then inflated sales painful. You feel like you've failed. The treatment didn't work. I have to change around, but in actual fact, always since there's still some pain. But it's much less. Okay. So because people walk, and if you don't say, let's say someone's got neck pain. Andi was suffering from headaches. Is your neck pain? Yeah, it's a it's a bit better. Okay. Are you still getting headaches? Oh, actually, no. I haven't had one since that I saw you. So then you get to see because they will forget a lot of people will forget. Do you still have your next to? So are you still getting pins of NATO's and fingers? Actually, I don't, You know. No, they're not normally more. So you started. Well, that's a lot better incident. So you're not only positively reinforcing for your client, but it's also good for you. It's a practitioner to go. Oh, actually, I did make a big change here, or are so this is now doesn't hurt. Is it worse if you sit or slouching? Poor posture. So a person that's not bending forwards. So addition, cut. Quite commonly, be a person that has Oh, let me just go back. So with the pain and numbness or tingling you don't know isn't all the way down past the knee. Is it into the foot? Biggers again if someone's got psychotic symptoms, Masonic is that could be pain, tingling and numbness in the back of the leg. And they go what? Actually, no, it's not in my car anymore. So once again, you then get a picture like, Oh, I still have my back of my leg. But if it because the further it goes up towards a. But it is a lessening off the symptoms, likewise in the arm, If it goes all the way down to the arm of fingers, then that's worse. And if the pain is just radiating into the shoulder to the higher up, the less peripheral ized it gets, if it's all the way down that it's a worsening of condition. If if it's now, it's no longer in the hand of four, Up is just in here that shines. Getting better. Okay, doesn't worse when you slouch a simple, poor posture now, quite after the person has a disc problem in the lumbar region, most commonly bl five, the lumber vertebrae, and this one was the sacrum. The district exits that area that would have excellent sits there if they got a disk bulge , and very often worse if they've been forward slouching. So that's all. Given the extension exercises, which I will get into medications. You want to know if they're having medications, any pain killers, that sort of thing, because they might come back. And I say I still got back pain. Are you still taking the prednisone? Oh, no, no, not that I haven't had one since. Well, that's a major difference, because it not only taken major painkillers, Yes, and so that's so Then I just go onto what I just told you about. So when I come back, you have a clear picture off what they were like before. And you can ask them How are they when you next see them and say a couple of days? 14. The causes of lower back pain: So before we start reading, we want to really teach the client on what other major causes our bill are back pain because just like if I have a head pain and this is one of the major problems that so many therapists don't do is educate fights, and the clients will be so pleased I've had so many people have had to make Oh, my God. Why did no one ever teach me this? But if I have a say, I've got a sore head because I banged my head against the wall now. So I go see the doctor. I got a physical therapist to go see a chiropractor on. They might give me some relief, but because I keep smacking my head against a brick wall, the pain never goes away. It might be temporary, but it keeps coming back. Why? Because the cause of my head pain is may aggravating. Right, Hitting my head against the wall. Lower back pain is absolutely no different. We have to take decline one of the major causes of long back. There will be some instances that doesn't apply, but this is the vast majority of lower back pain. Now, there are three major causes. The 1st 1 admittedly is not very common. And thats a large impact. Someone has goes off a huge jump with the motorbike and band impact is so strong that it damages the structures was just too much impact. That really happened. But the majority of the second and Vermont Now the 2nd 1 is what is called sustained flexion. Now what does that mean? Just think Slouching, Okay, The vast dripping with poor posture slouching in their chairs. So you thinks you might be doing this right now? Sitting there slaps like this looking here with your tablet or phone You're sitting there slash your lower back as now rounded out you look long have what is known as the in word plump occurred when you stand up. You have that in wood lumber curve, right? So it's very easy to take them. So we got sustained pledge. In other words, you gotta get the person to stop slouching so you might wanna help them by Tell him they get a lumber role, a road up towns fine anything that to help them with their postural muscles to train them. So you rolled up and put it behind their lower back with Chip so they can go to that position. Okay, so get your stuff now. I will say, as long as you got the word natural curve, the n word lover curve. And you been tasted by doing this, Tell him to sit toe stand toe, walk toe. Now all that may just get the feeling I have. I get the feeling of balloons or pulling up like that. Get that feeling you don't get it through the spine. Now you put persecuted sit back like like I'm doing now. I've still got that curve that is a world away from doing that where the curve is no longer . Because what happens is this. Imagine my hands. Get that microphone. That mention my hands are your vertebrae. Now imagine a balloon between my hands that represents your disk. Now I push like that the balloon get pushed out like that water. That's what happens with your disk over time and time and time again of poor, poor posture slouching because when you're sitting up like this, my vertebrate, I like this assumes Isil out. Now they're going the curves like this and starts to push that this backwards on overtime. That starts to cause trauma to the ligaments of surrounded and the disk, and it pushes back. And that's what caused a lot of lower back pain. This because you're resting on the ligaments and your muscles are not doing any work. Now. If you do that for a moment, I've opted enough. Then the discounting pushed out, and then it presses on the nerve. And the most common money is what I said. Oh, by this one. And that's what the site of new have comes up. That's why Sy Erica is the most most common. More than hitting on a nerve goes down for the front of your league. Most people will get Sayaka. Okay, so you've got to send a person can sit back like that. No problems at all. They can sit forward like that. No problems will keeping this elongated spine. Okay, that's so you got to get them to stop snapped. All right, now, best number one. So that's what's called to stay inflection, flexing the spine and sustain amount of time your hours sitting there sitting in like that so much they start using good posture these structures will start to heal again. Right? That's number one. Number two. That's very a combination of days is poor bending and lifting techniques. So rounding the lower back, rounding that lower back to pick stuff up time and time again. Micro trauma after micro trauma. And you get damaging your back. Okay, so you have to get them. Depended. The hips. Now I'm gonna go back. I dont show what I made. Get me. Look, this over here. Right? So you're bending Your keeping this inward curve is no. That is not rounding up like this. It is bending like this. Your needs can be straight. They could be big, whatever you like. Okay, Now, the other thing is what's going gulf is pick up and they like that like that. Do you think something up on the back is always straight like that? So it's called hip injury. Your sticky bomb out on We've been like that. Keeping that in a good position should give them to start bending and lifting correctly. In other words, keep that in wood lumber curve, and also to stop slouching. Now, just by doing that will make an enormous difference. Very quickly because, like me banging my head against the wall, we've started to remove the cause. So now the back can start to finally heal. So they know harming the back hundreds of times a day there now allowing it to heal. 15. Ok, it's time to start treating!: all right, So now finally, it's time to do some treating. So remember all the things I torture on how to do the acupressure. So you treat the person, make sure you get feedback from them. And also after the next lecture, I put in some deep tissue massage techniques as well, because I have a lot of massage therapists. So I thought, as a bonus, I'll put in Cem Message stick mix with oils so you could use that as well as using acupressure. If you want to give you a bigger toolbox as such, so after the treatment, then you'll see the stretches that I give. I give my planter exercises, so I suggest that you also give those exercises to your clients, and I go through all of that as well. And then I show you how to use a tennis ball you could give to tell a client to use that at home as well, to help loosen up their muscles on. Once they're better, they could do foam rolling if they want my shows and find rolling techniques, which is really fabulous at helping tight muscles and lower back pain to then maintain their lower Bacchus. Well, now, don't forget that you want to be pressing the large intestine for and large intestine three as well as your acupressure on the back as I show you. And make sure you get your client to do notice. Well, they compress those points. If their backs really bad, they might not be able to get to the one of the foot, but they can certainly do. These ones here is well, and do the tennis ball on the lower back and most definitely do the back exercises that I showed you as well. Okay, with no further ado, let's get into it. 16. Treating Lower Back Pain and Sciatica: Okay, so we're going to do, We'll be treating the acupressure on the lower back here. As you see, we're starting on the upper back area and we're going to work down what are known as the bladder Meridian points. Now these are easy enough to find what you're going to do. You go about half a niche out from the spine. At the level of where the spine is pro. You feel the bump, what's called the spineless process so you can feel that bump at the base of the neck there and then where the bumps and drops into the gap. That's where the difference between the spinal joints are, and that's where you go out around about half inning. Don't worry too much about it. Um, if you're not sure of the location, if you can feel that bump, just slide down off it and then come out. And what do you want to be? The erector spinal muscles, the big what? They called back strep muscles, which go from the base all up to the neck, the base in spite of the neck. And so what you basically want to be doing is having a thumbs on top off that muscle on the high part of the muscle. And that's where you gonna find these points. So you gonna work your way down now, when you start off, you cannot suspicion to breathe in. And then when they breathe out, you're going to push down. And what I like to do is to synchronize my breathing with this. So when they breathe in, I breathe in and breathe out Now what you can do Oh, I'm doing it just on the one breath. So she breathes in and then breathes out, and I pushed down. What you can do is do it for several breast. You should actually holding it for more like 10 15 seconds. I'm just doing it. But this level of just one breath h press, um, just said of the video doesn't go for too long, But you could do it certainly for a couple of breath for three or four berths, for that matter. Now, will you see here if you look at the diagrams in the course here on the blood of Meridian points. So now I've gone out to the second line, which is just slightly out again, so I remember the first line is on the high point of the muscle, which would go down either side of the spine. Now if you felt that high point, you got half a niche from that. And it's just on the edge of the muscle where the muscle sort of drops off. And the reason we're working the whole back is because it's all connected. Onda, you want to loosen up the whole back and you'll see this throughout the course here when it really is work that hold back you could save my press is just pressing down and then gently coming up again. There's no jagged nous to it. So have gone down the first line just outside from the spine, and then go on a little called natural so further away from spine on the second set of bladder points. Now, I've just done this, uh, one down and then up the other side, you can do longer presses. You can repeat the lines. Now what I've done here, I've just gonna right a little further out again. Where you know those knots are people. Not so just working those knots right on the edge of the shoulder blades there. I just said, just just for the sake of the course, it doesn't take too long. You get the idea that you could do this two or three times if you wanted to and really loosen up the but the person's body. They say you're not gonna get any complaints for them from them. And again, If you're unsure of how deep you need to go, you just ask the person. Now, here we are again. I'm working there. We're gonna work the bladder points, as I said, But there are also things code in Chinese medicine. Are she points, which basically painful points. So you work there if you feel tight muscles and you might not know that Miss Trigger points as well. So you can work these muscles here and now. I just didn't see before I was ah at the top of the body and now have come around the other side. You could, of course, use your elbows Here. You see, I'm just going out again. Slightly electoral, and I'm in these points. I'm pushing. You could see not straight down Watmore towards the spine, a little bit like a 45 degree angle down that down and in and just under the rib cage where I'm coming up now. There's a really sensitive trigger point there, and that's a great one for people. So you could do this and hold these. But as long as you like, as long as comfortable for your thumbs. Usual elbows. Usual. Four hours. Stop showing your the techniques. So what we're doing is what's called using local points local points in China's with used local points and destroyed points. Local meaning the points where the pain is and just, uh uh, points acupressure points that a further down the limb, for example, which will go into that in a minute. Come with that has a different angle. And we're working right down here, right, The base of the spine. Just don't. Not on the on the spine, but just to the side of it. And now they sacred points along here. So when it comes to doing acupressure, we're gonna work the hip now about acreage in the hip area. I don't want you to be overly concerned with, like we wouldn't an acupuncture have to measure out the points exactly. Um, but when it comes to acupressure. There are so many trigger points type bands of muscle all I really want you to do because you'll be really effective. Anyway, it's just work around. Find those type bands of muscle what I've talked about before, the RC points which of the painful points and just hold on to those points. But when I say hold on your pressed down into them and you'll find that you'll be really, really effective at helping people's pain just by working around all these Ah, tight muscles and type bands and type fashion. So you see, I'm using one thumb on top of the other. It's deeper tissue here. I remember. As you press down, you can see you press down until the tissue start toe. You feel I start to harden up so soft, tough, tough and then you get to attention in the tissue. And that's where you will obey. I like to say, is your learning Just ask the person house the pressure. Get feedback. If you're putting your family, your friends, A lot of these hip muscles could be involved involved with involved. Excuse me with lower back pain, but we're really loosened those up as well how he's using a fist here just for a different technique. The nice, broad technique not to use the forearm again. This feels great. It's holding into that that point there. So as you can see, we're just working deeply into this, this whole hip area. And, yeah, I spent a good 2030 seconds arm or on this areas. It's really nice for you to be out of. Just work these these tight muscles through this hip and lower a little Batic area all around. And, ah, as one of the best thing to do is use your forearm and elbow into this area. Get feedback for your client from the client. If you're not sure of the depth you need to go, it feels obviously fantastic. So if a person has sigh Attica, we're gonna dress it with the exercises shortly. But so you're going to work down said the side of nose goes all the way down through out of the lower back down for the butter here, and these were acupressure points were working on, so we'll work on trigger points where you type bands of fashion type muscle. We're getting them all and of course, working acupressure points so really feel around for these tight areas in there. Work all through this, and we're really free up. This tension through the side of Nerve National were working some acupressure points, local distal points. So this one is right in the middle, where you feel that what they call the sits bones. There's little bony prominence where the origin of the hamstring is. And then, midway between that point and the knee crease right in the middle of the back of the thigh , there's a great acupressure points. Acupuncture points for Sayaka here is right in the middle off the nay Krys. Now go gently because it is in the back of the new. You don't want to be too heavy handed with this, and you could repeat this several times. Go up and back. As it said before, you could use more time on each point. This point here is right between the that last point in the middle of the calf, halfway in the car between the ankle, the ankle bone. That is, um I want to get technical the electoral electoral Manolis and the middle of which is that the large bump in the ankle. Okay, 17. Bonus Section! Deep Tissue Massage Techniques for the whole back and neck!: All right, so now we're going to just take the town off. So city before the clients already super relaxed, feeling great, even still confidence in them, they put some oil on. Now, when you're doing these deep tissue work, they sort of techniques You don't put too much oil on. Obviously, you don't want to put too much oil on anyway. Um, in a real accession, master, just nothing worse than having oil dripping down your ribs. I know I've had it. I hate it. So use oil to a minimum and more so when you're doing these such work now you can see here I'm doing struggle to a apply the oil all over the back. But I'm also doing massage strokes. Now one of the therapist will end up doing is when they apply the oil stop, they're just apply it. Sort of like willing nearly, and then start messaging. This is wrong when