Hey Mobisahtvas,

Today’s mission deals with junky, old, poorly perfused tissue. It’s not uncommon for an athlete to walk in with a swollen joint that has long gone cold. Physio’s call this tissue “old and cold”. Tissues in this state don’t have a lot of good circulation and there are usually real sliding surface problems. The question is, what are you going to do about it? Poof, enter the compression band. Oh, you have an actively swollen joint or tissue? What’s your plan to move that fluid out of there? It had better involve compression or some motion that is going drive your lymphatic system. This episode is about compression. Two minutes five times a day should get you started.

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Kstar

27 Responses to “Episode 352/365: Dealing With Old Junky Tissue”

  1. Jonathan from VA December 14, 2011 Reply

    Kstar, would be able to show how to wrap an “old and cold” shoulder with your PT band? I’m concerned about cutting off the circulation because you have major blood vessels snaking through the axillary.

  2. Steve December 14, 2011 Reply

    Where do you purchase that wrap?

  3. John Webb December 14, 2011 Reply

    Always love getting advice straight from the mouth of god! I’ll admit though that some of this went a little over my head. I know you like to keep it simple with the “tack and floss” language, but I think you’ve hit a great idea here and I, along with Jonathan from VA, would like to know how you can apply this to the shoulder. The shoulder is such a meaty area with the deltoid and pectoral muscles wrapping around it… and does this method also apply to those with tendonitis? Again, happy to learn anything possible from you Kelly, you really have changed a lot of lives for the better. Keep it up!

  4. John Griffing December 14, 2011 Reply

    Wouldn’t old knee wraps work just as well as the rubber band?

  5. Red December 14, 2011 Reply

    Would this work on plantar fasciitis if you wrapped lower on the foot and simply walked around for 2 minutes? Haven’t had much improvement with the ball and calf stretches.

  6. Morgan December 14, 2011 Reply

    How can we apply this to the shoulder!!???

    • Red December 14, 2011 Reply

      See Episode 205 for shoulder compression/ mob with superman.

  7. Michael Galloy December 14, 2011 Reply

    Check out MWOD 205 part 2 for using the compression band with the shoulder.

  8. Connally McKay December 14, 2011 Reply

    I have spoken to Kstar about my ankle. It is an eerily similar story to the guy on this MWod (352). Let me just keep it simple here. I have seen more positive change in my ankle from Kelly by SPEAKING TO HIM ON THE PHONE than I had seeing multiple other doctors and ‘experts’ in person. I have had a similar ankle problem for 7 years now. Trauma, swelling never subsides, surgery, swelling is still present, now tendinitis in a gnarly ankle. I have done all kinds of ‘therapies’ lately to help my tendinitis, but nothing has helped. BUT, for the past 3-4 weeks I have simply made a few diet changes, found a women to work on my soft tissue once a week, and heated the ankle up along with compression afterwards. My jumpstretch band came in over the weekend, and I have seen improvement in 3 day!! I am not kidding. Just another testament to an incredible human body guru that is Kelly. Thanks.

    • vik December 15, 2011 Reply

      I have a shoulder issue and would like someone to clarify, when should I ice and when should I use heat?

  9. Torey Page December 14, 2011 Reply

    with the idea of compression and moving fluids through the lymphatics out of this tissue and upwards, would there be an advantage to creating more tension at the distal end of the wrap than the proximal, and also, would it be more advantageous to use a figure 8 style wrapping technique?

    Thanks for the great info btw!

  10. Dana December 14, 2011 Reply

    Would this work on the elbow with some tendontis issues?

  11. Kevin December 15, 2011 Reply

    What are the Romanov foot exercises he mentions? Are they the basics like picking up marbles with your feet or is there more to it?

  12. Brad December 15, 2011 Reply

    Can this technique be applied to knees for patellar or quadriceps tendonitis?

