What you’ll hear in this episode:

• Next Level Chiropractic and Rehabilitation
• Working with athletes
• Dry needling and cupping

Dr. Sam Sneed is a valuable resource for the NFL, NHL, MLB, and PGA Tour due to his treatment and pain and injury prevention work he does with professional athletes. He received his undergrad degree in biology from The University of Texas, and continued his education at Parker College of Chiropractic where he earned his Doctorate of Chiropractic. He also holds a bachelor of science in both human anatomy as well as health and wellness. And he is the owner of Next Level Chiropractic and Rehabilitation in Austin. Here they take a multidisciplinary approach to help patients get the care and treatment they need. They have a wide variety of patients ranging for in age that visit the practice on a regular basis. They don’t just work in symptom relief, they work to find the root of the issue to remedy it.

Do you remember when Michael Phelps had those huge marks on his back during the Olympics? That’s cupping! Dr. Sneed only uses it in certain situations but says for some patients it’s exactly what they need to get the job done. He really enjoys when it does work with patients because cupping is very accessible. He says it is most effective when the problem is superficial like in instances of nerve irritation.

After treatment he discusses dry needling with most patients. Dr. Sneed is a big advocate for dry needling and calls it the therapy that’s “the biggest bang for your buck” due to amount of ways it can be used. Some uses are assisting in rapid decreases of muscle tone such as in the instance of a pinched shoulder muscle.

Listen in to hear Dr. Sneed discuss Next Level Chiropractic and Rehabilitation, how they approach issues, his work with professional athletes, and more on this episode of Apple a Day Doc Talk. If you enjoy the episode, be sure to share it with friends and colleagues! You can listen to more Apple a Day Doc Talk here!

Apple a Day Doc Talk is a founding_media podcast created in partnership with Dr. Khris Ramdeen.

Host: Dr. Khris Ramdeen

Guests: Dr. Sam Sneed

Transcript:

this is a founding media podcast if Hey guys welcome Napoli day doc talk I’m your host Dr Indian and I have a really cool guests today his name is doctor Samuel Sneed hace that Hey Sam how you doing today thanks for coming so Dr Samuel Sneed is a native Texan and study biology while attending the university of Texas at Austin he then continued his education at Parker college of chiropractic in addition to earning his doctorate of chiropractic in two thousand eight he also received a bachelor of science in both human anatomy and health and wellness and he specializes in the evaluation and treatment of athletes in regards to both pain and injury prevention and his extensive experience including taking care of professionals is really impressive with the NFL NHL MLB and PGA tour so really really valuable resource we’re really lucky to have been today inductor Sneed is the owner of next level chiropractic and rehab in Austin Texas where we are right now next level is a different kind of clinic they offer a multi disciplinary approach including chiropractic care physical therapy small group personal training and massage therapy their purpose is to help you achieve your goals and some seek his help for pain relief others want him to help them out with mobility or performance and maybe both they specialize in movement based evaluation and treatment systems to help you reach your goals in the most timely cost effective mated it way possible

I’ve been to the facility it’s amazing it’s a very nice mix of you know that that call me in pain just do that that patient with pain coming to help out with suggestions all the way up to the professional athlete with basically a mini gym in there yeah yeah well it’s how they’re performing yeah we can do everything from hi disk low back injury to my knee only hurts when I’m squatting three fifty so we are a full rack in there and we have a very broad spectrum from eight year-old’s to you know eighty five year olds that come in on a regular basis so it’s really impressive I hope anyone in Austin that’s looking for a chiropractor checks it out it’s a really impressive facility and the reason why doctors need is here today is because we’re going to talk about dry needling cupping this is very popular right now and wanted to have someone who’s very well versed that’d come in talks of

sure sure thanks a lot Sam and water why do people do this why is it applicable in there there any specific conditions that patients have that would benefit from this yeah well the the two therapies are very different obviously eighty let’s say let’s start with the one that I don’t use as often but can hit home runs and I like it for certain reasons is cupping that you’ve seen was the I know a lot of patience start asking about when Michael Phelps of the big suction marks on his shoulder yes he’s on all the gold medals and it’s something that I’ve found when it is useful I really like it because I can set somebody up I can teach him how to do it within a few minutes when they can order a set on Amazon for usually less than twenty dollars wow and then get some some good self efficacy right so if I can I’m trying to eliminate all the times that you would need to come in to see me I’m always going to be busy if I’m doing a great job so I don’t need my patients come in and when they can take care of it all

I love that so can ditions for copying would be really anything superficially based so maybe neuropathic pain or pain that’s coming from your attention of nerves whether be compression or some stagnation maybe some poor venous flow around a nerve that can sensitize it comes in a very useful Tom as a chiropractor of course a lot of things that we see is low back injuries right right right disco genic pain we shared a client with that kind of the propose mechanism of the result of a disk injury is often times losing segmental stability right so you do something typically flexion under load I would say like people come in all the time they’re like I I felt something pop when I was dead lifting right today right and then they come in and they’re very flexion intolerant they’ve ain that’s worse in the morning right may might have some sciatica pain that’s going down the leg we we put him through a battery of exams or the PT exams were taken reflexes and German towns of my items and we get to the point were ready to make the diagnosis right you look like you have a disk injury right right we know that just to basically do not like to flex Raper voiding any flex in the lower back and and one very popular therapy is oracle mackenzie extensions right where you’d be laying on your stomach and impromptu sups okay so repeated extension the lumbar spine can and people that helps it can really help doesn’t help everybody obviously but in