you when you start with pride on even now, making sure that all of the back, but they're getting great massage strokes whilst you're applying the oil, as opposed to applying the oil with some sort of Neff strokes of just rubbing it around and then starting the message. Okay, Don't do that. Now you can see my shoulders it down and really using my body weight through there. He's gonna work down through the back, best working through the shoulders, the top of the shoulders here and again. Like I said before, you can copy the sequence that I've done here or just add to the sequence you may already have If you've got any of my other, Uh, DVDs, of course, is Andi. You could add certain techniques the way I learned my massage skills and the techniques was basically getting massaged and including things that I already loved. So if you get these through these messages strokes, these techniques feel them done to you. And, of course, that they feel great. You want to include them in your own massage sequence. Now you can see the hands bound together side by side. That would give you more strength. You can see once again I am rocking my body forward on that forward stroke. The arms are basically no movement through those elbows, which goes back to what I was talking about. Start of the course where you using body weight not muscular effort. It's vitally important that you know the difference. My way up over the top of his body can just doing circles at the same time. I'm working these muscles here. I'm scanning, scanning for tight muscles, area of tightness. Now I don't see here. See my shoulder that down. I pushing through one hand of the other as a new mom. The Erector spine A on my side, not the camera side, my side of the spine. Now, as you see, I'm going through here. Don't make mistake many therapists could do is where they doing this stroke. They start adding pressure about six inches up from the lumber. You want to really push down from the very start of that stroke as soon as you started at the base of the spine with the sacrum is which await and dig down deep and start that off right at the base because there's nothing worse than getting areas that feel missed. Especially when it comes to the lumber region. The lower back. You really want to get into that lower back here. So when you come here, like right here, down into there. So all of that lumber doesn't get missed out. Come up right around the shoulder. There, quite sitting in this angle, you get another angle. Later on, I come right around the shoulder. You can see me doing some using my thumbs down either side of the spine. There, down the erector spine. A. I'm writing from my toes here to get a good trend. You see me there, right up there to get good transference, my white over his back. There again, you next to no movement in my shoulders. Elbows. It's just using that body weight again. I've said it before, but I will repeat this. That using your body what is not anyway. But if you was a therapist. But it's so much better as a client, it feels so much better. And if you don't believe me, do muscle referred. In other words, use your arms and just stared. They aesthetically and usually arms not only too tiring for you, but you get your faith back from you from your friend or your partner. Who you Ah, mass Arjuna practicing with And I would tell you that using body weight just so much more complaints all right now transferred as we're coming down. Looks like amusing. That sounds about other weights in my soft fists Here, the flat part of the fists, the thunder just guiding. So now I'm using fists So soft fist again. Of course, this was really nice down the body, nice and slow body up in either, leaning down after his nice little stroke New World through the Cuadrado's Lambeau Rem in the lower back Direct responding quite a lot of Islam. Boram between 12 driven the sacrum for the ilium. Amelia Go through there with your fingers and just work down through there Really funny tight areas. And through there you got certain areas of tightness you could do some pressure point worth , your thumb and your fingers. A trigger point world just pressing down there gently. And then as I come back, my father come forward here. The fingers are going through When I come back, I'm just showing a second there. My thumbs would then work my side of the lumber area things. And now good. Now through my thumbs fingers, this side come back from the other side. Really nice. Feels great. It is a transfers friction tonight thing you can do just long there. When you do this, just be careful. You don't wanna do to broader transfers. Friction? Otherwise, you could twang the muscle, which is really uncomfortable. You can see they're very small little modulations that I'm doing. I'm certainly not flicking the muscle was I go along just fanning through the shoulder here , prepared to work the shoulder. Okay, so now I'm gonna go up and around that shoulder blade with before. You see, I basically rest my forearm elbow into those muscles there. I've already scared through I know where the air is a tightness out and again, this is an important factor, whether it's a deep tissue massage or even just relax, ation, you don't gloss over this area. This is the area That's most tension for the majority of people. So you don't just get for pick it up. And just to the Gloucester, you can see how slow and deep is it worked through there. So make sure you really give it time as again as I've said before, you really cannot go too slowly and massage. Ah, I'm guilty of this myself. A lot of therapists, you kind of feel like the client might be bored if you go too slow and try and when you start and you try and put in a whole lot of different techniques again, feel for yourself when you get a massage. You could just this one stroke here. You could take 20 minutes without any problems at all, just going up and down either side. It feels heavenly, and you wouldn't need to do that. Too many of the strokes working across the shoulder right there. You can see how slowly I'm going. You want to get this nurse slow depth when it gives you great control to. It's incredibly relaxing for the plan. And three, that's where you get your death. If you go too fast, you're not gonna get good depths. Not changing sides. Changing forearms. So jean the soft part of that, the two inches from my elbow, 2 to 3 inches over to the four to have across the forearm. They're not the bony area. Work my way back, their self part of the forearm. I placed my hand on the table there diskettes. Beautiful. It wants stability. It's little more comfortable. You will be comfortable with a therapist. Always again, you can see my lower back at its arch in the lamb barrage. I'm not, uh, hunched over white across the chest, very little movement in my shoulder. It's coming down, really working between the shoulder blades. Just mix it up. I like to do all that deep within, mix it up, tender the hand sort of cascading waterfall type of stroke, and then let's get back into it. So here we go into the wrong boys. This is now. You've already felt where those areas attention are these wrong boys about a scapular area , and should my thumbs sometimes right next to each other, otherwise on top of each other, whatever you prefer, I will give you strength if you press them together or one on top of the other and just working right through no registration. Some presses on those areas where I found real tension of those knots between the spine and the shoulder blade. The other thing is, your client's gonna love you for the fact that you know what you're doing when they know that you can feel where there's not. So when you can feel with those areas attention where they really need it. Uh, that will absolutely love you for rather than just getting a a stock standard massage, where you doing the same for every single client? They know that you really know your stuff because you're listening to their body. You're feeling those muscles and you work in the areas that really need to be worked, not just because that's stroke number 56 in your routine. Now I'm going love materially along the run boards there no one so much of the other again leaning down. So when you're doing these presses slowly down slowly up, no jagged movements because he almost account of to down one to, you know, grabbing hold that up to peace years just working their top of the Super Spring. Not is there about the shoulder blade, my thumb, and you get your most of the top of the shoulder blade. Their interest Banaras Terry's muscles and just working through those, you'll feel nice, big, ropey bands working through those going across the other side, just pinching gently again against little traction on that muscle, right? Muslims it up. I just work across the shoulder blade into the back of the shoulder there, and, of course, this feels heavenly. I'm just watching this myself. I wish this was me on the tables that are doing this message. This really nice getting all through this area. We just dropped that. Show it around there. You can work better into the back of that capsule area through those tendons. So obviously you repeat the other side like I did on the wrong boys on the other side. You you'll do this show than you would repeat the other side. Bring that even furthered elevation there. Lengthen out That must contend is even more. It is really working, Soxfest. 18. The best exercises for lower back pain and sciatica: All right, so let's start the exercises. There are three exercises and most out for the very 1st 1 we're gonna start introducing some extension forces into your lower back. It's what I call the world's easiest exercise. Now let me just tell you it is normal. Considered normal toe. Have a increase in your pain, especially doing it very first time, but not an increase in symptoms. That peripheral izing, as I said, just a localized increase in your lower back, but that will soon go away. But that is just because it's unaccustomed activity that Quebec is not used to. So what you could do is lay on the floor, all right, and you lay down flat on your stomach. It is as easy as that for two minutes. I'll save you the time of doing two minutes and that to keep it going in the DVD. So what, you're gonna do that? It's step one of the world's easiest exercise. Lay their flat. Make sure your back and your buttocks and your backs of legs ah, relaxed. That's vitally important to relax those so that things can then move. You can pitch in tow your your feet inwards toast towards each other, which would put a little bit more extension to your back. Now, after that, then what you're going to do. It's just like a child reading a book. You're going to learn your forearms, elbows under shoulders just like this, and relax your lower back, your buttocks and backs of legs. Make sure they're relaxed and you do that for two minutes. So that's the 2nd 1 Okay, that's what you want to do. Just like that. Once you've done that, then you're going to 10 repetitions of extensions like this you're going to come up to or just under the point of discomfort or restriction. OK, so don't hurt yourself. Don't cause any Andrew pain, just to the point of where you feel the edge of pain. Okay, just below that or into the edge. So what you do, you put your hands down here and you come up and you come up, relax, robotics and back, creating a sag into your back and then back down, coming up, trying to get up higher and higher every time you do it. And what I do at the top, I breathe in and down sag that lower back and down. So what you could do You want to try and get higher and higher to put more extension. Azzam was pain free. Bring your hands closer until you get to the point underneath your shoulders and take it up even further. Breathing in top and out. Relax your back and buttocks as you go. Being aware, as when you do this, that what is happening to your symptoms, especially when you get to this top point What is going on with any leg pain leg symptoms on your back. We want to get a A centralization of the symptoms. So after you've done, they see what's happening to your symptoms. Okay, so the other thing you can do is have just done here. You do 10 repetitions, breathe in and out of the tops. Relax a bet on down. Or you may find they actually prefer just to be sustained because it feels good in this position. You can also try that. So either do 10 1 2nd repetitions, or you might find that this is even better for you to keep it into that position as you sustain it. Okay, so let's just be clear. After you've done that, you want to see what's happened to your symptoms. We want to use that to reduce the symptoms in any leg related, but it related back raided pain. You're going to do that flat on your stomach for two minutes, then onto your forearms for two minutes and then the 3rd 1 Are you gonna do 10 repetitions or sustain it up there? If that feels better for you, what you're looking for a centralization off your symptoms. Remember, to have a local increase in your pain is considered pretty much normal just because it's on a unaccustomed activity for you. If you have a worsening after that, more pain or more symptoms in your legs or it was localized around your back before. But now it's out into your buttocks that these exercises probably not for you, and I'll show you an alternative. So that's what you gonna do. Uh, every two hours, every 2000 to your back pain goes 6 to 8 times a day throughout the day, every two hours. That's what you want to do 19. A great self treatment to help lower back pain!: Okay. A feckless technique that I use every single day and recommend to my clients is foam rolling. This is a foam roller from rumble rollers. This is slightly different to the normalised because it's got knobs on it, which are really fantastic to get into the muscles. Normally, these air smooth. It's cold, my official foam rolling. It's absolutely fantastic. Way to maintain good muscle tone throughout your back and your neck. So I recommend you start doing some foam rolling as well. Once you're out of pain to continue having a pain free back or neck. So what you're going to do? I just Utkan by David a. Specific for this one that's really detailed, which is called the Melt M E O T Melt method, which is very good. They've got an E book, a DVD. You can learn different sequences, but I wanted to show you some really good sequences that I use, which a fantastic to counteract the sitting forward head posture on inflections with the spine. So this is really easy technique to do and feels really nice and just sit on the end of what you want to have your head on the end of the foam roller Just lay down along the length of the spine palms facing up and there you have it. What it does is give a beautiful stretch through this opened you out because, as we talked about before, your everything's old closed in. So what we're doing it is the opposite. And she could just lay here for three minutes like this. I just relax on top of that. Okay, So then just open out your body really beautifully. After that, what you can do is start doing some rolling along the fine roller that's achiever. This you get on here, what you want to do, really access the muscles that nots between your shoulder blades is bring your elbows up like this. You know, contact your core. Make sure you cause nice and strong, and you come up and you work along elbows up. Keep your body rigid, the core rigid. Okay, on work along. Just go nice and slowly they have no need to rush this. In fact, it's better if you're slower on what you can do. If you feel those areas that a little bit more painful in the muscle, you could just stay on them has been like a therapist putting their family elbow into that . Not it just works that bit of muscle tone there. So you go along here, do several repetitions like that. It was really lovely. And then what you can do as well put your hips down on the ground again, and you could do a shearing. What's gonna sharing technique Where you vendor side Ben's again? Keep your head supported both ways, So I bending either way as you do it, that is sharing techniques to the thoracic. Really, really lovely. You could go right along the spine. It feels fantastic. Another really fantastic thing you should do. It's the rest extensions, because again, we're always infliction with their thoracic. So what you can do is get each spinal level you extend across. That's not bending the head back. It is just using the pivot points of the firm roller at H segmental level. So you do a few like this and then move up on Keep working. I used to three or four repetitions right along. The threats expired. You don't want to go too low or too high. It'll feel wrong just because this area right through between the shoulder blades is where it needs most, and it's really just loosens up through that. The rest expired. Really, really important. Really fantastic. And you'll feel great by doing just a few minutes every single day. Okay, once again, we're still keeping a core strong. We're keeping neutral spine on. What you can do now is working. Batic this well, as you work through your buttocks. If you're flexible enough, you could even drop a leg across on work either side like this. And again, where you feel those painful spots, those areas of tension. Pain long is not too painful. You can stay there on those spots to really help loosen up those areas. As you work through both sides of the buttocks has taken cross your leg over here. It'll make it more intense. If you can't just work through as long as you don't go in deflection, you'll be absolutely fine as you work your way along through both sides there and then again really helped trigger points and loosen up your barracks. New glutes 20. Neck Pain: All right. So that's how to treat back pain. Now we're going to treat neck pain. We're going to treat it in exactly the same methodical way you're going to question your client. You gotta inform them of what Homs Dainik treat them and give them corrective exercises. Okay, so let's go through that. So let me just start with one of the major causes off neck pain. And it's known as the forward head posture. And this is the major cause off neck pain. So it looks like this. So your computer, you're texting all this sort of stuff having the head forward, But that is your major court of neck pain. That's what you've got a teacher climb to stop doing. How do you do that? It's exactly the same as the lower back. You get them to just sit told Stanton Walk talk so you can't. If you've got this inward curve in your lower back like I taught you before, then the person can't go forward. It is initiated from having poor lower back posture. So as long as you can get them, I say, put the cushion or a pillow rode uptown behind the lower back. Get them to that. Then they can drop their lower back. Flex that spine again. And so that's what you want to do. So again, you taste him just to feel like balloons and lifting them up and get them. So because what happens is exactly the same. It's a lower back when you goto forward head posture. Here's something your head weighs around about 10 to £14. Now, if you were to drop