Discussion on Different Treatment Options for Injuries with Dr. Leo Running Expert and Guests

Mind Body Marathon

In this episode of the MindBodyMarathon podcast, host Dr. Leo Kormanik Running Expert and Dr. Matt Pisanelli are joined by chiropractic student Jared Bugaj. The discussion centers around modern treatment modalities for injury recovery and performance enhancement, contrasting them with older methods. They highlight the rise of techniques such as foam rolling, scraping, and the use of therapeutic guns, which have become commonplace in recent years.

They outline the Active Release Technique (ART) as a foundational method in their practice, emphasizing its focus on releasing tension between muscles to improve function. The hosts discuss the importance of understanding tissue layers and the relationship between different muscles when applying these techniques. They also emphasize a hands-on approach, advocating for careful assessment of tissue to target specific areas effectively.

The conversation touches on the trend of "clickbait" chiropractic techniques popularized on social media, which are often not formally taught in chiropractic schools. Jared explains that many trendy techniques are informal and may lack a solid evidence-based foundation. The hosts express skepticism about these flashy methods, advocating instead for informed, diagnostic approaches to chiropractic care.

Overall, the episode emphasizes the importance of understanding the body and utilizing effective treatment techniques while being wary of gimmicks in the field of chiropractic care.

In this segment, the hosts discuss the popularity of TikTok videos featuring chiropractors that highlight the sounds of adjustments, likening them to ASMR (Autonomous Sensory Meridian Response) content. ASMR is characterized by soothing sounds that can induce a calming sensation, and the cracking sounds from chiropractic adjustments may trigger similar responses for viewers. They explore how the auditory and visual aspects of these videos can create an enticing experience, similar to the appeal of shows like "Dr. Pimple Popper."

The conversation shifts to the science behind the popping sound during adjustments, which is caused by the release of gases like nitrous oxide from joint fluids when pressure is released, creating bubbles. This process is therapeutic, as nitrous oxide can dilate blood vessels and stimulate nerves, contributing to the sensation of relief associated with adjustments.

The hosts emphasize the importance of understanding joint mechanics in chiropractic care, arguing that a strong foundation in joint function allows for more effective treatment of soft tissue issues. They also discuss the significance of core stability and proper movement patterns in overall body mechanics, suggesting that comprehensive treatment should address both joint function and muscle activation.

To help patients manage their own care, they recommend techniques such as foam rolling, cross-friction massage, and using tools like Gua Sha for soft tissue release. They caution against using too much pressure, educating patients on how to avoid damaging underlying structures like nerves and blood vessels while performing self-treatment. Overall, the emphasis is on a balanced approach that incorporates both professional care and informed self-management strategies.

In this discussion, the speakers talk about the nuances of foam rolling and self-myofascial release techniques, emphasizing the importance of understanding anatomy to avoid exacerbating nerve issues. They share a humorous anecdote about a race where one individual misapplied foam rolling on her glute, resulting in numbness due to pressure on the sciatic nerve. This highlights the risks of not knowing where to roll, particularly in sensitive areas like the upper back.

They advocate for a technique of holding pressure on sore spots rather than aimlessly rolling, as this can lead to better results in releasing tension. After applying pressure, they suggest performing exercises to activate the surrounding muscles and reintegrate the elongated tissue into the motor system. Foam rolling is recommended both before and after workouts, but tools like scraping and cupping should be used more after exercise to promote recovery and blood flow.

Cupping and scraping are described as complementary techniques, with scraping increasing friction to stimulate tissue healing, while cupping allows for decompression of tissues. The speakers recommend starting gently with both techniques to avoid causing damage, and they emphasize the potential benefits of regularly using these tools for self-care. They conclude by encouraging listeners to incorporate these techniques into their routines for improved mobility and recovery.

The conversation turns to dry needling, which they see as a useful but limited tool. They compare practitioners who solely rely on dry needling to a mechanic who only uses one tool, arguing for a more holistic approach that incorporates various techniques based on individual needs. They stress that while dry needling can provide immediate relief, it should not be the sole method of treatment, as it can be harsh and may not lead to lasting change without follow-up care

The speakers also highlight the importance of proper warm-up techniques and exercises tailored to prepare the body for activity. They suggest dynamic warm-ups, core activation exercises, and even light activities like brisk walking or jumping on a trampoline to enhance readiness for more strenuous workouts. Overall, they encourage listeners to adopt a more comprehensive and balanced approach to self-care and rehabilitation, integrating a variety of techniques for optimal results.