0:00- Hello everyone my name is Dr. Jacobs, I’m a doctor of physical therapy and I’m also the inventor of advanced soft tissue release, ASTR specialty, I am a cancer survivor and I used to suffer from chronic migraines, headaches, pain and fatigue before I invented ASTR specialty. Alright Shauna tell me what’s going on with your jaw and headache. So I had a root canal two weeks ago and I had a bite block in and when they, it was for about an hour when they took the bite block out I could, it took me a while to get my jaw to close and it was really painful.
So you had muscle spasm after that, okay. That pain, that soreness in my jaw continued over the next couple of weeks we thought it was maybe an infection in the tooth still. But this past week the endodontic that I work for and my general dentist both figured out that there isn’t any more infection in the tooth. 1:00- The tooth is doing fine, it’s actually they think a TMJ issue, the pain is in my jaw, in my ear, rating up to my temple, my neck my shoulder. How much pain from 0-10, 10 is emergency room. Probably 8 consistently. 8 consistently, okay. For this week. For this week like no relief. No relief. Before it was I would probably say at a 6 I was uncomfortable. After the root canal? Yea. Do you have any history of TMJ like pain in your jaw before or. No but I have been grinding my teeth and clenching my jaw for a really long time.
I’ve had a night guard for probably a year or two. Before that I didn’t, I just, but every morning I wake up I’m biting down on that night guard so. Oh okay. So give me a brief history of your headaches, what’s going on with that, how long is it? I’ve had headaches for about ten years. Ten years, okay. 2:00- They happen daily they’re almost always on the left side of my head and sometimes I have a lot of pain right back here on the right side.
Um, and it’s either like all behind my eye, and right here, it could be in my temple, it could be up here above my eye sometimes, um. So you said it’s daily for the past ten years. Mhmm. Okay and what time of the day you have your worst headaches? Um, I would say in the morning I probably have my worst headaches. I wake up every morning usually about 4 or 5 and take headache medicine. 4 in the morning, oh wow. And I’m usually up for 45 minutes or so trying to get the medicine, cause if I lay down, it hurts worse and I’ve actually started sleeping with my head propped up a little more which has helped a little bit, but I sit up until I can feel that medicine helping a little but there’s no medicine that ever completely takes it away.
Completely relieves it. Yea. Not at all. 3:00- So how much the intensity of your headache? Daily do you mean, daily yea. Um. From 0-10, 10 is emergency room. Um, I would say up to an 8, um probably never below a 4 or 5. So it’s a constant, all day long and night. So can you tell me what kind of treatments you had for your headache for the last ten years? I’ve tried, I went to a neurologist, and nothing was found, they told me they were tension headaches.
I’ve had massage which helped temporarily, I’ve had chiropractic treatment which didn’t help at all, acupuncture didn’t help at all. I’ve been on multiple headache medicines prescribed by the doctor that some of them actually made the headache worse, um none of them helped, so that was very short lived. So you’ve tried everything in the menu? I feel like I have, I mean, essential oils, I mean every suggestion anyone’s ever had, I’ve tried.
Oh okay. 4:00- Nothing. It doesn’t seem like anything touches it, the Excedrin helps temporarily. Temporarily. It takes the edge off. And you’ve been taking it for a while yea? I have yea. Wow okay. And I’ve, I’ve gone through periods of time where I’ve completely not taken it and the headaches are still there and I end up going back to it because it does something for me. Just a little bit, okay. So can you tell me now how much headaches and symptoms you currently experiencing in your head? What do you mean? Headache symptoms right now or how 0-20 headaches do you feel? 8. 8? And where do you feel it now? Um, mostly right here, um but again it’s all in my jaw, my ear, my neck, my shoulder. Okay. Into my eye.
Into your eye. And up here too, a little bit it just feels like it’s radiating all out so. Alright so, make sure whatever we are doing is not aggravating your symptoms okay? 5:00- Is it okay to mess up your makeup? Yea, first timer, next time I’ll wear a tank top. So sometimes, I actually clean the makeup and I forget to ask the patient. And they have to go to work after. And they have like, the patient usually most of the patient they know they have their makeup bag when they come here so this way they know it’s gonna be a mess. Let me know if it’s too much okay. You had any trauma here? No.
No, okay. Your fascia is very tight. Make sure this is not painful okay. So it’s around that eye is that correct? Mhmm. Okay. 6:00- You feel the tightness in your head? Yes. Okay so this is normal fascia mobility for the tear, this is not movement at all. Fascia is like wraps around the entire body it’s like a Spiderman suit, it has a superficial layer, and there are other layers. But when you have tightness it’s a very thin layer under the skin. It’s like you wearing a t-shirt two or three sizes too tight, so it compress on everything underneath. Yes, that’s how I feel. Yes. Compressed. That’s correct. That’s why medication is not going to work for that you know any, if the treatments not geared to release that it’s not going to be released by doing something else. Does that make sense? Yes. And that’s interesting because sometimes what I’ll tell Shawn is if I can make some type of contraption like a belt that I can tighten on my head.