a rock from your ear, incorrect posture dropping in from your ear, it should land on your shoulder. But so when you get forward, if you drop it from here, it would drop forward, right? So that's where you get that posture from. So it's just a nice feeling of elongation. It's not sitting tense, rigid, like a robot. You don't want them to just tell him to elongate this spine. Just get the feeling of and you could even get them to pull hair up to get that feeling of just being pulled in, Elongated said. They're doing two things at once. They're helping the neck, and they're helping the lower back at the same time, just by getting into good posture. So whether they're sitting, whether they're standing, you want them walking, just tend to take my clients walked like you are in the world. So you're just that feeling of confidence and makes you feel better Just walking and sitting and better. Now what? Good, like sitting like this? Because everything gets compressed your lungs. It has such a knock on effect with your shoulders. Your lungs get compressed in this in this position here. So it's good for not only in neck and lower back, but shows everything. Okay, so you get them to do that. So to get back what I'm saying to say when you go into the here, every inch your head gets translated forward creates an extra £10 of weight for all your muscles and ligaments back here. So you're 10 to £14 head suddenly becomes 20 to £24. Why don't you go forward like that? Okay. An itch which is not much. And so people bid to on average like this. And now gravity pushing down on your head. It's now £30.35 pounded. So all of these muscles Beckett. No wonder they get sore because they're pulling, pulling pulling, trying to keep his head office was not gonna fall on the ground, but that's what they did, their contracting all the time. So think of it like this. If I was to tell you to hold your biceps like this and do it for an hour but contract hard , do it for an hour. You could go for much more than a few minutes, and it would be screaming. Wouldn't because it's contracting. It's hard contracting. That's exactly what these air doing when your head's forward, these neck muscles are contracting, contracting just like advice. It would be so. It's little wonder. Oh my God, my neck hurts when you see all these kids texting all day like this is. So why not just kids? I guess. But, uh, so yeah, sitting up much better and you still text. If you like in this position, you can still work in the computer. Still eight drink. So I think that all of these micro traumas, because of the base of the neck, just like the lumber that's what's happening. And that's what happens that C seven big, bumpy vertebrae there, that big one, that's your seventh cervical vertebrae and that's what. Generally, people have a lot of the problems because it bends back like the vertebrate flicks in that position, and that's what happens. And then it just like the lower back. If the distance pushed back enough times, it weakens in the Liga tweaking and it could start bulging and then starts pressing on nerves and people get impingement and a pinch buckle pitch nerves and which could be pain, numbness, tingling down the arm down the forum, even into the fingers and hand. Okay. And I'm gonna give remedial exercises to help counteract this by doing again the opposite movement, just like the lower back election was the cause. So what a way to waited extension. So you mentioned Collection is pushing the disks back to fire This way. Okay, what we do is the opposite motion. That's why we need extension exercises for the lower back to Canada. All of that election we did extension exercises. Okay, we're going to exactly the same when it comes to the neck. We're going to double chin IQ societies and things like that which puts extension forces into bring their centralized. That's center part of the disc back to take pressure off the nerves if there any and allow the person's neck to finally heal. So you question applying and mutation because Senate stop having a neck exactly the same as when you were doing with the lower back. 21. Neck treatment: All right. So that's how to treat back pain. Now we're going to treat neck pain. We're going to treat it in exactly the same methodical way you're going to question your client. You gotta inform them of what Homs Dainik treat them and give them corrective exercises. Okay, so let's go through that. So let me just start with one of the major causes off neck pain. And it's known as the forward head posture. And this is the major cause off neck pain. So it looks like this. So your computer, you're texting all this sort of stuff having the head forward, But that is your major court of neck pain. That's what you've got a teacher climb to stop doing. How do you do that? It's exactly the same as the lower back. You get them to just sit told Stanton Walk talk so you can't. If you've got this inward curve in your lower back like I taught you before, then the person can't go forward. It is initiated from having poor lower back posture. So as long as you can get them, I say, put the cushion or a pillow rode uptown behind the lower back. Get them to that. Then they can drop their lower back. Flex that spine again. And so that's what you want to do. So again, you taste him just to feel like balloons and lifting them up and get them. So because what happens is exactly the same. It's a lower back when you goto forward head posture. Here's something your head weighs around about 10 to £14. Now, if you were to drop a rock from your ear, incorrect posture dropping in from your ear, it should land on your shoulder. But so when you get forward, if you drop it from here, it would drop forward, right? So that's where you get that posture from. So it's just a nice feeling of elongation. It's not sitting tense, rigid, like a robot. You don't want them to just tell him to elongate this spine. Just get the feeling of and you could even get them to pull hair up to get that feeling of just being pulled in, Elongated said. They're doing two things at once. They're helping the neck, and they're helping the lower back at the same time, just by getting into good posture. So whether they're sitting, whether they're standing, you want them walking, just tend to take my clients walked like you are in the world. So you're just that feeling of confidence and makes you feel better Just walking and sitting and better. Now what? Good, like sitting like this? Because everything gets compressed your lungs. It has such a knock on effect with your shoulders. Your lungs get compressed in this in this position here. So it's good for not only in neck and lower back, but shows everything. Okay, so you get them to do that. So to get back what I'm saying to say when you go into the here, every inch your head gets translated forward creates an extra £10 of weight for all your muscles and ligaments back here. So you're 10 to £14 head suddenly becomes 20 to £24. Why don't you go forward like that? Okay. An itch which is not much. And so people bid to on average like this. And now gravity pushing down on your head. It's now £30.35 pounded. So all of these muscles Beckett. No wonder they get sore because they're pulling, pulling pulling, trying to keep his head office was not gonna fall on the ground, but that's what they did, their contracting all the time. So think of it like this. If I was to tell you to hold your biceps like this and do it for an hour but contract hard , do it for an hour. You could go for much more than a few minutes, and it would be screaming. Wouldn't because it's contracting. It's hard contracting. That's exactly what these air doing when your head's forward, these neck muscles are contracting, contracting just like advice. It would be so. It's little wonder. Oh my God, my neck hurts when you see all these kids texting all day like this is. So why not just kids? I guess. But, uh, so yeah, sitting up much better and you still text. If you like in this position, you can still work in the computer. Still eight drink. So I think that all of these micro traumas, because of the base of the neck, just like the lumber that's what's happening. And that's what happens that C seven big, bumpy vertebrae there, that big one, that's your seventh cervical vertebrae and that's what. Generally, people have a lot of the problems because it bends back like the vertebrate flicks in that position, and that's what happens. And then it just like the lower back. If the distance pushed back enough times, it weakens in the Liga tweaking and it could start bulging and then starts pressing on nerves and people get impingement and a pinch buckle pitch nerves and which could be pain, numbness, tingling down the arm down the forum, even into the fingers and hand. Okay. And I'm gonna give remedial exercises to help counteract this by doing again the opposite movement, just like the lower back election was the cause. So what a way to waited extension. So you mentioned Collection is pushing the disks back to fire This way. Okay, what we do is the opposite motion. That's why we need extension exercises for the lower back to Canada. All of that election we did extension exercises. Okay, we're going to exactly the same when it comes to the neck. We're going to double chin IQ societies and things like that which puts extension forces into bring their centralized. That's center part of the disc back to take pressure off the nerves if there any and allow the person's neck to finally heal. So you question applying and mutation because Senate stop having a neck exactly the same as when you were doing with the lower back. 22. Deep Tissue Massage Techniques For The Neck: I'm gonna work the look. The nick now I worked in front of those shoulders. Hey, loosen up through the front of the shoulder. Say, through the pics. See here, give my fingers right up underneath that savaiko area there. Right through there. See the chin lifting After lots of pressure going through my fingers, I lift up in sawfish through the chest, lifts up. Do you really want when you want to come underneath that? Just pushing those shoulders towards the feet. They're getting away from the years they lift up really nice feeling to just to just push those shoulders not down towards the table but down towards their fate. Really? Just get them to release pressure point work there. So again, you see, I'm just really working through that neck, putting my feet right up into those muscles there and just drawing up and back towards towards me as I pull back on them. Finger circle was working from the base of the neck right up towards the base of the skull . The OcciPet area. No, I said butt attraction. And now I lean back fingers under the ox. Put on just drawback traction ing. And if you're watching this, I don't need it. Need to tell you how good this feels. The kids you can see. I'm just lifting up there through much of my fingers and I stand firm, coming up underneath and really getting good pressure. Now I've just taken a little bit of oil off my hands, and I want you to go back and see the way I do. If you haven't seen in the relaxation message court, see how I take the head and pivot around to go into my palm of my hand to get into this position. It's done clumsily so often by therapists, so I want you to have a look at that and just see how I do it. It's very simple. It's very quick. A lot of times people just pick it up in the head gets wobbly and it's it's all over the place. That's a nice, easy way to place to the palm. Don't cut the ear with my left hand Has his head, the power of my head. Make sure your hands not cupping that here, too. Not a nice feeling. Different strokes. I'm using finger circles, fingers together, really going to do some good pressure. So office working up for these scale ing's trapezius area right up to the base they're really getting underneath there. Obviously, you need to have enough oil there. If you don't, it's gonna be horribly uncomfortable decline. Especially when you do this work of the some here, they make sure there's enough oil there again. Like I said at the start, not too much, but enough that you're not gonna be dragging the skin because that will feel horrendous work through here just like I said, for you're going to as the night and stretched the ox put there as well. You gotta feel for the tide areas. No, I just use a gentle neck stretches. If a person has a history of disc problems, that sort of thing, you wanna go gently it again. If in doubt, don't do them And, uh, but these side by stretches generally fine. If a person's got past Eurydice problems doing that and neck to chest, the gender chest stretches generally where you find you can upset the person's neck. Despoja. See, I haven't included feet to face in the head because I wanted to use this course with um you're more advanced techniques that to the thing. Those are considered pretty basic massage techniques. They're not in France, so you can find that in my relaxation course or through future. But I just didn't include that for these reasons. I wanted to spend the time on these advanced techniques and deep tissue techniques you can just stretching that who should do the opposite side? 23. Neck Self Treatment: now with neck pain. It's a lot easier to self treat and get the person to treat him now with the lower back pain A said here before that, using that tennis ball against the wall. Getting the client to do that is a brilliant thing to help them loosen up the muscles. Now, with neck pain, you can get the person after this is the way you could treat your own self. If it's your own neck pain, or get the person to do this at home and right along the base of the skull. Here, you've got acupuncture points. Goldblatt 20 bladder 10 These sorts of things where you just to show where they are and how say if it's for yourself or to treat your client, Get them to do this at home. So run along the Basis Scout. You'll feel these are called the sub occipital with doctor put sub being below. I just turned around, so consumer I am. So if you come out from your years, you underneath the bone and you'll feel drop into these Hollows. Okay, so you come from the ear, I'm gonna show you. I can't speak without a microphone but I'll show you. So you feel those Hollows? Okay, so you want to go in there and you're going to push up into here and what you could do just laid back and drop your head down to So So I'll say from the company from angle so used to just lean your head back and it feels exquisite. And it's really so you can just say you could do it for a minute just to sit back there and then you're gonna come in immediately, immediately meaning towards the center, and you'll do the same thing. So and you just keep working your way towards the center. You just keep working until you get to hear, and then you work your way back out again. So you're just gonna keep going underneath and then dropped Dropped the way he head back onto there. If it's too packed, like if your neck pain is too severe, they can't drop that. He bet just getting to press up anyway. So you can do that, you know, as long as comfortable for your thumbs and work those right along from here, right along and back many times is your life now So there's that. Okay, another thing that you could do is get under Goldblatt 21. So that is right on the high part of this muscle here, your trapezius muscle and what you could do, you could double your fingers out and just, uh, who said a good and just press down. So I want to see that. Okay, so you're right on the on the muscle belly there. You can see that. Okay, so it's basically halfway between the tip of the shoulder on the base of the neck that it's a big acupressure point. So all you need to do you feel how cable that is. If you like May and you could just go along there, go by 21 and quite often, radiator there as well. Okay, Do those, obviously, both sides None. A couple of points now, you know, Large intestine, four liver. Three. You know those another couple of really famous acupressure points that you can add in right at the end of the crease here. That's small intestine. Three really famous point for neck pain. So you do both sides take a work that as well he's pressing there and work that as well. Yeah, I'm going to show you something else. There's another point here during the first thing. You just drop in here, Okay? Just drop in there and then you work that point there as well. So you could do all three of these. And you could also just see you might find one works better than the other. Now, when we were taught this back in acupuncture college, we're told the press it and then just work your neck in old direction, especially got a direction that's restricted. If it's painful, just stop under or at where becomes. So let's say you got a kink. Comes right. Oh, that's just come to the point where you just start to feel it, or if that's too painful just before you start to feel it. Can you repeat that, say 10 times and you can do the other side as well and swap hands as well Do the other hand the set? A swell. You could do all three of these points like to test our force. This one. This is an extra point by doing that same technique if you want to. Okay, so there's some points you can use. That's really helpful. As I said, you can also use the tennis ball on using up for the upper back there as well. Like I talked before in the lower back lecture and you get really great results of teach your clients if your training it climb, how to do these self treatment points as well before you see them again. 