Car Accident Injury: Mechanics and Remedies
Hurt in an accident and want to find out the best techniques to get better. Listen to this interview from prominent California car accident lawyer James Ballidis interviewing Dr. Jason Amstutz, discussing the need to restore full mechanics and movement when treating accident injuries.
Jim Ballidis: This is Jim Ballidis, personal injury and accident attorney in Orange County, California and I have Jason Amstutz with me. We had talked off camera here a couple of months ago about some interesting changes in the way that patients are treated for their problems and I thought that this will be something that you might be interested in, so we are here at my office, one of our offices in Orange County, California. Welcome Dr. Jason, how are you?
Jason Amstutz: I’m good Jim, thank you.
Jim Ballidis: Good. We talked a little bit before about what’s going on, what’s the big change in the way that doctors are trying to address people with pain and injury now compared to where we were before.
Jason Amstutz: I think people are using movements as a primary change in how they are diagnosing things and how they are treating things, and not just going and trying to eliminate pain and trying to find out what is the cause of the pain. If it’s non-traumatic or non-systemic disease, it’s got to be coming from some kind of dysfunction. I think that’s where everything is heading.
Jim Ballidis: Lengthening or shortening of the muscles, the function of the joint and then whether that neurologically the brain is communicating…
Jason Amstutz: That’s perfect, yeah.
Jim Ballidis: Let’s talk about each of those individually. Let’s start first with just lengthening or shortening the muscles. So what are you describing here, and what type of techniques are used to mobilize?
Jason Amstutz: Well the length of the muscle can precede any pain in the shoulder and that is from poor posture, you can get a very shortened Pec musculature which pushes the shoulder forward, that automatically changes how this thing can move, but if you see that, then you have to be able to lengthen the muscles of the Pec minor, Pec major, whatever the case may be, just to allow the shoulder to be in the right position to move from.
Jim Ballidis: And how would you do that?
Jason Amstutz: Active Release Technique is the specific technique that I use, which the shortened term of it is ART, and it is physically going in and mobilizing and manipulating the muscle while going through a full range of motion, so you can kind of hold any adhesions and scar tissue, and shortening of the muscle take to lengthen it, because it takes a long time for things to shorten but it can have a major impact on the mechanics.
Jim Ballidis: We are going to cover the other two in a minute, but something occurred to me here and maybe I have got it wrong, but it sounds like you are saying that the practitioner, the person who is really going to try and solve some of these physical problems, has to be more hands on, during not only just the diagnosis part of it, but also the solution part of it.
Jason Amstutz: Yeah absolutely, and the diagnosis again isn’t just one of the many – impingement syndrome, it needs to be what’s causing the impingement.
Jim Ballidis: Impingement syndrome because the front muscle is not…
Jason Amstutz: Too short…
Jim Ballidis: Too short.
Jason Amstutz: …and the ones in the back are weak, that’s the classic example, yeah.
Jim Ballidis: Okay and so therefore if we have identified what specifically needs to be addressed, then we can talk about how to solve it.
Jason Amstutz: How to solve it, yeah…
Jim Balladis: So we talked about ART, and active release, and then how neurologically do we encourage our muscles to do things that we want them to do?
Jason Amstutz: The technique that I use is TRIGENICS and it basically allows, it allows, there is a normal resting musculature tone if you will of your muscle, we will use the bicep, at rest your bicep isn’t totally flaccid or soft or totally tight, there is a happy medium where it functions best, it can quickly react, sometimes it gets too short and too tense or sometimes it’s totally loose, so depending on which one of those cases, there is a very specific manipulation of the muscle with breathing and taking it through a range of motion that will help re-facilitate and reconnect the brain to it. A quick classic example, skipping away from the shoulder, is when you sprain your ankle. You sprain your ankle you start walking differently for a week or two weeks, because you don’t want to put pressure, and your brain wants to not further injure your ankle, and when you come back and everything is healed sometimes you can watch people walk, and there is still a little bit of that mis-pattern of walking that’s built inside how they are now walking, because the brain didn’t totally reset back to the normal. So if you go and address those things and suddenly they don’t have the same re-injury, re-injury rates go down and pain and inflammation goes away a lot quicker, just because they stopped walking in this incorrect way.
Jim Ballidis: So improving the – lengthening or shortening the muscles, speaking, having the brain communicate a little bit better and what was the third technique or the third way to address them?
Jason Amstutz: You have to be able to address the joint mechanics itself, whether two joints come together, that’s critical, there is a bunch of what’s called joint play and there is a little bit of looseness and play in every joint and if you loose any of that in any one direction, there is a multitude of directions, if you loose in any one direction it will alter the mechanics, and if it alters the mechanics it alters the function, which can lead to pain and inflammation.
Jim Ballidis: Okay well I really want to thank you for coming. Dr. Jason Amstutz at Synergy Performance Institute and I’m Jim Ballidis with Allen, Flatt, Ballidis & Leslie. We practice in accident and injury law in California, thank you.
Jason Amstutz: Thank you.