7:05- I feel like that would feel good. Or I’ll have him push on my head really hard or underneath my eyes. Don’t do that at home okay. Yea, no I’m just talking about that’s what I feel like would help. So I’ll tell you a story actually, I had a dentist that had tension headache for 16 years. So she went to the neurologist, she had an MRI like cat scan everything and actually the neurologist came to tell her and she was telling her she feels a band of pressure, headache. And the neurologist told her, there’s nothing wrong with you there’s something wrong with your head. And she told him yes, that’s why I’m here, it’s my headache. She said I know. 8:00- Yea that’s why I’m here. Because everything was negative so.
Yea. He’s not going to see the tension in the brain scan. I discharged her after two treatments. Wow. Sorry, I forgot to say, I’m messing up your hair too. That’s okay, it’s all fixable. I’m going to work now on breaking the scar tissue. Make sure it’s not painful. Do you feel the bumps here? Mhmm. That’s the scar tissue. So you probably because you’re clenching a lot you had a micro tear in your temporal. 9:05- You start to have scar tissue. Over the time scar tissue is building around this area. The problem with scar tissue. Our muscle should act like a rubber band.
Does this when it contracts when you have a scar tissue it’s like you have a knot in the rubber band so when your muscle contracts, it doesn’t stretch. Let’s compress on the tissue underneath it and increase blood flow it could also cause headaches. Do you feel those bumps? Mhmm. Do you want my hair undone or is it fine? No it’s fine. Make sure this is not painful okay? It’s not. You feel that more scar tissue in here. You feel that? Yes. Typically if there’s no scar tissue it should feel like this, nice and smooth. Oh. 10:00- It doesn’t feel like that. Yea so that’s and I’m not surprised from clenching it’s very typically to have scar tissue.
So you’ve been clenching for how long? At least ten years. Ten years, okay, that’s when you’ve been having those headaches. And it’s very common with the TMJ with patients that have been clenching. Okay, so you said it’s in this spot too? Mhmm. Is that painful what I’m doing or is that okay? It’s fine. How this feel. It feels good. It’s like the headaches honestly its a little painful right here but where you’re doing it actually feels good. Okay so you feel it in your eyes now? Uh-huh. Okay, alright.
11:00- So I want you to lie on your back head here. Head here? Yea. So now your headaches is only in your eyes behind your eyes? Mostly yea, yea. Okay, and everything is cleared now? I think so; it still feels a little sore here. Okay so make sure this is not painful. It that too much? No. Okay, you feel it in both eyes or in the left one. There we go, you feel that fascia? Yea. Let me move you. Make sure this is not painful okay? Okay. 12:00- Did anyone work around your nose and your eyes? No, never. Fascia release. Can you get some water here for me? I’m starting with the headache now because you’ve been having it for ten years; um I want to see how you’re doing with that. Because I hate to see you with a headache for ten years without relief so. No tightness there. Is that too much or. It’s fine. 13:00- Okay, yea. You feel that scar tissue there? You feel that? Mhmm.
Okay. Make sure it’s not painful okay. Here you go. Try not to move your head okay. Okay. Let me work on this while we’re here. So you feel it here, going down into your shoulder? Yea. 14:00- Okay, wow you’re really tight here. Is that painful here? Mhmm. Here? Umm. More here. Yea it’s on the left. That’s tight too but this is the uncomfortable side. Is it painful what I’m doing here? Yes, no? I can’t hear you. Is it painful what I’m doing here? No. Okay. Sorry. Okay. So most of your pain on that spot? Is it okay to work inside? Inside my mouth? Yea, do whatever you need to do. So, do not bite me okay? 15:00- Open your mouth, close. Thumb up if you feel pain okay? Okay. So you had the root canal down here low, okay. Okay let me work on this area down here; thumb up if you feel pain.
So this is the worst area yea? Mhmm. Tell me if it’s too much okay? That’s painful, you feel the tightness here? Mhmm. Yea, that’s a lot of fascia tightness here. So I’m trying to release the internal fascia. 16:00- Make sure it’s not too much okay? Mhmm. Too much or it’s okay? I can do it. No make sure it’s not painful okay. You feel now the fascia start to loosen up. That’s tight make sure this is not too much okay? You feel that band here? Mhmm.
Don’t blame it on me. Yea, they blame their sickness on me because I was sick. Never blame it on a doctor, that’s not a good idea. Is that too much? You feel this band here? 17:00- That’s from a lot of clenching actually. We’re gonna do more work on it next time. It’s starting to loosen up. Good morning. Okay, you feel that, everything is starting to loosen up. Okay, let’s sit up for me and tell me how you feel, we’ll get you some water.