24. Exercises for neck pain: Okay, so you've taught the person that causes you question them? You've got a good case history. And now you've done the treatment. You've taught these self treatment as well. Now the other thing, you want to have the remedial exercises that they need to do Now, remember that I said to you that the forward head posture flexes the large survival. It does this. OK, so we're going to retract. So this is called Pro Traction. This is a protracted head going forward. We're going to retract. So remember that it's flexing. When we do that. We're going to make the the vertebrae extend that pushed disk back that way in the central portion of the disc. Okay, to centralize it to get it off the nerves. If it is just to help things, he'll So what we do is the first exercise you're going to take. The person is the double chin exercise. Now that the person is going to do 10 repetitions every two hours Now, if they said too much for something like that, then get them just three or four times a day. But least that. But ideally they could do it say, half a dozen do eight times a day. That is the best thing you could do. So what is it? All right, So, what your baby doing? You're creating a double chin. So you're gonna draw. I used to teach my clients to say, Say to them, Imagine your head on a railroad track and you're sliding it along the railroad tracks, sliding it back horizontally. Okay, So your side about to create a double chin. Now, if there if they're lifting up their head like that when they come back, that's wrong. OK, so it has to come back, so you get a double chin. So you're basically coming back like that. So you wanted to a nice and rhythmical and just come back. So I will show you how how I would take my car. So we'll come back and release on. When you release you. Come back to good question you to respond. Don't get do this. Uh, get your forehead posture. You know what? That So it's from good posture on a drawback. Get them to do it in front of a mirror because it's hard to tell whether your chins up or not. So just desperate up chin up comes back and if anything drop down a little bit, let me get a little stretched at the back of the neck. So 10 repetitions that it's not too fast Now, once again, if they doing it and they got a really bad neck, really bad neck pain is that it really hurts shooting. Tell him to back it off a go up to the point of pain or just before the age of pain just before it comes on so they can bring it back to their what? We're looking for two things. One of two things or both. An increase in movement and a decrease in pain. Okay, so if they were restricted going here, you're going to get them to do this. And this is going to help with the pain and probably having a an increase in movement over a bit of time. OK, so 10 repetitions every two hours. Okay, So and and stay out of the forward head posture now, the 2nd 1 they could do, if that's no problems at all. Okay, they could do that and they could do that Every two hours on to their pain is going away And then if they wanted, they could do much twice a day just to keep their neck in good shape. The other thing is what I call tennis in the sky. It's like what you were watching a tennis match. You're watching two people of the baseline by that is doing that, but with your head tilted up like a go, go get your head. So I'll show you from side on. So you come up, retract first and then, huh? Now, when they go up like this, you want them to be looking back and again if there's pain, only as far as I could do it comfortably. But you really want them to try and be looking back further behind them. So not just today. If they during the day that you find that, do it back as far as possible, that consents. Putting mawr extension forces in those lower survival area on that will help pushed him, which forces around word. But it would be better for them. It'll get better, quicker so said, First of all, retract. Uh, it's far back like head, and then what you're doing, I'll show you you're turning ahead. A couple of inches both ways, twice, and then back down. I'll show you. So track, huh? To the right. And, uh, and get them to do that 1/2 a dozen times. So 10 repetitions of the double chin and then tennis in the sky. So 10 repetitions of that and they must have done that. Attract stop. That could possibly go down. And they were paid. Okay, So you want to do that? And they could do that every couple of hours if they can, and to help them get them a lot better, more quickly. And by doing that as well. So there's a remedial exercises, the points that they can use, that sort of thing. Now I do want to mention something about referred pain in the arm difference from the neck or from the legs. Like, for example, in Sayaka. So I won't talk about that. The next lecture 25. Referred Pain: Now I want to talk to you. What's no well of referred pain, what's known as centralization and peripheral ization. So let's say someone has neck pain and they got pain going down there arm. It might be pain. It might be pins and needles. It might be numbness that, likewise with the leg, if they've got pain down the front or the back luck in Sai Annika, whether it's pain, whether it's numbness, where there's tingling or whether it's combination off now. So what you are looking for is a one decrease in intensity. Absolutely. All right now the other thing you want is for it to centralize. Now I'll explain what I mean by this. So let's say centralized. What we want him to see is a reduction of symptoms in the arm if they have them. And what happens to this? So let's say let's say the person comes Teoh and I've got pain, for example, down their arms. Now what you want to see is that they come back and it's a lot less terrific, less intense, great. And if also they have. But I had it all the way down there arm. Now they don't have it in their fingers, but it's still in their forearm. And that's great. We wanted to see a lessening, and Jerry will be lessened. The further up the arm, the further reduction of symptoms going up, the arm is showing you on the right track like white at the head. Psy Attica. There was all the way down to their ankle. They no longer having in the CAF. Now it's just in the thigh. Great. That is exactly what you want to see. Okay, so that person and here's what we generally happen. If if you're on the right track and everything is working well, then they say, Well, you never surrounding my forearm. But I've just got in my chaperon. You see them next time. Now I stopped there. I just feel so deep ache around the neck. Great. So we got it out of the arm, and then that will go next. Sort of 3 to 4 days. Generally, the neck pain in itself. Okay, black was something. You have these symptoms in their arms and have absolutely zero neck pain from referred pain coming from the neck disk from So then you would do the neck treatment and see how you get on. Now, The flip side of that is, if the person only had it in their shoulder, referred pain across into the shoulder, maybe down toe, halfway down there and now it's all the way down. Then you've got to skip them to stop doing the exercise, because that's actually worsening the symptoms. Now, if you have them doing the neck exercisers, maybe get them to do just the number one. Just the double chin and see if that happens to see if that improves their condition. Okay, so maybe the 2nd 1 is just too much for them at this moment, OK, so just to be clear, if it gets further down or of course, intensities worse, then you need Teoh take a step back. Maybe just getting to do just the one now. Likewise, with the lower back exercises, maybe. No, don't get them up, Find out when it gets worse. Maybe just get them to lay on their forearms. Or even if that's too much, just a lie flat on their stomach for a certain amount of time. So what would it take to step back a little bit? Okay. It might be just a bit too much, too soon for their bodies. Okay, so coming up decrease is going up. Is a bit of your making a symptoms better and making the condition better forgets a stronger pain, more numbness. What have you and further down the arm, then you have to take a little look back. Take a step back, OK? And what I would do. I would stop the set up to stop that 2nd 1 If that's still worse, is it with the 1st 1? I just get just do the treatment and stop that on wait a few days and then they gently bring it in. Now there is another way you could do the neck, and that is to get them to do them what's called in an unloaded position and to get them to do the double chin. So let's say, for example, you got them even when they're doing double chin. That was are the worst thing that Nick panels to paper to do or its worst in the symptoms in their arm or arms. Okay, get them to lie on a bed and do or the massage table whatever they've got and get them to do that exact exercise but laying on their backs. Okay, if they on their backs, then there's no gravity pushing, compressing, and so you can get them to do that. So get them to dry. Do that. But they're lying flat on their back, looking up at the ceiling just to do the double chin and get them to do that until they could do that. There's no exacerbation of symptoms. The pain is lessened on been. Maybe they can come back to that as well, so you just have to play it later on each a check in every case. 26. Helping hip pain: So let's have a look of treating hip pain now. In order to treat hip pain, we need to know where the hip pain is coming from, and there are really sort of three big ones. There are other courses as always, but there are three major culprits. One could be a lumber pathology, which I'll talk to you about. Other things could be Pierre ful, Miss Syndrome, which also to talk to you about and osteoarthritis. Now let's start with the lumber pathology now. So if so, in other words, just like I talked about when we're talking about the lower back, this pushing down this disc, getting pushed backwards now that can. Then it could go right the way down the Lakers in Sai Anika. Or it could just go into the Batic area, and it will be generally worse if the person sitting in slouching okay, because it for the same reasons that pushes a disk with backwards of the central portion of disk and then affect society. Nerve presses on that and it goes into their batting becomes more uncomfortable generally after they're being sitting. Now peer a former syndrome, never. Okay, so in your body you've got a muscle called appear of farmers and decided nerve can go underneath that dependence. Just this is how you were born. Some people have it, the performers to be there on the side. It goes underneath it. Other people have it over the top of it and unlucky. A certain percentage of people haven't decided they're going through the performers. So when the cheerfulness gets tough, by the way, Peer, a former syndrome, can happen to any of those three scenarios. It's not just when it goes through, but when the site where the performance tightens up, it can impress on the side of nerve and create that pain. Now that is also worsened, I have to say, 20 minutes or so of people sitting. Okay, so both of those a worship by sitting. So go into this shortly on what to do to help. If it's one or the other, the good one. Osteoarthritis. Now, for those you who don't know osteoarthritis is basically the wear and tear on the joints. Rheumatoid arthritis is an immune system disorder. The body's fighting against itself, and you'll generally see rheumatoid arthritis in the fingers, that sort of thing. Most commonly Where is osteoarthritis is mechanical? It's in this way. You see it on weight bearing joints like knees. People would say, Generally I got, uh, knee pain or osteoarthritis or hip pain because it's just the joints wearing down. It's just like if you have a car after a while, parts start to wear down where the same, you know, walking, standing, this sort of thing, The articular service says. Just get ground down now, By the way, studies have shown that interesting. The link is not. It's not a concrete link between on this goes through throughout all of the body, whether it be disc bulges, and I Friday sets everything just because a person has gets an X ray and Armiger. Now this big has become a big pump because with MRI's and X rays and that sort of thing Dr to just go, Oh, you've gotta have an operation because look at all this destruction of the joint people could be pain free, like what? Your people have disc bulges and have absolutely zero pain and when this happens all the time, so there's been a big change in getting just recommending operations for people on their spine and so on and so forth and shoulders and news, for that matter. And because it is correlation of his lack of correlation between destruction of the joint and pain. In other words, big destruction. These joints look terrible and be absolutely pain free. Likewise, another person can have hardly any destruction that Jordan being absolute agony. All right, so osteoarthritis. You'll generously this person. We generally worse after being on their feet, standing and walking because you can measure strip, grind, grind, grind, grind, shot because more inflamed and uncomfortable on, they'll be better for sitting okay, that actually feel better because it getting off their feet and taking the pressure off that George. They also certainly, as it progresses, have more difficulty moving, and I also feel stiff in the morning generally, but it will be harder for them to put their shoes on. They'll lose this range of motion, bringing knee to chest, range of motion and a cross, and they might have associated growing pain as well. So all right, so there were the three big ones from the lumber spine. It might be coming from the pier of formers and osteoarthritis. There the three major ones. Birth booth, Bursa the Great from Cantor, which is above On the outside. You could get bursitis, which that information of the Berta Bursa. But that will generally be lateral. So the person that's not posterior pain, which is what I've been talking about. We're talking about lateral site. Oh, it'll hurt on the electoral the greatest. What's called the greatest Rick Kantor of the femur was the bump that you feel on the outside off your hip there. So that'll be tendered to touch because that's just present on the bursts of there. Okay, but posterior posterior back pain bag paid s I think you're patting the back there. Those are three big ones. So let's have a look at how we got to treat it using acupressure. 27. Acupressure for hip pain: So what you want to do when you're treating hip pain is I'd start at the lumber spine, remember? Talked about lumber pathology. So start at the lumber spine and work that and also down through the sacred there, because the other thing that can be a cause of psycho iliac dysfunction. The S I joint as it's known. So you gonna work or through those points there as you go down Now, once again, just work all the way through the hip. General hip pain will be one side of your electoral. Obviously, if it's bilaterals both sides and then you do both sides So you're getting feedback from your client. You okay with this pressure, That sort of thing. You see, you got one thing on top of the other to give yourself extra strength and just to take the pressure off and just work around and you find there are painful spots that you want. Oh, just rest on and really sort of ease up this pain because one of the things with hip pain because paypal Yep. For a person, a lot of the other muscles will tighten up around, so you'll be working a pair of former should we work on glute max minimum minimus media's work, the whole hip area there. So what I do, I just work around feel for any type ropey bands. If I feel those are, you know, rest on those for a longer time. So even if it is coming in from unusual your fist, of course. Elbows, forearms. But even if it is coming in from the lumber spine as they lumber spine pathology, you still would have working him anyway because it will be painful because they'll be tensing up and re painful for them. So you really want to work in any way, So you would just go slowly, As I say, Keep getting your feedback all the time, but it will be tender on. These people will be sore. And you're just gonna work all around these spots, especially when you get into what's known as Goldblatt 30 which is in the middle of the But we're pretty much in the middle of the buttock, right where I am pretty much there, and that gets. But that's right up to be a pure of former muscle. So you just work away from this sacred their work right out towards the outside of the hip . They're the greatest recanted, which I was talking about before I just work your way around now, course you can do more work on the lumber spine as well, and just see they're just working away there. I feel great for the client as well, because you're really losing up days areas here. So there I'm just resting where it's really painful there and just constantly getting feedback from my client. So you're going do your treatment. You don't do too much. That's that 3.5 minutes, so that's really great. Now I'm gonna teach you what you need to do after that session. 28. Exercises and home treatment: All right. So you've done your treatment. Here's what I recommend that you suggest to your client. Okay? Remember, back to the lower back section where I talk to the exercises to for the disk. So the ones on your stomach where you're coming up on your forearms and coming up give the person those exercises okay? Because it if if it is a lumber spine pathology, then that's going to help the buttock pain right now. Because one of the problems is if you give them, I say appear of former stretch, which bring up your need to the opposite side. Needed chairs opposite shoulder and crossing your legs over that sort of thing is Pierre former stretches. If it's a lumber pathology, what's gonna happen is they'll be bending their spine and actually won't get better. More probably will make it worse because it flexing their spine. The bomb. We don't want them to do so. That's why I suggested I give them the lumber spine months and get them to do the tennis ball, which is also from the lower back section. The tennis ball on the Batic. Okay, up against the war. This will give my clients all the time. So you're kind of killing two birds, one stone, because if it's pure of foremost pain, then get them to and advise him to use a tennis ball against the wall. They can do it on the floor, but you've got much more control against the wall and just tell them if you get into a painful spot, just sink your weight into a comfortably. Don't hurt yourself. Don't make it too painful. But just sit there and they could do that. Hold under those points for 20 seconds. If they want. Andi, just sort of search. Explore around that Batic area. So they say. So you're loosening up the buttock muscles, the hip area. If it's a pair of farmers and that sort of thing referred from there, then it's going to loosen up. Likewise, if it's lumber related, then that's going to help push the disc forward. Okay, so that's that's my recommendations for you. Teoh. Tell your clients, do the lumber exercises and do the tennis ball against the wall and said, Then you're killing two birds, one stone. You're going to help either or both conditions, okay, and I think that's I've had a lot of success and I've seen a lot of hip pain that does come from the lumber spine. So that's what I recommend. See how you get on. 29. Helping tennis elbow: So let's look look at elbow pain and in particular, the alibi pendants most commonly seen, which is called tennis Elbow. Now, tennis elbow does not just affect tennis players, and it's on the outside of the elbow. So you've got you've got this bump here, which is called Epi Kandahar. It's on the lateral side, and it gets inflamed. So its called lateral epic candle itis lateral epic and a lighters whose itis means inflammation. So this is what happens now. It happens from both gripping and flexing, extending the wrist or even just sustaining like a tennis record this gripping. It's manly between these Thumann 1st 2 fingers that really affects it, and it causes micro tears in the muscles down here at the elbow. So the problem is from up here. But this is sort of the weak link in your life, and that's where it gets inflamed and it can refer pain down. The army could refer pain up beyond, and it gets it blank, so the person really has to rest it. If this happens on, what can happen is you get pain there, and if it's bad enough, it's going to affect people with their gripping activities. So picking up a coffee cup, you'll find out what people just drop the coffee cup because it will be a searing pain and that sort of thing. So it's really gonna settle down. So you want to get the person to arrest it. I'm gonna And of course, we do acupressure and give them remedial exercises to help strengthening and stretching exercises to help the problem. So we'll have no that. That's what ought to do is show you the acupressure to help electoral epic on delighted tennis elbow. 