Hi, I'm Doctor Jo, a Physical Therapist and Doctor of Physical Therapy. I hope you enjoy my video demos of stretches & exercises for common injuries and syndromes. Be safe. Have fun. And I hope you feel better soon.

How to Use a Percussion Massager for Shoulder & Neck Pain Relief

Sponsored Content: This video contains paid product placement. Thank you to iReliev for sponsoring this video and providing Doctor Jo with a free Wireless Percussion Massager to use. If you purchase products from these links/ads, Doctor Jo will earn a commission from qualifying purchases.

Click here to buy the iReliev Percussion Massager!

Percussive Massage Therapy is a popular, new rehab treatment that uses fast, soft pulses over a short amount of time to get deep down into the muscle fibers. The continuous taps help muscles relax and heal.

A percussion massager (aka massage gun) works great to help relieve shoulder and neck pain. Focusing on areas like the levator scapulae and upper trap muscles is a good place to start. But make sure to be aware of the precautions before beginning. An important precaution is to not use a percussion massager on the front of the neck.

Like a traditional massage, a percussion massager helps to reduce inflammation and increasing circulation. It can help relax tight muscles, break up scar tissue and adhesions, and minimize muscle soreness and tension. Some studies have found percussive therapy to be as effective as massage in preventing DOMS (delayed onset muscle soreness).

In this video, I’m using the iReliev Wireless Percussion Massager. In addition to being wireless, the unit is very quiet, and it comes with four different head attachments to target various areas. It also includes a nice carrying case to keep everything organized and in one place

Other Ask Doctor Jo Videos:

iReliev Wireless TENS / EMS Therapeutic Wearable System Review

What is Light Therapy? Does it Help?

Sponsored Content: This video contains paid product placement. Thank you to Carex Health Brands for sponsoring this video and providing Doctor Jo with a free Carex Day-Light Classic Plus Bright Light Therapy Lamp to use. If you purchase products from these links or Amazon Associate links/ads, Doctor Jo will earn a commission from qualifying purchases.

Click here and use code DRJO15 to get 15% off a Carex Light Therapy Lamp. NOTE: The discount only works at this link, not on Amazon.

Light therapy uses artificial light that mimics sunlight to help with various conditions. Research shows it can help with things like seasonal affective disorder (SAD), jet lag, sleep disorders, adjusting to working at night, etc. 

The intensity of the light therapy lamps is recorded in lux, which is a measure of the amount of light you receive. For SAD (which is a type of seasonal depression that occurs at certain times each year, usually in the fall or winter) the typical recommendation is to use a 10,000 lux light box at a distance of about 16 to 24 inches (41 to 61 centimeters) from your face for maximum effectiveness.

Light therapy is also best when done for 20 to 30 minutes, usually in the morning on a daily basis.

The lamp I’m using in the video is the Carex Day-Light Classic Plus Bright Light Therapy Lamp. It’s a full-spectrum sunlight lamp that provides 10,000 lux of light on the high setting.

Other Ask Doctor Jo Videos:

Relieve Stress & Anxiety with Relaxing Stretches

Relaxing Stretches for Stiff Muscles

How often should I do therapy exercises, how many reps, and how many sets?

Reps, sets & frequency, oh my! How often should I do therapy exercises, how many reps, how many sets?

I get asked this a lot, and the answer is not as simple as it seems. Hopefully these general guidelines will help.

Before we start, though, here are some terms you will hear when referring to exercise. First is frequency, this is how often the exercises should be performed. Next is repetitions or reps, this refers to how many of each stretch or exercise you should do at one time. Finally, there is sets, this is the group of reps you do at one time. So if you see 3 sets of 15 reps, you would do the exercise 15 times, take a break and do that a total of 3 times in one session (you might also see it written as 3 x 15).

There are many formulas given by The American College of Sports Medicine. The most common ones you will see is 4-6 reps for heavy weights to increase muscle size (hypertrophy), 8-12 for general strengthening, and 10-15 reps for muscular endurance. But here’s the thing, this is for general strengthening when you DON’T have an injury. So again, it’s not an easy answer.

