Dr. Emerson M Jou

It is not clear what shoulder injury there is. Generally speaking, without trauma like fracture, shoulder pain comes from muscle and fascia strain or "frozen shoulder" from fascia strain, but not "rotator cuff tear" as commonly assumed. Such soft tissue injury must be treated with soft tissue release to untangle the jammed-up tissue, otherwise, nothing works. This can only be accomplished and easily cured internally by the body itself via light touch to initiate self-healing, i.e., Touch-and-Hold of The Precision Method. Stretching/strengthening is the wrong thing to do to an injured tissue.

It depends on what the original problems are, what surgery was done, and what the post-operative problems are now. Generally speaking, traditional physical therapy of any kind is ineffective in resolving pain/tightness/weakness/contracture, and may even be detrimental if stretching/strengthening is applied to the injured soft tissue since muscle/fascia strain is the primary (even exclusive) culprit. The only effective way to resolve the injury is done internally by the body itself via light touch to initiate self-healing, i.e.

Hand therapy is done by occupational therapy but not physical therapy. Therapy should be focused on soft tissue release, the muscle/fascia strain is the precise and exclusive source of pain, tightness, contracture and weakness. NEVER apply stretching or strengthening to an injured soft tissue, otherwise it is irritated and aggravated to worsen. The only effective treatment is done internally by the body itself via light touch precisely on the injured sites to initiate self-healing. All other external treatments are not effective.

This depends on what symptoms you have: pain, numbness, tightness, weakness, contracture, etc. Any one of these indicates injuries with palpable tenderness due to strained muscle/fascia. Then treatment is required, focusing on soft tissue release via light touch to initiate self-healing but not by any other means. Stretching/strengthening should not be applied to an injured muscle. 

The length of therapy depends on the degree and complexity of injuries. Yet the method of therapy says more. The therapy must be focused on release of jammed-up soft tissue (muscle/fascia strain) for relief of pain and restoration of muscle flexibility/strength. The best and the only effective way for recovery is done internally by the body itself via light touch on the injured sites to initiate self-healing. With this method, recovery can be accomplished after 2-4 sessions. All other treatments are not effective to resolve injuries, such as medications, injections, hot/cold therapy including laser, massage including vibration, electrotherapy, hydrotherapy, manipulation, stretching, strengthening, etc. Stretching/strengthening an injury is detrimental and should be avoided. Otherwise it may require 2-3 months (20 or more sessions) and the recovery still remains incomplete. 

Your question is not specific enough for my specific response. Generally speaking, shoulder pain mostly comes from soft tissue injury (muscle/fascia strain) instead of the common notion of rotator cuff tear which is actually very rare. It is a simple and easy matter to cure pain by releasing the precise injured/tender sites of the jammed-up tissue via light touch (Touch-and-Hold of The Precision Method) which initiates self-healing internally within the body. It should be done right at the time of injury, the sooner the better, otherwise it takes more time. None of the external treatments can cure the source of pain (injured sites), such as medications, cold/hot application, electrotherapy, laser, stem cell, massage, manipulation, stretching, strengthening, acupuncture, etc.

Simple answer: any position of comfort. Yet, hip pain must be treated to cure it. Hip pain comes from soft tissue injury (muscle/fascia strain), not joint or arthritis, These jammed-up tissues, like tangled hair, can only be untangled internally by the body itself via light touch to initiate self-healing, otherwise the injuries will remain for a lifetime without spontaneous recovery. All other external treatments are ineffective in resolving the injury and curing pain, such as medications (oral or injection), hot/cold application (including laser), electrotherapy, massage, manipulation, acupuncture, stretching, strengthening, etc. In fact, stretching/strengthening is likely to irritate and worsen the injury.

Back surgery for back pain is not a wise choice because back pain comes from soft tissue injury (muscle/fascia strain) in the lower back and pelvis but is unrelated to the spine because there is no pain sensation in the spine. Surgery creates an additional injury to the low back while the real injury remains untreated and unimproved. To get rid of pain, the injured jammed-up tissue must be released and it can only be done internally by the body itself via light touch (Touch-and Hold of The Precision Method) to initiate self-healing. All other treatments are ineffective in resolving the injury including medications, injections, hot/cold applications including laser, electrotherapy, massage including vibration, manipulation, stretching, strengthening, acupuncture, etc. Stretching/strengthening is detrimental in that it irritates and aggravates the injury even more. The Precision Method can be applied immediately after surgery. It takes 2-4 hours to resolve the original and surgery-added injuries so that there is no more pain.