30. Tennis elbow treatment: All right, So we're going to start working their points with some acupressure I'm going to show. So the 1st 1 we're going to work on is larger test dyn 11. Now, that's at the end of the elbow, Chris. So I want you to find it like this, So just bring your arm in like that and you'll see the end of the crease here, and that's right where you want to press it. So you just when I'm working through there at a press be tender. So when you're treating someone you don't want them to, it won't. Don't bitch of painful because it's already in flames. You don't inflaming mawr, but you don't have enough pressure to cause what's really a very slight micro trauma, which creates the healing response. So you do that for about 10 seconds. Okay, so that's that's their right At the end of the crease, you turn your in which and work there, OK, the next time I'm gonna work lung points. So if you turn your army and you and you put your fingers here on your picture muscles turning around, you'll feel with the shoulder of the deltoid. Comes in there and you're at the collarbones. And my top finger is just under the clavicle collarbone, and it's on the edge. The line with the shore is here used all three fingers, and we're going to press it like this. So if you get it but feeling that there we are, right on the edge, off the shoulder, the shoulder comes down and dips into here right under the club. That's right. There's a category right under Nathan on this line coming down, and you gonna press 33 fingers in your lung. One long, two points through here. I'm gonna hit their This is also getting the pectoral muscles, which become involved because of all the tennis action and was internal rotation. So it's not trigger points. So we're gonna work these ones here. So 10 seconds in here or so that's larger. Test 11. Bring it in. Right. The end of the elbow. Crease there. And then lung, one along tours we hit through here. Now, the next one, the next one, you find the back of the wrist crease. Okay. And then from there, you know, you need to use your, uh, the person's hand to line up with the rest of the crease of the hand here with it with the base of the finger and they can run up the middle here. So the base of the finger here lines up the risk crease, and they come up right like that. Okay. And then that's your spot. And then you can if you're getting the push into it, huh? Pressed down, press down and get the person to press up at the same time so that they're pressing against her under this point. So we lined up there is there and for your thumb and press as you got pressing the boat. So when do all of these points? 10. So you don't have to do 10 seconds. But we could do, you know, two or three repetitions of five seconds, depending on your thumb strength. But for just a simplicity site will do. 10 seconds. Okay. Next one friend. Large test on for as long as the person is not pregnant. And come in there and hold it for 10 seconds. Okay, Now we got to come in. You're gonna come down an inch now. If you make a fist, you'll see the tendency you gotta come on the little finger side of tenants and inch down. So when I come in here, open up your palm. OK, so you see that, Okay. And then you present you see what does your fingers. It will start to bring them down. Say so. Make your fish coming on this side and inch down, and you're going to hold that as well. My fingers were wrapped around here and make it easy for me. And we had a work that as well. So 10 seconds for that as well. Okay, So larger test on 11. They were doing the lung points through here. Then line of the base of the finger on the risk crease Coming up. There's your spot one inch down from here. There's your spot. Now, the next one. Here's what I want to do. Bring your for you for here. The fish like this. Close your shoulder, wrap your hands around So your fingers around here. Now we're gonna be about work. About an inch. It. So what you going to do? So here's the risk, Chris. Fingers just about study about an inch up. So what? You open your hand up and you're some comes down like that and you'll feel this muscle pop up immediately. So when you do this, up comes the muscle. That's where you want to pay. Now what? You go to this trigger points in here that we're gonna hit. So what you can do you can if you're training seven. Awesome. There's a particularly sensitive spot on minds right here. And then you go toe work that I'm working with my middle finger here, so you feel with the three or four fingers might have there. So you open out for you, all right? You could press each finger like you would be on a piano, for example, with it like that, and you feel and then relaxed the head once you got that tennis. But But then press that in his world. Okay, so let's just go through that again. But these this one here at the end of the over, But bring the Amran here base of the finger on the risk crease coming up here to press that pressing up against those one inch down, make a fist blended in to see that you're off the tendons coming in. I'm pressing in there, like, just for in here and in this last one grabbing hold a random it and interest so above the risk. Crease, grab a hold and you find out by bring your hand out that muscle pop up immediately and they just feel our finger. Which one is sensitive to say? If you're treating someone, you ask them to do it, ask them which one sensitive than you compress on that. Okay, so they're your points and you do that daily, maybe 2 to 3 times a day. Get the person to do them. Show them if you're treating someone, get them to do that at home. And now I'm gonna show you what they can also do as faras exercises go. 31. Tennis elbow exercises: all right. When it comes to train the person giving them exercises, I want to just show something simple. Excited to incredibly effective. Okay, so the 1st 1 you get them to get their fingers and bend their fingers back, elbows bent, I'll just show you get a little bit better. So you spend that for 10 seconds. The next thing you want to do is you wanna do this motion. Okay. So you got to get them to do this and twisted over like that, generally put another 10 seconds. So that motion is is if I'm going from here to here. So what we do is pushing overpressure and you're twisting it like this. Always gonna be for 10 seconds just to make it really easy for the client to remember. Okay, so that's fingers stretching it out and then turning it that way. Okay, so the next thing we want them to do is just to be like that. So go from palm up to palm down hard for 10 seconds. Okay? Now you get to the to get a can of paint or something. Celser part of pasta and you do the same thing. But now with the can of beans to add more strange lieutenant. If anything is visit too much for them, other two. Painful. Then get other, smaller Canada or a little hand weight. Or if it's still too painful with anything then now stretching through here. So as we get a Snarr strips through there, so it's too much for them. Then it's just too early. Okay, the next one hold the can like this and bring the re stuff like that. All right, forget it for 10 seconds to getting another nice trip through here. And finally, you get them to bring that I'm like this. I get their fingers to touch the shoulder. All right, and there you have it. 32. Helping Carpal Tunnel Syndrome: carpal tunnel syndrome. OK, so what is the first and foremost, so competent tunnel syndrome is pain could be tingling. Could be numbers could be burning at my go up the forearm and into the hand. And it's generally worse at night because people, when they sleep, flex their wrists, which can president even more. So it's nerve compression of the median nerve. Now median nerve comes up, and so your wrist bones are called your carpal bones. Okay, so this 1,000,000 No, that has to go through this tunnel and there's ligaments in his bones and it gets squeezed , which then affects the nerve. And it affects your thumb, your index finger, middle finger and this side off the ring finger. It does not affect the little finger so that you're different. You diagnose someone comes. You have numbness in my hand, and it affects their little finger that it's not carpal tunnel syndrome. OK, so so yes, it gets squeezed and then people might lose their grip. Strength is generally worse that night, as I say so people will put on splints to stop their wrist flexing life that it's also notable that women get it three times more than men. They think that's because they're carpal. Tunnel is smaller than men's. And also, if you're working an assembly plant, you're three times more likely to get itself. You're in manufacturing fish, packing, poultry, packing that sort of thing on an assembly line. You're three times more likely to get it than any other job as well. Now, another thing to be aware of if someone says they flick their wrists like this is called a flick sign, they say I do this to try and relieve my symptoms of tingling or the pain or what? Whatever they've got and studies have shown night, it's got 96% success rate of diagnosing Capitanich Cedric. So if someone says you have clicking like this, that 96% of people will do this if they have carpal tunnel syndrome. So that's another distinct, you know, if someone says that you send a couple tunnel syndrome. Certainly in 96% of the cases 33. Treating carpal tunnel syndrome: So let's look at the points. It is very easy with carpal tunnel. These are really, really effective points. I've treated a lot of people with carpal tunnel over the years, and so we're gonna start with large intestine for our old favorite. You know how to get that by now. So you work that pressing into there, and then what we're going to, right? And you see the wrist Cruz here, right in the center. We're gonna be on the pericardium channel right in the center there, and you gotta go thumb there and then come around. Now, if you bring your fingers back, you'll see my tendon start to pop up. Okay? You had a press with this finger. Just this side off the the tendons here to impress those that one there and that Monday. So, in a press both birth, as you say, pressing in. And you're gonna work though. So you just say that so again you could do it in 10 seconds. Or do you know several press like to do for 30 seconds, depending on your finger strength, and do this several times a day? Of course. Now, the next one, we're gonna be on the triple burner murder and again send yo and we're gonna go 33 fingers down. So from the risk crease right the center. So you're gonna be right between these two tendons, so three fingers down. Okay, So 123 And where your little finger lands, that's your point. So there it is. Okay, so, three finger Which down? Right in the center. So if you bring your risk down, you'll be out of feel the two tenets wannabe between those and directly opposite in the middle of the forum. The extensive side you got a better really basic the same thing. But with bring fingers down from the risk crisis time and something pressing in. All right, sure. Five points larger test on four Pericardium said Joe points right there and that three fingers down where the three fingers are. But the point is, just after that. So usually little finger There you are. So get the person to do that. Set the same role. Surprise. Always get into it several times today as they work it. Definitely, definitely. Before they go to bed at night time, you get them to get a splint. So that will help them so they don't flex their wrist, which aggravates the symptoms, so they will use that at night time for a night splint for the wrist. 34. Carpal tunnel stretches: So once I've done the ECA pressure or you've done their pressure, then then you're going to do some stretches and stretches are very simple. What you will do, Bring your hands out like this So elbows are locked out. Now you bring your hands up. Block that and you'll get a stretch down for going open up this camp Eternal area. Now, if the person finds it getting symptoms of this, they could just back that stretching off a little bit. So they're not really pulling up too hard with the hands. Okay, let's have done that. Do that for around 30 seconds. Catch the fists and go back down that way, Jake. That way. And then hope this room 30 seconds. Then get them to go to a prayer position. And what you gonna do it? Just bring the elbows out like this, but keeping these in prayer position. We're getting a strict so once again, just what you do bring it down to get a stretch there. How to get you. Don't aggravate this condition. So just it's getting uncomfortable. Just bring that back up a little bit. That's what you do. So 3 80 stretches this one. And so if it's too much clenching your fist, then that can put the finger straight down like that. But they want more that clinched. The official brings attendance around even further. Put your attention on them up like that and repetition and bring it down to get the strips that you want that it through that several times a day after done the acupressure. 35. Helping someone's Shoulder Pain: it's time to move on to the shoulder now. This is a problem for a lot of people. A lot of it's caused by bad posture once again. But we have to look at the activities once again. The causative factors when it comes to shoulder pain. Because this once again, like I've talked about before, it's vitally important that you know what it is that aggravates shoulders. So we're looking that again and a said to you before we're going to look at the differential diagnosis of whether the shoulder pain is actually coming from the shoulder or it's coming from the neck. Now, if you find when you do the differential diagnosis part of this section, you fights come off the neck, then what you're going to do is treat the person for a neck related problem. If you find it's a shoulder pathology, it's not neck related. From what what I go through, then you just treat the shoulder. If you're unsure, do both. It won't hurt, given the neck exercises. Do the shoulder exercises and treat both neck and shoulder region because it's not gonna hurt and it's only going to help. Let's decide on the shoulder area 36. Where is the pain coming from? Your shoulder or your neck?: all right, So what we're going to do now is try and find out whether your shoulder pain is actually a problem with your shoulder or is becoming a shoulder public the short from coming from your neck. So let me just go through this for you. Generally, a shoulder problem that is a problem. A shoulder pain that's a problem with your shoulder will generally be pain in the shoulder . And then you might have pain that radiates down into your deltoid or even further down your arm into your elbow, so the pain from your shoulder coming down it might even referred down into your forearm into your wrist. So shoulder pathology, a problem with your shoulder that produces shoulder pain, could go from the shoulder down as far down as your wrist. It maybe even to your hand if it refers far enough. What it won't generally have is pins and needles or numbness that would generally becoming from a neck pathology or right. So a shoulder problem will. General, if you've got pins and needles are numbers that would generally be more indicative of a neck problem, not a shoulder problem. So there's a heads up on that. The other thing is, if it's a neck problem, not a shoulder problem, you might have painted the base off your neck are going from your neck to the top of your shoulder. A shoulder problem will generally not give you pain that goes from the shoulder to your neck that we mawr of a neck problem. Okay, so let's just go back to this again. Let's say you've got pain from the base of your neck and it goes across the shop of the shoulder. That's more likely that it's a neck problem. Pain from the base of the neck across the shoulder, and it could go into the arm and straight down there, just like the shoulder. But it will be coming across the top. Here is more indicative of a neck problem. If you have any pins and needles or numbness that also is more indicative of a neck pathology. Okay, so there's the difference between the two of them. Now we're going to do some tests very nicely. Set up these tests to check whether it's neck or shoulder by the brilliant late, great Robin Mackenzie, a brilliant physiotherapist from New Zealand. We're going to use his testing method to differentially diagnose, whether it's from neck or shoulder pathology. So you already know, roughly from what I just told you about the location and numbers and tingly, whether it may or may not be shoulder or neck pathology. But what we're going to do here is we're going now test some neck movements to see two things we're going to see when we do these neck movements if you have a change in the location off your pain now. So, for example, if you have shoulder pain that comes from here down to hear if after doing or during doing these neck exercises, then it goes further into your into your arm or it actually reduces the pain or it was right through it and drama, and now it's only in the upper arm in. Otherwise, the location changes. When we do these nethers neck exercisers, that's more indicative of a neck problem. Okay, and when I will show you what you need to do if it's a neck problem, okay, so if the location changes when we do these neck exercises, that's more indicative of a neck problem. Also, the intensity if the intensity changes. In other words, if the pain gets less or more once again, that could tell you it's more than likely and neck problem. So we're looking at a change in the intensity and or a change in the location when we're doing these exercises. If there's no change, it's more than likely just a shoulder problem, and we'll get into that in a minute. So what we're going to do and I want you You could do this standing, but you probably won't do it sitting for the moment. You can have your arms by your sides or into a lap. Now let's say I've got pain in my left shoulder. That's my problem. So I want you to focus on where the pain is in the amount of pain that you have now, what we're going to do, we're going to do what's called a double chin or retraction exercise. I want to draw your head back, OK, you bring your head backwards like that, see what a double chin. It's not lifting up like that. It is straight back, and then what you're going to do is your going to lift your head up to the ceiling and back down two seconds. Hold up at the top. So we're going to 10 repetitions of these. We're going to see what happens to the pain, if anything, in your shoulder. So draw your head back up to the ceiling two seconds and back down. I want to do 10 repetitions of that. If you find there's a change in location and or changing