Therapeutic exercises and stretches or therapy are not meant to bulk up muscles, it’s meant to help retrain your muscles and get them working how they are supposed to again. Then you can work on building muscles once you are healed.

You should always work closely with your own Physical Therapist or healthcare professional when coming up with a plan for therapeutic exercises. This way, the exercise plan can be designed specifically for your current abilities, the exact injury you have, and how quickly (or slowly) your recovery is progressing. The following are guidelines only, and may not be appropriate for your specific injury.

Since therapeutic exercises are not as stressful on the muscles/joints, they can usually be done more often. General guidelines suggest that for frequency, therapeutic exercises should be done every day, 1-3 times a day. I personally like breaking up routines to 2-3 times a day with shorter time (5-10 minutes each), and you can break up the exercises, so you are doing different ones each time. This makes it more “doable” for many people. One of the biggest reasons I hear for not doing a home exercise program is someone just doesn’t have 30-40 minutes a day to dedicate to their exercises. Making the time shorter allows you to do some exercises in between other activities or throughout your workday.

As far as reps and sets, therapeutic exercises are very dependent on several things including:

  • How long have you had the injury (is it acute or chronic)?
  • What is your specific injury (a sprain, strain, tendonitis, etc.)?
  • Are you on any precautions?
  • How is your body responding to the treatment (does it hurt while or after doing them)?

Sometimes reps, sets, and frequency will change from day to day depending on how your body is reacting, like increased soreness, increased pain, no pain or soreness, swelling, etc.

Here are some general guidelines that can help you figure out what may work best for you.

  • Exercises should be between 10-20 reps. If you can do 20-25 without difficulty, you need to increase your resistance.
  • If you are doing an exercise and can no longer use correct form (compensating to get the rep), you need to stop. Never sacrifice quality for quantity. That’s a quick way to injure yourself further.
  • Sets can be anywhere from 1-3 depending on how many you are able to do at a time. The more reps you can do, the less sets you need.
  • A good general rule for reps is to do as many as you can until you feel burning or fatigue, then try to do 2 more as long as you don’t sacrifice technique and form.
  • Stretches should always be held for at least 30 seconds. This allows the muscles to fully relax and get the most benefit of the stretch. The gold standard is holding for 30 seconds and doing 3 sets (3 x 30 sec). However, if you don’t have time to do a full stretching routine, my personal opinion is to still hold the stretch for 30 seconds but do less sets.
  • Give yourself a break in between each set. Even if it’s just 15-20 seconds, allow your muscles to rest and recover.

It might seem a little confusing when reading all this information, but when you truly listen to your body, it will let you know what you should and shouldn’t be doing. And when you are first starting out, make sure you go see a physical therapist in person, even if it’s just for an evaluation. They can help guide you and build an exercise program specifically for you.

Other Ask Doctor Jo Videos:

Back Pain Relief Exercises & Stretches

Knee Pain Relief Exercises & Stretches

Greater Trochanteric Bursitis (Hip Bursitis) Pain Relief

Greater trochanteric bursitis, aka hip bursitis, can be very painful & debilitating. It can be caused by trauma to the area, a tight IT band/TFL, or even an issue somewhere else in the body, like the back, knees, or ankles.

These stretches & exercises may help relieve the pain caused by Greater Trochanteric Bursitis.

Start off with stretching on the floor, bed, or couch. An IT band stretch with a strap and a figure four stretch are great ways to stretch out the IT band, TFL, and glutes to loosen up the hip area.

Next, for strengthening, a four way hip lying down for hip flexion, hip abduction, hip extension, and hip adduction will help balance and strengthen your muscles.

Hip rollouts in hooklying and clamshells are also great ways to strengthening the hip area.

Finally, a standing IT band stretch, or I like to call it the ballerina stretch, will help stretch the whole body from the ankles to the shoulders.

Related Videos:

Hip Pain Relief Exercises (4-Way Hip)

Hip Tendonitis Stretches & Exercises

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