Do you feel light headed or do you okay? I’m okay. Okay. It’s like a release of pressure. Mhmm, yea. That’s because the fascia, tension headache is typically fascia restrictions, scar tissue, trigger points could be involved with that muscle spasm. So that’s why if the therapist or doctor is not trained to release them, they will ever be able to treat it properly because that’s the source of the problem. So do you feel headache or is it gone? Umm I feel this is hurting still, right here. 18:00- How much 0-10? Probably like 5. Oh okay so it went down to 5. And you feel it right here, but behind the eyes and this area, everything’s cleared? It’s a lot better. What about here and here? This is still hurting, so it’s like here and here. But everything feels a lot looser. I’m not sure how much we can get release for this if you have inflammation. Whatever we do is not going to, until we get inflammation down.
So let’s work on this and try to release it. Okay. Because you had the root canal like two weeks ago. Mhmm. So it’s still. Like two and half weeks. Yea you might have some inflammation there. As long as you don’t feel the pain here and it’s localized here that’s what I care about. Because I don’t expect this to totally resolve if you have localized inflammation. 19:00- But you feel it right in here yea. And right here too. Right deep in there, are you wearing contacts? No. Okay. Close your eyes. You’re scaring me. I am? A little bit. It’s okay. Don’t do that at home. Thumb up if you feel any discomfort. Okay. The tightness in those areas. Am I in the right spot of the tightness? Mhmm. 20:00- You see with ASTR we work on entire body. Everywhere, even the eyebrow, around the eyes and that’s what I give training to doctors how to use ASTR treatment to treat patients. Okay, do you still feel it in that spot? Umm, no.
Okay, and here you said around this area? Mhmm. Okay, you feel that scar tissue here? Like this area. The temple. Okay, um let me see if I can do this without lotion. But you feel that scar tissue here? Yea. It feels like you feel it huh? Yes. 21:00- The right answer is yes. Hello, hi. That’s our lotion. I know. This lotion is the best lotion ever. So you like our chocolate and our lotion. Everything here is better. I feel healthier already. Alright, awesome. Really, okay. It’s a moisturizer, it’s nothing else. Okay um, I’m going to put some lotion here. Sorry if I make a mess with that. It’s okay, it’s fine, do whatever you need to do. Keep your eyes closed okay. 22:14 Your doctor would know that you had treatment. Well I don’t have to go to work today so that’s fine. Oh, okay that’s good. With water it should be fine. I should just put some lotion over here because I don’t want irritate your skin.
I can feel scar tissue here. You feel al these bumps? Feel that here? Yeah. You can see that actually in the camera how it’s not going smoothly. It’s just jumping here. Is that painful here? It’s uncomfortable, it’s not painful. So we’re not going to do this area, you might have inflammation. 23:17 Okay. And don’t look in the mirror after this.
I did not make a big mess. Sometimes I go home and I find some lotion in my hair. And I wonder how did this happen? Yeah, so I just blame it on someone else. Okay, so let’s give her some more water. Okay sit up for me. I looked in the mirror. Sorry, we have a mirror here. Okay, so headache from zero to ten? Probably a two. 24:02 Where do you feel it? Both sides? Mmhm. Deep inside, behind your eyes? Yeah, it’s so much better. Here, drink water and see afterwards. Because after I release fascia restrictions and scar tissues, that brings toxins and byproducts. And if we don’t flush those out quickly, you might feel soreness from those toxins. Not the headache. So, zero to ten? Um, I still feel it behind my eyes and right here. How much? Probably a four or a three.
Three, the whole eyes? Like here, and here yeah. 24:53 Okay, lie on your back. Close your eyes. Is that too much what I’m doing? No. Okay, so it’s like surrounding your eyes? Yeah. Okay, tell me if it’s too much okay? Can you feel yourself breathing better now? Yeah. 25:43 Let me know if it’s too much okay? Okay. And really do not try this at home because you can cause a flareup. I get that feedback from some people who try to copy this. If you don’t know what you’re doing it can just make it worse.
Yeah. You feel the fascia restrictions? Mmhm. You squint your eyes a lot? I think so. Yeah, that’s why your fascia is really tight here, especially when you’re stress out. Okay, so that’s what’s causing your fascia restrictions here. 26:57 Alright, so tell me how you are feeling after your treatment. A lot better. How’s the headache from zero to ten? Probably.., I don’t even think I have a headache right now. Alright, awesome. So what do you think about ASTR treatment? Great. Can you tell a difference from the stuff that you had before? Yeah. I just felt like a total pressure relief in my head. And you had it for ten years, yeah? Yeah. Thank you so much. No, thank you. 27:26 Feel free to subscribe to my channel, you will get updated on helpful information and tips and tricks on how to relieve pain and your patient pain.
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