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The Ready State: Mobility Training with Dr. Kelly Starrett › Forums › General › Intensified Sound when moving vodoo flossed joint
Hi
I recently noticed that my left ankle joint produces a really loud popping sound when I vodoo floss the ankle (intenstity 8/10) and move the ankle through the full range of motion (the leg lying on a foam roller so no additional load in the system and the movement is painless). This happens not sometimes but everytime.
Is there anything to learn from the fact that the sound and frequency increases when the joint is voddo flossed?
Thank you very much
Fabian
Have you had previous ankle injuries? If your ankles pop painlessly, you probably don’t have a health problem. Its most commonly caused by a tendon slipping over the bone. The Vodoo flossing may just be giving you more ROM and so getting some more movement. If you start experiencing pain associated with these noises, you should get a medical professional to take a look at it.
I agree with PT/TRS-Staffer Mike here!
The main thing. Does it feel better/same/worse after.
Kel
Hi
thank you for your answers. I had no previous ankle injury and the ankle feels the same.
@Kelly: The new website is amazing. Great job.
Fabian
Hi guys,
I have recently injured my neck C4,5. I have had this happen previously about 3 years ago, after numerous scans including MRI ect they found nothing. My Chiropractor has checked me out after the latest onset of pain and mentioned possible swelling around the facet joint. Do you have any recommendations for managing pain and inflammation in this area, or just some direction?.
Any advice would be greatly appreciated
Cheers
Auzzie
Auzzie!
A couple of things to check. How is your shoulder IR/Hang archetype? If you watched yourself pullup, deadlift, push-up, swing etc, would there be a hinge/tissue fold in your neck. Do you grind your teeth?
Sounds like classic facet irritation. Everyone is flexion worried, but our athletic pops find way more grief with extension.
Kel
Cheers for the reply,
No teeth grinding for me. I have been following a lot of your advice for the last 3 years with a lot of success.
I suppose the next question is can a classic Facet joint irritation be repaired? as its been lingering for 3 years now and I can only ever make it feel better temporally. Have you seen good results from PRP treatment or similar? I currently get regular Ciro, massage and combine with 3 days a week of mobility work.
Again really appreciate the advice, we recomend your stuff to so many of our clients with huge results.
Keep up the good work.
Chers
Auz
Hey Auzzie!
Totally! Facet joint irritation is not a life sentence and can be reversed. As Kelly was referring to above, facet irritation is often due to an extension issue. If you google an image of the facet joint you’ll see that when you overextend the neck the joint closes down which can irritate the joint and surrounding area. So if your overextending your neck for hundreds and hundreds of reps on movements such as pull ups, DLs, push-ups, KB swings, cleans, etc the facets may become irritated. Take a look at TRS “Getting Started” tab and go the “The Hang” archetypes for the hang/IR position to see if you can get into the position without compensation. Often times if your lacking IR in the hang position you’re going to compensate by dumping the shoulder forward and overextending the neck. Same goes for avoiding over extension in the neck with DL’s, swings, pull-ups, etc. Cleaning up your shapes and eliminating the compensations may be all you need to calm down the area.
If you find your lacking IR here are a few videos to get started with:
https://thereadystate.com/2011/04/episode-229-shoulder-internal-rotation-i-has-it/
As far as injections go, the pain relief from a facet joint injection is intended to help a patient better tolerate a physical therapy routine or allow them to rehabilitate his or her injury condition. The injections usually offer you a window of time to address the issue with less pain, however if you don’t address the underlying cause your symptoms are likely to come back. Also for these injections, Cortisone is commonly recommended for the treatment of joint pain. However, the use of cortisone is controversial because it tends to break down, rather than repair, joints and connective tissue, especially if done repeatedly. I’ve seen some recent research that shows PRP to more effective than cortisone injections for joint and connective tissues issues, especially long term. However, the research is not always conclusive for long term relief so ultimately, I recommend that your best bet is addressing the root cause for long term relief.
-Mike