intensity gets worse, gets better, less painful or location changes that's going to tell us more about it's more of a neck pathology. Okay, if you're not quite sure, then what you then condo's is after to say you've done 10 of these, you go? Well, I'm not really sure. Then what you then condo's just gonna bring my chair around a little bit, so can see what you think and do is if it's your left shoulder, you're going to take your ear to your shoulder towards the painful shoulder. So if it's your right shoulder is painful, you're going to take your right here to right shoulder. Hold for two seconds. We're gonna stick with my left shoulder being the problem. So I'm gonna take my left here. What, you don't turn your head that way. Keep your head going down like that to second hold back up towards the painful shoulder. Once again, you're looking for any changes in intensity and location off your shoulder pain. Okay, 10 repetitions. When you get the whole two seconds, keep going. Then what I want to do is go to the opposite side months again across two seconds, back to center, 10 repetitions, then what you can do. And again, you're trying to focus on that shoulder. What's going on with the shoulder? Then you can rotate towards the non painful side. Hold for two seconds and back. 10 repetitions going around. Hold and bang. Tend to the side of the non painful side and then 10 repetitions rotating to the to the I beg your pardon to the non paper site. So once again, first you're going to take it down to the side of the pain. 10 repetitions, two seconds. Hold back away from the side of the pain. This is my painful shoulder. Then rotate towards the painful side back 10 repetitions. Same thing away from the painful side. Okay, and then you're going to see if you've had any change like at the bank behavior or the location and or location off your pain. If you find that it is changing, reducing, getting bigger, getting bigger, getting stronger, then you're getting more understandings and neck pathology. Alright, if you're still not sure, here's what I want you to do. Let's take a shoulder up until you start to feel the pain. Okay, bring your shoulder up until you feel the pain. Okay, Stewart sat for the pain and then go back and do these exercises from the start retract. Take it up two seconds and see what happens the same things again with your arm in that painful position. See what it does to the pain of changes, location intensity like I've talked about. But this time your arm is in a painful position. What you've done. 10 repetitions. Take your arm down, and you can go through all of those to get a really good understanding, whether it's neck that's doing it or it's actually your shoulder pathology that's causing your shoulder pain 37. The causes of shoulder pain: now what we want to do now is look at the causes of shoulder pain. One of these things I talked about in the introduction is finding out what are the causes of shoulder pain, because it is absolutely imperative. As I said before, if you wanna have, ah, pain free shoulder permanently because we need to stop you aggravating your shoulder now the majority of shoulder pain happened. The very few shoulder problems actually happened from an incident. For example, you hit a bad tennis shot. You missed the ball completely, and you really feel you wrench your shoulder or you pick something up and you feel something go, you over, stretch something or maybe tear something or you fall down in a skiing actor on outstretched or on your shoulder. Things don't happen that often. The majority of shoulder pain people don't even know what they did. What happens is a person just said. I woke up Monday morning. It started to hurt by choose. I could hardly lifted the end of the week. I thought it would get better, but it's just got worse and worse. The reason being is what happens is a cumulative forces accumulative stress is on your shoulders and in the major culprits with shoulder pain are prolonged over the head activity and also repetitive activity such as going out in the weekend. I'll see this in the clinical the time someone comes in with shoulder problems on I said, Did you do anything different? Unaccustomed activity year. They decided to brew in the whole garden on the weekend. So the whole weekend they up here and there were Breuning away and their shoulder is just not ready to adapt to this. This all this action above their shoulders. So it is repetitive overhead activity or they painted their house on this, just grinding away these tendons. Okay. The other thing is just prolonged activity having your shoulders above your head for a long prolonged activity. Prolonged link. The time this also would jan up these joints and start upsetting the shoulders. So we need you to avoid this overhead activity and repetitive activity using around overhead. And this is really important so you can let your shoulders settle down. Now I hear what you're saying. Some people would say, Well, I'm a painter or you the work that you do, you're a carpenter, and you have to drill into holds into wars, this sort of thing, and use your arms up here where you can adapt that. Okay, So rather, let's, for example, use drilling rather than using this. And it's a very weak position. Where you having to use your drill up here really stresses your shoulders. You could get up onto for a ladder, for example Come up. So you're up high, and now you want a drill and you get a much better position. So you're not having to take your arms up here. You're then getting a position, so you're going to have to learn to adapt what you're doing and you're going to have toe. Just think about a little bit more. Same thing with free example with driving. You have to think when you're winging out thes thes elbows. You want to try and keep, because when you do this elbows, this movement is going toe grind away in these tendons so you won't try and keep those elbows down a little bit. So when you're brushing your teeth so you can see what I fly out with the elbow here, you're going to grab glasses from the covered all these things you can bring those elbows in a little bit on. Just give those shoulders a bit of arrest so they can settle down, not be so irritated. So adept what you can and where you can't like for example, driving rather than having the elbows out like this. Get them to drop down and get yourself into position where you're not out like this so you can give once again these shoulders arrest so they can start to start to heal a little bit better. Another thing that you can do is just do a very simple stretch. If you are using your shoulders and arms locked like this, do the opposite movement. So if your arms are out like this, you're having to do this work, whatever that maybe you can just gently clasp your hands behind you and just stretch out stretching out through your chest on it's doing the opposite movement. Had your arms out like this. Now we're gonna bring them behind, extend them and you can do this, you know, every 5 to 10 minutes, just 30 seconds to stretch out to give your shoulders a break. So that's the first cause prolonged overhead activity and repetitive, overactive overhead activity. You need to try and avoid these, most certainly when your shoulders a painful to give yourselves arrest on adept your your your task way you can and when you can. 38. Treating shoulder pain with acupressure's most powerful points.: All right, So let's have a look at the shoulder now. And once again, we're going to get work the whole back first and as absurd you before when you go down through the back here, you could do 234 different repetitions of it. You could hold the presses for longer. You can use your elbow usual forearm as you're going to work down and work on the affected shoulder. So let's have Let's have let's say this person has a a short from her left shoulder. So you work down through here. This is this is gonna be your treatment regime. You're gonna work all the way down through the back years, it said. And then, as you'll see shortly, you're gonna work all of these muscles at the back through the shoulder blade and again you get festival. Remove the quarters, teach the person what what's you know, the common causes of shoulder pain and impingement. You work through that and then give them the stretches that I've shown, um, so that so that they can then fast track their progress. One of the things you'll find I've seen so many people again in the clinic have. They're given so many shoulder problem shoulder exercises, which you know 30 40 repetitions of this, that it's actually worsening their problem because, well, first of all, I keep the as you're seeing. Of course, I keep the stretchers exercises to an absolute minimum one, because people who have, you know, 50 60 repetitions of five different stretches generally don't do them. What? I would do that for a day so that their next to useless. Because there's just way too many. We don't have time in days to do this. Onda. It's not necessary. So one of the things that with that, when it comes to the shoulders, you got to just do the the minimal shoulder exercises, which incredibly effective. And I found this again through 25 years of trading people what tend to be the most effective exercises, and you can see up. We're just working that out out of line of the bladder. Little murdy in there because again, like I said before, when you just if it's a neck problem, a shoulder problem, all of these mass was gonna get type, especially if someone's had a shoulder problem for a while. They start using other muscles. Be especially. They can't lift it after the side, for example. And, uh, so other muscles get involved about loosening up days muscles, especially between the shoulder blades and the spine. There, these muscles get involved, a person can't abduct or l would lift their arm out to the side, which is commonly a problem with shoulder problems and getting all these muscles and working these Levada scapula masseuse. It's vitally important. So again is working always not through here. Now let's say you have a client comes in. Remember, if so much is falling on their shoulder, you're obviously going to have toe be aware of the 1st 24 to 48 hours is, um, let's say someone came to see you because yesterday they fell on their shoulder and I can't lift their arm to the 1st 24 to 48 hours. You in any injury? So you just see here, uh, work these muscles easy not to write by the shoulder blade There. All these trigger points airfield those type bands. Okay, now what I'm doing here, I'm looking for another point. There's get the shoulder blade and just going to the middle, you'll feel this indentation right in the center of the shoulder blade. It's a great point to work. It always attachments here. The tendons. So what I'm doing here Just feeling all these attachments, all of these you muscles terraced minor to major in first Bernardus always my soldiers again Look at anatomy book. It doesn't really matter, as I keep telling you, as long as you just feel those tight muscles and you work all these these pressure points all through here just in the back of the capital here, just working old around. So what I was saying before it the 1st 24 to 48 hours if someone's hurt themselves. Ah is Price and I go into this later in the course whether to use Iittle Hayden when it's injury, What you need to do. So the 1st 24 to 48 hours get them to ice. It rested, protected. You can't elevator shoulder, but that's what you were doing. Just rested. And then you come in and work with the client with their levels of pain. So it's not too painful again. I've spoken about now here. We're just going date under the top of the shoulder right there. This muscles, the super spin artist, is commonly affected. Here's the Levada skeptically mess, and I'm working now. These are all acupressure points. There is trigger points in these, um commonly they get overactive. I just work all these tight muscles, and your client will feel much, much better. I guarantee you, you just keep working here for 10 15 minutes again working the run. Boyd's here always. Not again. You just feel those stick Ning's. It's all you need to do. Feel those, not there. You cannot go wrong and just continue to get around that, and then once you give a person of exercise for the shoulder, they'll be much, much better. 39. Stretches for the shoulder. No.1: Now we're going to look a loosening up your shoulder and decreasing this pain. So what we're going to do now is the very first before we start is exercised. What I want to do is just listen to the pain in your shoulder. Okay, So what we're looking to see is a reduction in your pain. What I'm gonna do, the very first exercise is very simple. Is the pendulum exercise on what you do? You can put your hand on a chair or I'll just use this bench here on what you do is your very simply swing your arm as a pension. Now, if it's too painful for you, what you can do is just decrease the aptitude off your pendulum. Okay? Otherwise, just you loosen up like this, what you could do 10 times in the pendulum. All right? It's simple as that. What I want to do is do that 10 repetitions. Do that every two hours, 10 repetitions every two hours. So you're gonna do it about 6 to 8 times per day. Okay, all of these exercise, you'll see we're going to do them every two hours and 10 repetitions. Okay, So very 1st 1 is going to do the pendulum simple is that loosen up that shoulder now what you can also do. People find this to give it a bit. Attraction is to get a small £1.2 pound weight or even a can of baked beans, spaghetti, something like that. Put that in your hand and you give a little bit attraction and you can try that as well. OK, so let's say if it's too much, just drop it back. We don't want to hurt ourselves. Now, if any of these, um, any of these exercise, I'm going to show you, increase your pain and really stir up your shoulder and is worse the next day you're going to have to back them off. You might need to see a doctor or get another. Another opinion if you find that it really flares up for any reason. If not, what you can do. If you do find it flares up what? You could do it. Just back it off and I'll go through these steps. Aziz. We g o. But why do you say if it really flares up on your not sure they just get another opinion but for the moment will just go through it step by step. So you understand what to look for and what to be aware of. Okay to the very first exercise pendulum exercise as simple as that Nice swinging, if it hurts too much, dropped the pendulum back a little bit. Otherwise, it's really swing it 10 repetitions every two hours, so it's gonna be 6 to 8 times a day. If you can do that without any pain, then I want you to do this exercise. 40. Stretches for the shoulder. No.2: So if you be not to do the pendulum without any problems whatsoever, then you can start to introduce this exercise as well. So you do the pendulum, and then you do this exercise and what you're going to do is gonna turn my back towards you . Let's dance your right shoulder. Okay? Your right shoulder is painful. With your left wrist, you're going to grab a bigger part with your left hand. You are going to grab your right wrist and then you're going to pull it down towards this side. Here, towards that, a 45 degree angle. So what you do, you grab your going to gently pull down like this? You should just get a gentle stretch through the shoulder here, so you gently pull down like that. Okay, so you gonna grab that risk, you gently pull it towards your left hip. What you don't want to do is one cause pain and to you don't want to see this really wrenching out or really pulling like this. Where the stretch. You should get a sensation of pull. Nothing. Maura. Sensational stretch. So you're going to be doing this, okay? Grabbing it, pulling it down for 30 seconds. Okay, if you find that doing this is too painful, all right or really stirs up your shoulder or you had shoulder pain and now it's going down at your elbow. You find it. It's worse now, by the way, a small in increase in shoulder pain, which probably won't be like the shoulder pain you have you might feel are now I feel it on the frontier a little bit very much like going to the gym. This is unaccustomed activity for your shoulder. Okay, so you might feel a small increase in the first day or two in your shoulder pain, but it won't be an intense panel. Just be that sort of muscular pain. Like you went to the gym. Okay. Says she quite different. You might feel a muscular soreness, as we're starting to move this shoulder with. It hasn't been used to it more than likely. So if you can do this with no problem, you go to add that to the pendulum. Okay. Pendulum first, then this for 30 seconds. Okay. Going to do that for 30 seconds if it's to pay for it, increases your pain, and it stays inning increasing pain. They just go back to the pendulum. You might need to do just the pendulum for a few more days, or even a couple of weeks. If it's a really bad shoulder until you can then advance to this one. If you can do this without any problems whatsoever, you get a stretch. By the way, for many of you that the paying with shoulder problems is local abduction. Take it out to the side. I find in the clinic. Doing this exercise can very quickly bring back that movement. You know the ones you know who you are, where you go up through here. You know, I can feel that really hurt. It's got a painful arc. Okay, so what you can find is you might have found that it was painful starting off down here. After doing this stretch, you might find it now. It's painful up here, so the pain comes on later. That's a great sign, OK, that it's coming on later that were decreasing the amount of park. The amount so that comes on later is not getting his pinched so quickly. So pendulum first, then 30 seconds taking that down across towards your left hip. If it's your right shoulder, 30 seconds and you're going to get it before you're going to do those every two hours. So you doing them 6 to 8 times per day? 41. Helping Knee Pain: it's time to look at the name now. There are a lot of misconceptions when it comes to nay pain. People think that there's a lot of things that people think is to about knee pain, which is actually not. There's a lot of myths out there, so we're going to look at these on what's actually true, what she harms knees on. We're going to show you different methods and always different exercises with the nays that have helped thousands of nays on. People are unfortunately going for a lot of really unnecessary surgery when they didn't need it. And a lot of people ah, the lucky. If they're better or they're just the same or worse, they're actually worked with the new problems. So much is really avoidable. So let's get a look at the different names I'm gonna start. Showing mobilisations with the knee are the pressure points, that sort of thing and really great stuff that you can fix people's knees or your own eyes that say very quickly by doing these few simple methods 42. The causes of knee pain: Okay, So what? Ah, the major causes of knee pain now, Okay, there's a certain