  13. Ashmaley December 15, 2011 Reply

    Hey Kstar, a friend of mine just got me hooked on ur blog. I’m finishing up my DPT myself and love how ur taking it to the next level with creative ways to self-mob and get the message out to athletes! I use a lot of the same compression techniques myself. Do you ever follow up with a lymphatic drain kinesiotape technique? I found that works wonders as an adjunct to keep those fluids draining 24/7!

  14. BWW December 15, 2011 Reply

    Any way to apply this to lumbar disc injury?

  15. SkiBum December 16, 2011 Reply

    15 years of lower leg abuse from working in ski boots - ridged shin, hard tissue, veins wrecked, swells up… And a significant circulation improvement in previously nasty-dead shin tissue after wrapping and tibialis movements. Just a few “wrap-sessions” (never a sandwich or a bagel!) and it looks more pink and healthy. MWOD rules… AGAIN!

  16. Doug Clark December 16, 2011 Reply

    Could someone please elaborate on, “old and cold tissues”? Also how can this be applied to knees, more specifically the fat pad?

  17. Barry Craig December 16, 2011 Reply

    Hi all:

    Kelly has clearly given an example of how we can work on ourselves and address the issue of lymphatics as to APOTS (angry pissed off tissue syndrome). Several are asking questions and have conditions that go far, far beyond what the blog is intended to do, which is to show how to perform self treatment.

    What he demonstrates is excellent self treatment and there is a legitmate place for that. On the other hand there is also the saying that the doctor who has himself for a patient is a fool. As always, balance.

    Lymph courses through its channels by a combination of pressure differential, one way valves to prevent backflow and thousands of lympangions (literally “little hearts”) which act in peristaltic sequence to return lymph to the heart, always (except in the head and neck), against the force of gravity.

    So the venous return system needs to be treated, the arterial system, the fascia, the bones and the periosteum as well as the ground substance.

    In short some of us need the professional help of a mechanic (not the Jason Statham type!)
    to heal. Find one, interview them and if all they can offer you is to work on the site where you have the problem, thank them and move on in your search. In the end it is the compensations vested within the tissues elsewhere that are highly contributory to recurring dysfunction and injuries. I think it is similar to unindicted co-conspirators that keep the cartel running after the drug lord has been arrested, sentenced and put in jail.

  18. Rogério Rodrigues December 17, 2011 Reply

    Thanks for all your contributions to the community out there!! Keep up the good work! Big up from Rocinha, Rio de Janeiro, Brazil!

  19. David Gardner December 17, 2011 Reply

    This episode is of great interest to me as I just had both peroneal tendons sewn back together and degenerative tissue removed from my achilles tendon. I know I have to wait for the skin to heal but, should I wait till PT to start reducing the swelling in my foot and ankle?

  20. Connally McKay December 17, 2011 Reply

    Barry, what type of person are you suggesting to work on all of these systems at one time?

  21. Doc Shimmel December 22, 2011 Reply

    You can get more info at http://www.flexbandonline.com. Coach Hartzell and myself have done this procedure on thousands of ankles with Great Success.Our book came out 6 years ago.

  22. Sebastiaan December 28, 2011 Reply

    Does anyone know if this would be helpful for someone that is recovering from a broken ankle and is dealing with lack of motion in said ankle? The ankle broke about 3 months ago, so he’s back on his feet for 1+ month.

  23. Kari Suomalainen December 31, 2011 Reply

    HI! A really interesting video and very helpful advice for treatment of swelling! Brings to my mind all the old school manual methods, like the ones the early osteopaths used :) What I could hope more on terms of advice, is to briefly mention contraindications of the technique described and how early on after acute injury you could start using the compression mobilization as described in the video. Many thanks!

  24. John B January 5, 2012 Reply

    Grade 1 calf strain, maybe mild Grade 2. Iced for first day. Can I use the 5 X 2 Mins PT Band method to help. Thinking of a kind of tack and floss movement. How long should I wait post injury? What about ice/heat in conjunction with the PT band? Thank you in advance.

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