Elbow pain comes from soft tissue injury with muscle strain above and below the elbow joint (so-called tennis elbow and golf elbow) and fascia strain in the joint space. Those jammed-up tissues, like tangled hair, must be released to get rid of pain. The only effective way is done internally by the body itself via light touch to initiate self-healing for easy and quick cure, which usually takes only 1-2 hours to resolve. Any other external means such as medications (oral or injection), hot/cold applications (including laser), electrotherapy, massage, manipulation, stretching, strengthening, etc. are ineffective in resolving the injury (the source of pain). They may even worsen and prolong the injury instead. This is detailed in my book "NO MORE PAIN  All Pain Considered - A Breakthrough" .

I don’t know what surgery you had. There are now two injuries to deal with: original injury and surgical injury. Yes, physical therapy is necessary but not with stretching, strengthening, manipulation, electrotherapy, etc. because they worsen the injuries and prolong healing. To resolve injury (pain and swelling due to injured muscles/fasciae), it is best treated with light touch (Touch-and-Hold Method) for speedy and complete recover. Please visit my website: NoMorePainClinic.com.

First, total hip replacement is not a wise choice of treatment for hip pain/tightness, unless hip joint is damaged enough no longer functioning as a hinge. Pain/tightness only comes from strained injury of  muscle/fascia outside the joint which has pain sensation. Pain and its associated tightness is unrelated to the hip joint because the joint has no pain sensation. After joint replacement, the muscle/fascia injury causing pain/tightness remains untreated and now still must be treated. The only effective way to resolve injury is done internally by the body itself via light touch to initiate self-healing, but not by any external means such as medications, heat/cold therapy, electrotherapy, manipulation, massage, stretching, strengthening exercises, etc. Surgery adds another injury to the hip and must be treated as well, using light touch but NEVER stretching/strengthening which worsens the injury. This is detailed in my book "NO MORE PAIN  All Pain Considered - A Breakthrough". Please refer to my website: NoMorePainClinic.com.     On Thursday, August 3, 2023 at 02:45:56 PM PDT, Patient Question <answers+1474259_46511_152b28c51c71d5c35719a37ce1747193@expert.findatopdoc.com> wrote: | You have a new patient question! All you have to do is reply to this email to answer. All questions and answers are for informational purposes only. | | | | |   | | | | Someone has asked you a question | | Click here to view this request online | | | | | | | | Dr. Jou | | Question Alert | | You Have A New Question | | Simply reply to this email with your answer. | |   | | | |   | | | What can you do after hip replacement? | | |   | | I will have hip replacement surgery. What can you do after hip replacement? | |   | |   | | | |   | | Reply to this email to answer, or Login to see all questions. | | | | | | | | IT IS SAFE TO PARTICIPATE. Answering this question does not constitute medical advice or establish a doctor-patient relationship. All questions and answers are for informational purpose only. All question submitters are advised to seek the care of their local medical provider. | |   | | | | Find A Top Doc, 1350 Ave of the Americas, New York, NY 10019, United States Of America, (866) 664-DOCS Unsubscribe Manage preferences | |

All hip pain comes from strained muscle/fascia outside and around the joint and never from arthritis except for short-lived inflammatory pain during acute flare-up (inflammation). Arthritis itself should be treated medically depending on the type and condition of arthritis, NEVER physical therapy. For the treatment of hip pain, all modalities and procedures of physical therapy are ineffective but often detrimental instead. No total hip replacement unless the hip joint is destructed enough no longer functioning as a hinge or bearing weight. Muscle/fascia strain must be released internally by self-healing initiated via light touch.

The purpose of a brace is to restrict back movements and thus to avoid pain, without any therapeutic effect. If there is a fusion of the vertebrae, a brace may be needed to support the fusion until the fusion heals solid. Back pain only comes from strained muscle/fascia where the pain is. Back pain is NOT related to the spine, disc or nerve, pinched or not. Treatment must be focused on the release of the jammed-up tissue, but NOT surgery. It takes 1-2 hours of soft tissue release to cure pain relying on light touch to initiate self-healing.