amount of people that twist. They fall over, they twist the knee and that sort of thing. But the the majority of people don't actually do an incident that there needs just they don't really know what happened. They just they they were doing things, and suddenly there needs to start to become painful on. Then they start to usually name or list simply because it becomes painful. Then they got this downward spiral becomes painful, they lose range of mo motion, range of movement have become small, painful, get stiffer, and so on and so forth. So one of the major causes, apart from a full or a twist on your name one of them is mentioned before is in activity were so sedentary and with their lives these days, we've got to get out and get these needs moving. We've got to start bending and straightening and moving to see in the joint. This synovial fluid synovial fluid is basically the oil of your joint and that's produced by movement. So if you don't stop moving your name, you don't get that lubricant in your name. So we've got to get you more active. There's no doubt about it. All right, let's activity. No. We need more activity in that, Nate. Get it. Moving the other courts or causes is prolonged standing. Okay, we're gonna go into this in more depth. But, you know, we stand up the whole time. Just this position. They're just news. Lockout. They get stiff and sore from being in one position the whole time. The other thing is crouching or squatting. Use crouch or squat down for a long time. You know what it's like if you're squatting for our time together? I mean, okay, they don't like to be in and these positions for long held time. So you're going to break up thea Amount of time, the other standing and likewise sitting. Okay. And, you know, if anyone's head it, they say you had your arm in a cast like fits. So you had a wrist problem. You had a strap like this. You know what it's like just after a couple of days when you've got this elbow bent, you take it off that slinging on It's so stiff and sore. Let's just after a couple of days, you can imagine there's a long time for a long standing or prolonged sitting or squatting or crouching. It's the same thing. They need to move the opposite way. So let's just see a little bit about that in a second now. The third thing is your body weight. There's a very strong correlation between knee problems and excess weight, and it doesn't take much to lose a bit of white toe. Have your knees in a much healthiest state, so if you are overweight, just shedding a few pounds could make a major difference to your knees. So let's just have a look what we can do if you have to stand on the job of your standing a lot, what you can do to just help those knees. So if you have to stand a lot, maybe should job you having to stand a lot. What you want to do is just to stop this. This locked in a position the whole time is give these needs a break from that position. So what you can do, you can sit down, get down into a chair and just bring your knees up like this taking it up and bending these knees, OK, both sides. Now, if you got a sore knee, obviously gonna be a bit careful, but you're going to just bend these. The other thing you can do, of course it just work these legs, get these legs bending both sides, get them bending because again, they're all locked out again. Imagine my arm. If my arms like this, the first thing my arm I want to do. If I kept this for a long time, the first thing I'm gonna be doing is going. I gotta bend this, you know, you know the feeling. So it's no different to your news. So you want to bend them If they're straight all the time, you want to do the opposite movement, which is bending now, Obviously, you've got a bad knee or bad in age. You're only gonna bend them under the point of pain, so you're not gonna bend them, so it hurts. You're going to do it just under or just up to that point of pain. So we're going to start doing it so walks break it up, get your knees bending if you have to have him straight all the time. Now, the opposite is true if you're sitting the whole time, All right. Now, if you're gonna sit down, which most of us do anyway, we're sitting at the computer with good posture. I hope so. You're sitting here now, but if you're knees are bent that whole time and what you want to do is striking them. Excuse me. Straighten them now again. You can just do this under your desk as simple as that. Straighten them out, get them moving once again. Now, removing the joint was strengthening the muscle. And you can also just contract them. If you're bad. Needed kind to extend credibility. Straighten out. We're gonna work on that in a moment. So it But just for the moment, just think while you're working there, you can put something up on your computer if you want to. Just gets the movement back into those news. Like why I should get up, walk around, take a walk around, stretch out because from his bent position, they're going to need to straighten out bend, do the opposite, which is straighten your standing up straight. You want to bend him going to the opposite motion Likewise. If you're sitting, trying out toe, have your legs, you know more than a 90 degree angle. Okay, if you can get them out a little bit. All right. So they're not such so much more being middle. More 120. Not so much. 90 degrees. So it's not such a compression on your knee. Okay, so that's what you want to do. If you have to stand a lot, you're going to Benjani's gonna break it up, bending and bending and bending. Likewise. If you sit a lot, you're gonna get up. You're gonna walk around, you're going to straighten them out, okay? Doing the opposite motion. 43. Treating knee pain with Acupressure's most powerful points.: All right, So let's treat Mapei now. You'll see. I'm just measuring out here. Here's a great pressure point, right at the in the midway, between the kneecap and that decrease there. It's a very powerful point. They just press into that. You see, I just measure that right in the Middle East, on the inside of the name and how this is a really, really powerful point. Now, As you see here, here's another great point. You see how the bone comes up there, used drop into their I'm just showing you how to find that. Just come down again. This is a great point for Napier's. You come down now. I actually happen to heaven. My knee's actually better today. But my name was all swollen yesterday and I did exactly these points. I fell into a hole two days ago. My knee swelled up, so I put a knee brace on Iisten. I elevate it yesterday. Everything that I teach you later in the course, the guy never got it. Now we're looking here. This point here is right on that. Your media quadricep. You'll see that there's a through a large Mel. Find around. You'll find a very sensitive point in there. This again is a great point. These two I points here, just working through those there as well. These points are news for acupuncture. I put pins in there again great points, fingers and thumbs pressing up into, like so underneath the naked this point is stomach 36. You see, it's forefinger figure it's underneath the kneecap off to the side, a thumb which, outside of the bone that stomach 36 and again really great points a great point for energy . That's a great point for trading names and down here between find a sensitive spot between the webbing. Here there's a liver to liver three points. But just find that you'll find it really, really tender on. You want to find that tender point and work it. Okay, Now, here's a really nice technique for helping me pain. I'm testing. Okay. Kneecap should go in for tracking in eight different directions up and down. So I decide. Then diagonally both sides. So you see that way? So I directions up down, side to side on diagonally both ways, and you are looking for restrictions in this, so I'm just testing the movement here. You can see it goes up. Let's see if I can show you here. All right. So I found a restriction going laterally towards that. If you like the appetite to the screen, so then you do three short, um, a little little. You see that beautiful little movements there to push it into the direction of restriction . And then I retested. So you wanna have, Let's say up and down there, you wanna have inside decide you want the movement to bay equal? Not that it goes up easily, and it's restricted downwards. So if you find the restriction, a Zeiss have seen that going across that way, I'll get 3 to 4 shop little movements there mobilizations so that it's uniforms in each direction again. It's fantastic little trick to help tracking as great for any problems. Now, with the quarter ship, this is really effective again. You're gonna work down through these muscles and just loosen up there. Obviously, with 1/4 step to thigh muscle, it attach is, uh, through the through the patella, the kneecap above and under. And so if the restrictions here, you want to remove these, so just to go back to a time s actual through the unit work. Um, all in all across this muscle here, I work more laterally and all the side as well. Um, so yes. So I fell into a hole two nights ago and strained my knee, and it blew up like a balloon. And so what did I do? I went got myself a compression bandage to help move the fluid again. That where if you don't know too much about this man, I speak about this letter in the course and when to use ice and hate. But it was an injury, so it was inflamed and the compression bandage. I rested it, protected it, iced it and elevators. And today it's already way, way better. It's no longer inflamed. And that's just simply by doing those things now, I'm gonna work with soft tissues. Today, after 24 hours, the information's going down and I do exactly the exercises And what I'm showing you in this video, uh, to help my name even further. 44. Knee Exercise 1: All right. Now what we're gonna do a lot of the time with knee problems is you lose that extension. Okay? You can't straighten the leg. So what we're gonna do, we're not only going to strengthen your like because one of the problems with Neuza against the downward spiral with a lot of needs those quadriceps which are absolutely vital to have strong quadriceps your thighs here, you've must have strong quadriceps for your name health. Okay. Now, fortunately, we quote quadriceps have been show to later injuries with knees. Eso weak quadriceps can bring on knee pain and also in a pink and later weak quadriceps. So it's very much a vicious cycle. So what we're going to do is a very simple exercise to get you to start strengthening these quadriceps on the strength comes back very quickly and gives you that protection in your in your name. So let's say this might my bad knee this right, may. Well, you do is get a pillow underneath the name, okay. And what you're going to do, you just sit back of what you're going to do here is strained the knee. Now, if it's painful to do it. You're going to do it just under or up to that point of pain. In other words, you don't want to be going. Ah, that really hurts. No. Bring it back. You want to come just under the skin? Just have to feel the edge. A pint. Okay, so we're timing up that quarter century in to do it. Hold it for five seconds. Quite a firm contraction here and relax. You're gonna work away up to 30. Alright. Five second contraction and relax. If you could only 15 before you really fatigue, that's fine. But you're going to try and work your way up to 30. 30 repetitions. Five second contractions. All right. If you can't straighten your leg out completely, that's fine. You're going to go just to the point where you can you can should feel that quarter said that thigh really contracting there. 30 repetitions. Five second holds. You're going to do this every day. Okay, If you can do that with no problems, then you're going to move on to this next exercise 45. Knee Exercise 2: So once you've done those exercises and there's no problems with your knee, what you can then do is take the pillow right to the end there and prop up your name like that. Okay, now I got my knees slightly bent. All right. Again, What we're trying to do is get you to be out of strange, and they out again. Once again, you could just settle back. What we're gonna do is we're just gonna straighten it down. You could even just sort of let it sag. So we're gonna come up and then just try and straighten it slightly, just under that point of pain, OK? So you could just feel that's just about where it's going to hurt or just underneath it. Okay? Not forcing anything. All right, so we're gonna just do that and then rest. It's gonna come down to straighten, hold it for about 3 to 4 seconds, and then back up. Come back down 3 to 4 seconds. Now, if you find this is too much or you find this really increases your pain and you might get an increase just just as you do this. But if you find you get an increase in pain, and it remains really sore the next day. Then just go back to the one I showed you before. Okay, if there's no problems that I want to continue with this, we're trying to get their legs out straight now. Better 3 to 4 seconds and relax. Okay, so that's what you do that your exit. Second exercise. If you have no problem to that, we're going to then do another exercise that's going to stress this and a little more to try and get mawr extension to really straighten out this leg for you. 46. Knee Exercise 3: Okay, so remember the first exercise? We did this. We were straightening that down. Just under the point of pain getting that thigh. And we're gonna work that repetitions fire, second holds. Then we took the pillow down. We put our foot there on We just let it sagged down gently again. Just so it's not painful Now we're gonna put him over pressure on So what you can do Take it down. We'll take it down just before and you could gently press down with your hand above the name just above the knee and release Come down, press gently again. The pain should be absolutely minimal once again if you find that this is too much for you and just stay with the 1st 2 might do that for a few days, maybe a few weeks until you can move on to this. Down it goes. I've oppressed to get that stretch of the back of the leg. Okay, if you've had a long standing chronic knee problem has been like this for years or months is going to take mawr. Time for you to get it right. Okay. Some of it doesn't hasn't had a knee problem for such a long time, it was generally respond more quickly. Two down and impress. And you're going to rip. Eight does 10 repetitions. You bring it down. Hold press down 3 to 4 seconds and release. Now. You might need to do this for a few weeks and then we're going to start Teoh. And if you can do all of these and then you've got you can check both legs to see if they're both straight. They both will extend the same virtually the same. There's been no increase in your pain. You're still doing fine. Then what we're going to do is we're going to start to introduce flexion. 47. Knee Exercise 4: Okay, so now we're going to start to introduce flexion. All of the other exercises we've been strengthening, we've been straining out that leg to get get you to tell you, constrain it and to get good extension. Excuse me. Now, what we're gonna do on most commonly, a lot of the knees problems are because they can't bend properly. So what we gonna do now is just again. Same rules apply. You're gonna just bring it up. You could hold one leg, the one handed the knee just below one of the ankle. If you can't reach, grab a towel wrapped round and do that, okay? And you're just gonna gently again. 10 repetitions just under that point of pain as we start to introduce flexion or I 10 repetitions. Hold for 3 to 4 seconds on. Bring it back. So, what you gonna do? You're going to include this. All right? So you got to do the other ones, and you're going to include these Now I want to just go back to when you're going to be doing these. So I told you the very 1st 1 we're going to the 30 repetitions every day. Okay, I want you to do it three or four times a day. Okay. The other ones as well. You're going to the 3 to 4 times a day. And this one when you start to include the same thing 10 repetitions 3 to 4 times a day. So in other words, you're gonna do this and toe eso number one. And in sag number 23 with overpressure on. Then for this going to repeat these 10 repetitions? 3 to 4 second holds the first when you go to build up to 30 with five second tires were gonna work that quarter sip. I came. So we're going to do that and then increased reflection. So you're getting your leg with MBIA. Your name extend and will be out of flesh, get full range of motion. We're going to get our strength in to that quarter step by doing those now with these ones that I told you the 1st 1 I watch those 3 to 4 times a day. Let's say you do that for the first week. Okay? Then you can do them about every second day, okay? And just did them once a day. We're just going to really kick start this for the first week. Now, if you find that it really makes you saw, then just back them off once a day. But if you can do these first ones 3 to 4 times a day with the other exercises these 32nd or 30 repetitions five second holds to really start the work that quadricep do that for about five days, then you come back them off. Okay. And just to them, they say once every second day, one repetition 30 seconds every second day. Okay, Because you won't need to keep doing them. They will be stronger. And you wanted to do them as much. If for any reason you find that any of these stood just back them off a little bit taking a little easy, it might be pushing too hard. 48. Helping Upper Back Pain: Now it's time to look at the upper back. This is this area which you know the place between the neck and there in the mid back, that upper back area that is so prone to painful knots. Are we going to have a look at this and how to help this said, Because it is such an area of pain for so many people. A lot of this pain is simply caused by poor posture. Once again, surprise, surprise in front of a computer that fixed flexed position in front of computer not only bad for you, but for your neck. Not only bad for your lower back, but of course, that flexion sustained for hour after hour sitting in front of a computer. So I've got to show you how to treat the upper back and also these great thoracic extensions that are really fantastic to put opposite movement, to get those vertical joints moving again. So we're gonna look at that as well and again nice techniques you can use at home after between treatments that will really get those knots on making feeling fantastic again. 