First Rib Self Mobilization Hesch Method

This is presented by Dr. Jerry Hesch, MHS, PT, DPT of Hesch institute in Aurora, Colorado.
Jerry treats chronic pain using a whole-body Manual Therapy and educational approach.
For information on scheduling an appointment with Dr. Hesch, MHS, PT, DPT please go to
Website: www.HeschInstitute.com Please follow us on You Tube and Facebook at "Hesch Institute".
Hesch Institute also provides Home Study Courses and hands-on workshops.
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The Video Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on the Site.
Jerry Hesch and Hesch Institute hereby disclaims any and all liability to any party for any direct, indirect, implied, punitive, special, incidental or other consequential damages arising directly or indirectly from any use of the Video Content, which is provided as is, and without warranties.

[@TheCHRISTHARME]

Great video and nice technique. very clear and to the point. Thank you so much.

[@byronecaelers7777]

it worked right away! thank you

[@lynguy439]

Amazing work

[@spin4physics]

thank you

[@j2b721]

What a relief!

[@anthonyclayton1615]

Thanks. After 15 years of constant pain and issues a physical therapist finally told me what this was and that I had it. I am desperate for relief and will try this.

[@jbruh6246]

Curious if your issue has gotten better? Mobilization and strengthening has helped considerably for me.

[@PapiChuIo]

@@jbruh6246what did you do for strengthening? Also, did you do anything else for mobilization besides this

[@memati7199]

I have been in a great deal of suffering and agony for the past 23 years and no chiro or doctor ever told me that my first rib is most probably dislocated and dislodged from the vertebra, except a traditional healer 2 days ago that noticed an unnoticeable asymmetry in my chest x ray.

[@anthonyclayton1615]

@@jbruh6246 Yes it has! So so much better. So thankful for this video.

[@DarioFKV]

Is there another video of this ? because is hard to understand like this. Thank you.

[@luyzqint3760]

I have issues with my T1 - T2 ( slide "C" shape towards the left), and gives me do many symptoms, chronic pain and neurologic issues because it causes pressure and misalignment on my upper cervical. Can this help me?. Thank you ✌️

[@adrielrowley]

Appreciate this presentation, I have had back pain even when a lad, due to physically abused and hyper mobile joints (I can bend over backwards almost in half for example). If I had the resources, would come get treatment as your work is impressive (stumbled upon the channel and been watching some trying to understand shoulder anatomy). What if your rib tubercle is not prominent? I was able to get a spot that caused nerve sensation and slight pulling in the fingers when on my back. TIA

[@jerryheschsr]

Hi, thank you for the kind words. The posture of rib tubercle can be subtle and I do not treat based on that but rather on blocked motion w spring testing. usually distal symptoms have origin in the cervical spine., so interesting presentation Let me know if you have any questions trust you are seeing a doctor?

[@adrielrowley]

​@@jerryheschsr, no problem, they are deserved. Well, we must have done something right as the thoracic tightness instantly went away (could finally move my scapulae toward the spine) and this morning no pain there. The hard part was the second part, I don't have the ability to press, so had my Service Dog partly lay on my shoulder. By the way, find this amusing as PT uses a strap though at home have no such so used a dog leash, then don't have a baseball so used his rubber chew toy. Ha. I have seen my PCP and been X-rayed. Mild lumbar dextroscoliosis and four anterior compressed thoracic vertebrae (my guess is when in a vehicle which was hit very hard in the rear), plus two or three cases of whiplash. I have had knots in my shoulders and along the scapulae for at least 15 years (just turned 34). So with more than one, my PT is not fully sure what is causing the distal sensations (had before and years ago constant in the right and one of their therapists released the muscle, forgot the name, which surrounds the bundle of nerves going into the arms), we been trying trap and first rib and seems to have made more progress than in the past (I stopped going to PT due to health, now back about a year and a half later, armed with these new X-rays). I am having trouble sleeping so figured why not GENTLY try this on my own?

[@jerryheschsr]

@@adrielrowley Happy to hear! Rarely occurs but T1 can be stuck in rotation in either neutral, or flexion or extension and requires gentle mobilization, typically a one-time correction, not a repeat adjustment. Also important to screen AC joint very rarely involves SC joint and same for manubrium.

[@adrielrowley]

@@jerryheschsr, how would one determine this T1 rotation, including X-ray? I had already looked over your AC information and seems not the issue. What is the SC joint? What means by "same for"? In my understanding, for some cases it is both joints and muscle tension?

[@jerryheschsr]

@@adrielrowley hands on spring testing (see hesch spring test for examles on other parts of the body, no x-ray will reveal. sc is sternoclavicular joint yes muscle an joint and nervous system work in synchrony

[@hanzo52]

Seems very complicated, what about a demonstration on a human?

[@ebinlazar9851]

Amazing technique, but you didnt mention if I should lay on the 1 inch book which you said to keep at the edge of the bed. Thank you

[@JerryHeschInstitute]

The book is under ball so that ball does not sink into mattress

[@memati7199]

@@JerryHeschInstitute thank you so much sir 🥹.

[@jerryheschsr]

@@memati7199 you are welcome!

[@katie1897]

If the first rib you were treating was on the left side of the body, would you lean on the ball to the right?

[@JerryHeschInstitute]

I am sorry i do not fully understand your question please elaborate. The ball would be on side of dysfunction and does involve leaning to either side

[@leokuo8995]

Thank you, this is literally life savings, I been battling this for a long time. I just graduated DPT program. Been trying to find an effective way for 1st rib mob. How often should I been doing this? Is this something I will have to do for lifelong or. As long as I pair this with good posture and mid/low trap strengthening then it will never come back?

[@JerryHeschInstitute]

do it once. finito

[@JerryHeschInstitute]

I have a whole-body course and a sacroiliac course see www.heschinstitute.com if interested

[@lynguy439]

@@JerryHeschInstitute I'm very interested

[@lynguy439]

@@JerryHeschInstitute just clearing some accumulated bills because of covid

[@JerryHeschInstitute]

@@lynguy439 glad to hear hope u r well

[@silverfullbuster9177]

Hi I've got vascular and neurogenic thoracic outlet syndrome and would like to know who would be best to see. A massage therapist,chiropractor etc???

[@JerryHeschInstitute]

medical doctor you can search www.pubmed.gov for articles and see if there are any article on chiropractic and massage for this condition

[@memati7199]

Same issue and i thought i would pay a thoracic surgeon a visit.

[@Dela77940]

I'm too stupid too understand this :(. I really need it tho 😅.

[@keeandchee]

Why does it look like someone spilled gravy on the right ribs?

[@JerryHeschInstitute]

cause they fractured so I repaired it with moster glue.

[@briannabromell1033]

I have gravy saturated ribs my self, it's a blessing and a curse. Thats what brought me here and so far this is the only thing that worked for me!

[@jarridcarter5001]

Could you have someone push down on your shoulder for you?

[@wmcuccia1356]

this video is confusing.