How to Choose a Massage Gun? DO NOT USE IT WRONG!

[@dr.ross.medicalmassage]

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[@RickyPrevatteMassage]

For years, I have used a G5, which will do percussion and the 60 cycle vibration that you speak of. This is a great video and I would only say if the proper percussion is used exciting things can happen. I caught pneumonia and I used my G5 as a respiratory device which it was actually intended for. But I was absolutely amazed at what that percussion did to help me Get a productive cough. Now I treat mini post Covid conditions using this and people are absolutely overwhelmed and amazed with the result we get. Dr. Ross is absolutely correct in every aspect, but I have had and many of my patients have had pleurisy like symptoms and the large 5 inch pad used as a in percussion mode has all but eliminated the rib pain back pain and bronchial distress we have had from these respiratory conditions.

[@dr.ross.medicalmassage]

@@RickyPrevatteMassage@RickyPrevatteMassage You are absolutely correct about the value of percussion for pulmonary disorders. It dramatically increases and stimulates pulmonary drainage and assists quicker recovery. Thank you for the important comment!

[@meerkatreserve7543]

Yes!!! I was waiting for this video for so long. I keep telling my clients about not using percussive massagers for pain/trigger points. Now I can just send them this video. 🎉

[@dr.ross.medicalmassage]

Great! That was the goal of the video, and you should educate your clients because there is a lot of misinformation and representations. Thank you for the comment!

[@carolejackson8357]

Question for case with clinical profile. age 60, female. What about when lower thoracic errectors are hypertonic but not painful. The pain patterns, refering inferiorly, are common to QL and Piriformis. The pain patterns presented in her description of reason for seeking MM, intermittent sciatica down the thigh and into the peroneal muscles . But consistent gluteal pain approximately below the mid Piriformis muscle belly near the ischial tuberosity. None of the neuromuscular trigger points presented as referrals on palpation. Pain on evaluation was localized. QL had minor HT in the common TrP areas, which we eliminated after 7 sessions of a customized MM SBP. The gluteal pain and HT has been eliminated for at least 2 wks. But she still has periodic slight tight discomfort in the glutt. There is slight tenderness of the Piriformis on palpation, no discernable HT. She is using true vibration qd on the thoracic errectors HT. While the errectors are about 50% less HT than on initial examination, they still have significant HT. Self care 2/d She is doing passive stretching, 10 reps with 2 second hold. Since her ROM now allows knee to arm pits, she no longer does PRI for the errectors. She continues adding standing QL stretches at the kitchen counter. She generally had a high pain threshold, as evidenced by no pain response when most areas of HT are tx. She does have TrP w palpation of the semimembranosus. While it's local tenderness on palpation of the commonTrPs, the common pain pattern does extend to the ischial tuberosity. Questions Would percussion vibration be better for her thoracic errectors HT? Does optimal care include targeted therapeutic massage until all discomfort around the ischial tuberosity is eliminated? (She's currently on 2 wk schedule.) Her DC was doing decompression, which they eliminated at the start of the MM program. Is it optimal to restart decompression with the slight intermittent discomfort remaining around the ischial tuberosity? I know it should be discontinued until pain and discomfort in the extremities subside. Her last TM was followed by DC manipulation within 24 hrs. The DC noted the HT in lumbar easily resolved with the adjustment. Thus DC said a 4 wk schedule can be resumed if the patient chooses. Her QLs had been stable for several TM sessions until a 6 hour car ride, round trip seemed to exacerbate the ischial tuberosity intermittent discomfort (never pain) followed by QL HT during the TM. Any advice about this end phase is welcome. No hx of any chtonic conditions like OA or spine disorders. I want to release her from my care ASAP.

[@dr.ross.medicalmassage]

Would percussion vibration be better for her thoracic erectors HT? NO Does optimal care include targeted therapeutic massage until all discomfort around the ischial tuberosity is eliminated? (She's currently on 2 wk schedule.) TM won’t bring stability. Her DC was doing decompression, which they eliminated at the start of the MM program. Is it optimal to restart decompression with the slight intermittent discomfort remaining around the ischial tuberosity? Yes at this point. It can be valuable addition Her last TM was followed by DC manipulation within 24 hrs. The DC noted the HT in lumbar easily resolved with the adjustment. That is how it is supposed to be since DC and you should work together.

[@mayhawthorn5092]

To make sure I understand: For overly parasympathetic, instead of making interruptive vibration by the hitachi, could we use the percussion gun?

[@dr.ross.medicalmassage]

Yes!

[@mayhawthorn5092]

@@dr.ross.medicalmassage this is very helpful.

[@carolejackson8357]

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[@carolejackson8357]

If I understand correctly, an athlete who has chronic low back pain will promote healing with true vibration. Though they may feel immediate, temporary relief, long term, it exacerbates the problem. Is that correct?

[@dr.ross.medicalmassage]

Exactly! Athlete can be treated with percussion later when dysfunction is eliminated

[@carolejackson8357]

Thank you. ​@@dr.ross.medicalmassage

[@carolejackson8357]

​​@@dr.ross.medicalmassagethe lady I'm thinking of thinks that she is fine with the percussion because it makes her feel better temporarily. I suspect that she could eliminated her lumbar pain and avoided worse future progression such as possible future OA. Is that a reasonable understanding?