49. Treating upper back pain with acupressure's most powerful points: All right, so someone's got out up a back pain, and Okay, well, this is the same thing. I'm gonna work the whole back as we've done before. Um, and what you really want to do here is let's just say that you have a person's come in. They've got pain between the shoulder blades. All right, So you work the whole back like we've done before. You're going to obviously concentrate on where their pain is, using a forearm, using your elbow, using one. Come on top of the other, that sort of thing. And you get them to use the tennis ball in all of these painful conditions foam rolling and a tennis bowl Really important factors when it comes to up a back pain. These problem of sitting flexed in front of, um the computer older that we old just like I am right now, sitting flex for so long really is a major cause of effective for upper back pain. You know, we just sit there and sit there without up respond flex. Now, obviously you want to have good posture. But just being static for such a long time is really troublesome for the upper back. So it's great. Teoh Dooley's massage techniques with Pert Enough, they'll feel fantastic after. But it's vitally given the tennis ball exercise for their upper back and the thoracic extensions where you see over the farm roller is really effective. Once again, what it's doing is giving the person the opposite movement to having a flexed spine. They're going to then do extensions and have a look at the phone rolling exercise where the person is well, where I am just lying over at each vertebral segment. And so you get the person to do that. If they don't have a foam roller, you can get the person to do it over the arm of a sofa or something like that, and you that that really thank you for it because it's so effective, um, at just doing it for a home exercise. So it's the Razek extensions on, and they say, phone rolling Tennis bowl, All right, will really make that person feel much better at home, and they could do that. So after treatment, you go home, they do that and it will get them the pain free very, very quickly if you haven't already. Just by doing your massage technique so again you would do several repetitions to go from the top of the spine right down to the base. Come back and then you will work the areas. You'll get your feedback from your client regarding pressure. And if they obviously, if they have a specific spot where it's painful, which I imagine they do, then you find that spot and you'll work that and you can hold those points. I have 2030 seconds being guarded by, Ah, happy pain, feeling it. It's not because you don't again want to be too painful, because what they do is that tense up. And the whole point of doing message is to dilution the person up. So anyone told you all this person's great, they really were, you know, got hurt like hell. But I felt better two days later. Well, that's too strong. I shouldn't hurt like hell. Just a heavy pain is enough. 50. Ankle Sprains/Foot Pain/Injuries: Hi, everyone. Okay, Now, what we're gonna do today is look at, uh, ankle pain. And more specifically, we're looking an ankle sprain, because that's probably most typical on most common, um, ankle painful air conditioning for the ankle. Now, as generally a sprain off the ankle where you fought your twist, your foot on the outside rolls over. That's the most common on you. Spraying the ligaments. Now, while we're at it, little anatomy and physiology. Listen here, a sprain happens to your ligaments. They ligaments join bone to bone. A strain is muscle or tendon. Now, attendant, just so you know, joins bone to muscle. Okay, so a tendon or muscle strain a tendon joins from the bone to the muscle and a sprain happens with the ligaments on ligaments join bone to bone. So when you twist your ankle, you are spraining your ligaments off your ankle of which are three ligaments on the outside on they classed them differently. Great. 12 and three sprains. Um, now So what I'm gonna do do in this lecture is teacher that the acupressure points if we can use for this and also the exercises, because it's fundamentally important that you with any injury you start toe work the area as soon as possible. So that's what we're going to show. Gonna show the remedial exercises. Um, and what you need to do from day What? Okay, so speaking of day one, So you've got an ankle sprain, you'll have Swelling, as you see from the picture may be the same. Bruising starts to come out. The first thing you do for the 1st 48 to 72 hours is you cannot say rice or price. The difference being price means that the P means foot protect you, protect the area, rice off the rest I for ice, see if a compression e for elevation. So let's just go to their little more detail, because this is important that you know what to do. So the 1st 40 act. So let's say you sprain your ankle today. The first 2 to 3 days. Here's what you gonna do. You are going to ice it, which means no more than 15 minutes, a bag of ice frozen peas, that sort of thing on the affected area. Now, if it was an elderly person or a child, ice might be just a bit too much. Too uncomfortable you can use instead of ice therapy. Cold therapy. We might have a bucket, Bo. Something like that. We could put the foot into water with ice cubes, so it's a little more comfortable for the person now. OK, so that's ice. They get arrested. Obviously, you want to stay off because you don't be running around on doing more damage to the ligaments, your eyes, it to decrease the swelling. The other thing you can do to decrease the swelling is a compression bandage, and I'm goingto go into that little more detail how you do that. And lastly, elevate elevate the limb. Oh, sorry just to go back. The compression bandage is also to decrease the swelling. And, uh, by the way, the compression bandage is not going to stop you re enduring the area. That's important that, you know, the compression bandage is really just for swelling. So you and kind of make you know that you've got an injury, so just because you got a compression bandage on doesn't mean you can start just going out running around eso. You still have to be very, very careful. It's Maura about this swelling and decreasing of the swelling elevation. He's for elevation. You wanna lie down, get your foot above the level of your heart so that the fluid can then naturally drained down, uh, to take the fluid out of that ankle. All right, now let's just go into, um ah, a little bit more about had a tape and ankle, so let's say so. He was sprained the ankle. What, say one of your clients spray their ankle? How do you tape it? Or so let's get into how to take a sprained ankle. So when it comes to putting a compression bandage on as a city before, it's important to know this that the compression bandage is there to reduce the swelling. Um, I'll make it. I could feel better because it's less pressure within within the ankle. But just be aware that it's not there to protect your ankle from reinjuring it. So you just need toe. Be very careful of this kind. So Okay, what to do when you got to do a compression bandage on the ankle, you start at the ball of the foot. Now, if you banish isn't already rolled up, make sure it is rolled up and hold your ankle at around about 90 degrees and start the bandage where you toes make the body of your foot and what you're gonna do you how the loser to the bandage at the side of your foot and then wrap the bandage around the ball of your foot once keeping it in a pretty tight. We're just a slight light pool. After this, they just slowly start circling your way around the arch of the foot and then pull the bandage diagonally from the bottom of the toes across the foot Stop and circle it around the ankle. Now, what you do is you bring the bandage diagonally across the top of the foot and under the arch in a figure eight pattern. Okay, so basically, what you're doing is a figure eight. Now, when you get to the ankle bone, just keep continuing around and in this figure out moving towards the hill and then up towards the car for the top of the eight. All right, so you got to keep going up around doing the Figure eight movement as you work up around, uh, you want to do the whole foot and then end the bandage. As you can see in this image several inches above the ankle. Now, some of the bandages you'll get they could actually stick onto themselves, which is fantastic. Others have little little clasp that when you've finished with the tape, you can class their own little. There's little sort of hooks, account of what they call the alligator hooks or something. The court I can't remember now or just a little piece of tape. Okay, um, you want to have the reps pretty snug, but obviously you don't cut the circulation off to the foot. So that's what you do as far as the compression stage goes. All right, so you've asked it, You put your compression bandage on and you obviously got arrested, and then you're but you put your TV on, put your foot up and elevated above the heart. But so what we're gonna do here is have a look at the points that we're going to be using, uh, to treat this ankle sprain now, or foot pain or ankle pain that that you can use them for all. But as you say, we're just specific looking at sprains But it wouldn't matter if you would just have a any sort of ankle pain of foot pain. You could use exactly the same points. Fair to say. We're just focusing on ankle sprains because it's the most common form of ankle pain. All right. Now, if you look at the diagram directly behind, this is the point you're going to be using on. I'll show you how I stimulate them shortly. Directly behind the ankle, you will see you be, which does for urinary bladder. It's the meridian off the bladder. Meridian number 60. It's 1/60 point on the bladder Meridian that when we're gonna be using that is directly behind the ankle. So you what you do, you look for the midpoint of the ankle when you're finding this point between that and the edge of the Achilles tendon, and it's halfway in between. So it dropped into that hollow between the Achilles tendon and the midpoint of the ankle bone. At this point is a great point for swollen feet, uh, ankle pain, even thigh pain. It's great for arthritic conditions in the foot joints and even lower back pain, because the newly bladder goes right along the back there, so it's a very good distal point for back pain. Now you re better 60 to below the ankle. You see that you be 62. This another point. It's a thumb's width below the ankle there, so you find at the bottom part of the ankle. Get to found measured and you have seen me doing it. And this point here is is just in a little hollow. You'll feel fine. A little dip on. That's exactly what is this Points great for any sort of hill pain? Um, it's an ankle pain. It's even good for insomnia and for any sort of just generalized foot pain. This is a great point to be using. Now, if you look from your only better 62 it's just faint. In this image, you'll see G B 40. That's the other point we're gonna be is. It's a great point again for ankle pain. Now, this is G B stands for gold bladder, gall bladder 40 and we will be using this point and what you do, you just dropped down to the 45 degree angle, uh, and dropping. Do you see that? Be a big dip, and that is a great point. Two years for any sort of ankle sprains, toe cramps and even psychotic pain. It's a fantastic point, and then we're gonna be using that one as well. So the other points we're gonna be using, as you'll see in this diagram kidney three and kidney six. Now, as again, it really easy. This is on the inside of the ankle and the Burt basically the opposite, points to bladder 60 that you stimulate on the outside of the ankle. It's exactly the same position, but on the inside, and you'll see when I go into the stimulation of these points, we use a pincer grip to stimulate both at the same time. Now this point, their kidney. Three. You just had to be careful. It's forbidden to be strongly stimulated after the third month of pregnancy. Um, so you don't be doing that if a person is after the third month of pregnancy, and it is it in the hollow, just midway between the the ankle bone and the Achilles tendon. Sensible, it's a great point for swollen feet, uh, for ankle pain and ah, Chinese medicine, they say it's also a very good point for strengthening the ankle joint. The other point you say there is kidney six, just below the ankle bone. Same thing. One thumb Which below the inside of the ankle bone again, It's the mirror image of basically what we did on the outside of the ankle. So very easy to find. And I get a really great point for swollen ankles, a swell as any sort of just heal and general ankle pain. All right, so here we are, starting to stimulate the point they could see here. I'm down that kidney six point there. Did you say one thumb with below the inside of the ankle there. One thumb with directly below the center, part of the ankle. And there you say I'm on kidney three. Okay, so where the ankle is, right between the tendon and the ankle. I know. I'm using the pincer grip on kidney six and bladder 62 on the other side. We're gonna show the other side in a second, So here we are, not a 60. They're going to stimulate each of these points for one minute decision. You thumb your finger, you can do circles or just press down, and there we are, there a lot of 62 dropping into that little dip there. So every point you're going to stimulate for one minute, and then we go down to a gold better forties. He just drops down into that point there. So every 0.1 minute is exactly what you want to do. See that? Just using my finger there. Okay. I just want to speak about rehabilitating injuries because it's an important factor now, okay? Using acupressure, Going to use the ACA pressure that I just showed you. Ah, say 3 to 4 times a day. You can use the ACA pressure, but you also need to use what's called controlled movement. And what that really is is after the 1st 2 to 3 days with any injury, you want to start getting that the effective joint moving? No. When we talk about getting it moving, we talk about getting it moving pain free. All right, So is what we're gonna do is carefully exercising the soft tissues using pain as your guide . All right, so what we're gonna do is start to move the limb. The affected living in this case, the ankle Are you gonna use that A bit? Used pain is your guide, as they say. So it should be pain free range of movement. So this is what we do. So after the first couple of days, what we're gonna do, we gonna start to use movement, and I'm gonna show these movements in a second, use these that do not produce, nor increase your pain. What this is going to do is stimulate the healing process without causing any firm it further damage. So after that, after that, say date Ood. When we get to that day four day five, then we go to just slightly increase the movement, getting into a gentle stretch. So we're going to further increase, because what you really need to stimulate your healing process is more and more movement, pain free without increasing any pain without producing any pain. But we're gonna start to go from just gently moving it to move in with a stretches you're about to see shortly on. Then we're gonna progress from their own. But so I just want to make sure that, you know, this doesn't matter what injury you have, it's important to get that joint moving pain free as soon as possible. So as you can see here, what we're going to start to do is that implement movement. Like I talked about up and down. You can do this several times a day, four or five times a day. Just started working in a pay free wrap Pain free range. Now we're up and down and now in and out. Okay. You see that four or five times. Make sure his pain free. Do that for the next few days. Then around about awake after the injury, What you do the same movements as you can see here. But you gotta hold it for a pain free, which I stress stretch. So it's the same movements. So after a week after the injury, you're now gonna do up and down, in and out. But you're gonna hold them for three seconds to get a just a nice stretch that does not produce pain or increase any pain. Now, after a couple of weeks, what you could do then is just laying down on the tops of your faith there to get again a gentle, pain free stretch this after a couple of weeks now Now, I would like to mention that, um, don't attempt to run until you can walk on your tiptoes and helps several times without pain. Okay, so so would you. Gently increasing more stressor. Now, what we're doing here, you can also start to you stretch out what I'm doing. My right foot. You can't sit in frame here, but what I'm doing is stretching, keeping the hail on the ground both feet parallel. Andi, I'm just stretching out those tenders. The other things vitally important is pro pre reception balance on one foot 30 seconds. Once you can do it for 30 seconds, do it with your eyes closed. This will help your nerve endings and really help you. All right, so let's just go go back through this. I just want to go back through this Eso you understand completely what we're doing with injury management. This just happens to be with a sprained ankle. All right, So the first thing you do say you sprain your ankle most or when your client sprains her ankle. Now, obviously, if you feel that you're out of your depth, um you're not sure whether it's a great 123 and you can look on Google to say I just don't complicate the course too much. But you can look at the grade 12 and three different types off a strata sprains. But generally it's really bad. Most people won't come to see you as a massage therapist. Uh, but if someone does come to see or you sprain your ankle, hes what you wanna do it rest ice compression, bandage, elevation first couple of days and then start introducing movement into that area, which is pain free. And then after 45 days, you're going to start stretching it, doing a gentle pantry stretch starting to stretch those the scar tissue, those those ligaments and just that it could create a healing process that is ideal so that you're gonna have a good wound that's gonna be healing properly for you. So you're going to do that and then, as it say, you're going to, um, then sit on your feet as I showed you to just gently stretch that area once again and which is vitally important. The final step is appropriate reception, and you could do that into the 2 to 3 weeks is almost pain free, long as you can do it. And that will get you back up and walking. And there are further progressions. Obviously, if you're an athlete, you're going to have to start doing, um, exercises where you let's say you're a football, for example, and you have the dodge between people is a footballer. You would do those exercise between pike between them, uh, which is hats, cones as you do that to further stimulate healing and further challenge your ankle. But that that's that's, ah, a lot deeper scope than we have here at the moment for this. So acupressure on those points 234 times a day and then implement these exercises, and you're gonna be a world better much more quickly. 51. Congratulations! you have completed the course: And there we have it. That is the course. I sincerely hope you enjoyed my course. A little bit of fireworks going on there. So you have completed the course Now again, I sincerely thank you for watching my course to completion, If you haven't already, I would love it if you would write a review for my course. It's important. As an instructor, we get reviews again. Thank you so much. And I hope that you enjoyed my course.