Knee pain comes mostly from fascia strain in the joint space, at the muscle attachments, and/or on the surface/margin of the patella, and to a lesser extent from muscles above, below and behind the joint. Pain never comes from the joint itself because there is no pain sensation in the joint. Any brace, soft (elastic) or rigid (plastic/metal), has no therapeutic effect but is only to avoid movements of the injured muscle/fascia in order to reduce pain. One can choose any kind of brace as long as it is comfortable and serves its purpose. Ultimately, the injury must be resolved. It can be cured by light touch to the injured sites to initiate self-healing internally, requiring only 1-2 hours. This cannot be accomplished by any external means, such as medications, injections, hot/cold, massage, manipulation; and certainly not stretching or strengthening which worsens the injury instead. NEVER and NEVER surgery including total knee replacement, please! This is detailed in my book "NO MORE PAIN  All Pain Considered - A Breakthrough".

Hip pain comes from muscle/fascia strain outside and around the joint and not from the joint itself. Surgery is only indicated when the joint is damaged enough, no longer working as a hinge or bearing weight.  After joint replacement, the source of pain remains untreated and will last for a lifetime until treated. Now there is an added surgical injury, which will also remain a lifetime until treated. Both kinds of injury are not to be treated with physical therapy for stretching/strengthening which will worsen the injuries. Therefore those injuries along with pain are likely to remain for a lifetime. Such soft tissue injury can only be effectively treated internally by self-healing via light touch, and not by any external means, e.g., medication, massage, manipulation, hot/cold application, electrotherapy, and certainly not stretching or strengthening exercises!

In a (or any) fracture, there are always two injuries: fracture and soft tissue (muscle, fascia) injury.  The fracture will heal in a given time after fixation and cast, but soft tissue injury will actually be worsened, developing contractures while resting in a cast with no chance of movement. Once the fracture is healed, pain comes only from the injured tissue, no longer from the fracture. Treatment is then focused on relief of pain and restoration of contracted tissue. This cannot be accomplished by any external means, such as medication, massage, electrotherapy, manipulation, stretching or strengthening, etc. In fact, stretching/strengthening is counterproductive and harmful to the injured tissues and will only worsen the injury, against human physiology. Therefore, none of what physical therapy can offer is a good choice of treatment. The best (and the only effective) treatment is done internally by the body itself for self-healing initiated via light touch, i.e. Touch-and-Hold Method.

Absolutely not! Scoliosis is derived from soft tissue injury (muscle/fascia strain). No exercises of any kind (stretching, strengthening) should be applied to the injured muscles, because scoliosis will worsen. The injury must be released first but only by self-healing via light touch, nothing else works.

Absolutely not! Low back pain only derives from muscle/fascia strain. Any exercises including stretching and strengthening are counterproductive and harmful, which can only worsen the injury. The jammed-up muscle/fascia must first be released and untangled, otherwise, there is no possibility of recovery. This can only be accomplished by self-healing initiated via light touch to the precise injured site, but not by any external means (medication, hot/cold, ultrasound, electrotherapy, massage, manipulation, stretching, strengthening, stem cell, myofascial release, surgery).

Back pain only comes from strain of muscle/fascia where the pain is located. Nothing else is wrong. No need for MRI, X-ray or hospitalization at all. The strained tissue can only be released by light touch to initiate self-healing by the body itself. None of the external treatments work, including medication, manipulation, any modalities or procedures of physical therapy (cold/hot packs, electrotherapy, massage, stretching, strengthening, etc). With light touch, it can be cured in 1-2 hours. It is detailed in my book “NO MORE PAIN All Pain Considered - A Breakthrough”.

Yellow liquid comes from skin abrasion. Keep it clean with antiseptic fluid such as alcohol, Betadine, peroxide, etc., and it will heal. As long as range of motion and muscle strength are normal, nothing to worry. Yet, there may be some pain and tenderness due to muscle/fascia strain. It can be resolved by light touch and hold, but not massage, stretching or exercises. Visit website: NoMorePainClinic.com for more information.