what happens is a lot of people when they lose segmental stability those are rectors in the lower back will tighten down when they tighten down they can grab that Clooney owner as it exists at a T. twelve and goes on a lumbar spine and that kind of like upper hip bones like iliac crest area right so then you put somebody in some prone pastors and they can’t do it they’re like oh that hurts yep but you can do some cupping on their low back because I’m nervous very superficial mmhm mmhm desensitizes and now they can do problem press ups and so they now they can bang out assorted prom press ups they stand back up and like has so much better and this speaks to me on a personal level to say because I had a couple herniated discs a few years ago and it is are those extension type exercises that save you yeah yeah I and so you’re gonna be taking care of me because I have a few things like that and distortion flat arches thing yeah yeah and so that’s what I love about you is you really take you’re not just treating the one thing it seems like a very functional place to be yeah that’s the aim the aim is to get people back to training right we don’t want you to get a great rehab we don’t want you have to do problem press up your whole life we don’t want you to feel like here that goes out right and then we have to put it back in whatever that means right so we’re we’re if we’re doing a good job where you know making ourselves obsolete educating

you sell hello back the global nerve entrapments in over in Germany you know people that get used to be called Q. world let’s cubital tunnel like that owner of your funny bone right right now I’ve heard it called like I think there’s like sleepers elbow okay some people sleep like that with their album that really acutely right so that kind of owner nerve compression some people call texture so now but man some cupping a coping with movement right in that medial intermuscular septum cut inside of your arm I can be really beneficial easy to do at home we do a ton of it up here at herb’s point which is like them post year SEM aside your neck right yep that’s the kind of the superficial branches of your cervical plexus foreigners that come out of there and there’s a lot of people that have had chiropractic adjustments physical therapy massage you name it and you can sometimes get laughably good results just by doing a little bit of skin tugging in here with some kind of provocative movements to delight and assign a quite a mastoid right right right under the John right and it’s actually had a I actually had a new patient today with it rulers really so we’ll do some other therapies are indeed some

kneeling right to detail on the SEM but he actually had a pretty significant surgery they removed fifty two lymph nodes cancer and then he had some some cancers tonsils they found out later so we had a lot going on and a lot of therapy but I think we made some serious had one today so basically you’re just trying to decrease the toner city of tight muscles let’s say and I say more will that be more needling probably verses you know cupping acting to to lift the scan or create some the compression maybe at the for nervous that’s typically how it use that more superficial areas in Qatar maybe neuropathic pain that’s not traditionally like people describe it not necessarily ridiculous I have a L. five disc herniation or math exam but more of like a a superficial cutaneous nerve right in and so the reasons for dry needling yeah in general what why do we do that when that dry needling of all is I do a lot of other therapies are when I am talking about today with dry needling is by far in my opinion the biggest bang for your Buck home run hitter really objective movement changer and it’s just you just there’s a lot of applications from rapid decreases in muscle tone right with objective change to somebody comes and they try to lift her arm up and they can get two hundred and forty degrees and they have a pinch yeah right maybe they’ll tell you they’ve had that for weeks or sometimes months right and you can needle and sometimes in as little as thirty seconds and they might have full flexion of the shoulder while no pinch that that mechanism of when you hit a trigger point kind of like hitting a breaker switch in the muscle mysa recess the town and it can be if it’s so effective that oftentimes it’s diagnostic right so if I if I think something is going on if I think your hip isn’t internally rotating because of your TEFL or your ad doctor or maybe your rack pfam I can I can needle it and then just recheck it while and if I said if I see a change that would imply that that be a good spot for us to load you up on some homework so you don’t have to come get needles all the time it can be so effective it doesn’t change I’m thinking this probably doesn’t need a lot more work there’s a lot of other therapies that you need repeated ballots to see if this thing is going to work right I get things off a lot of things make people feel better right without without seeing nice change so we’re doing is

not just helping them with symptom relief this is a key diagnostic tool for the way you approach these issues yeah for sure I mean symptom relief is ultimately why people come right but if my job was just chasing symptoms around a joke all the time they they use me like a big expensive bottle of Advil right right and we need to get to the the cause of the problem right so I would say on a typical client I might do and ten or fifteen percent of what they want me to do and then I sneak in the other you know eighty five ninety percent of what I know I need to do otherwise I’ll just be back be back be back for this it seems really like your goal which is why I like what you’re doing Sam is is you’re trying to empower your patience with the conceptual knowledge that they need to be able to do things at home for for cheap you know you’re not looking to have them come back for step two thank him back for step three yeah we like right we want to squelch the pain for sure that’s why they’re there most of the time and then yeah I mean I think if you have my job you want to see people get better you know and if you teach everyone how to best take care of themselves are gonna trust you they send more people to you they like you better they’re more likely to come back the next time something else hurts and there’s a course going to be people that are tough that do require lots of care anyway so there’s it’s good hit the home runs when you can and then sometimes you gotta dig and then that’s that’s what I look for you is in and as my philosophy as well as just arm the patient with the conceptual knowledge so that they can plug in you know whatever they need to do within their lifestyle they don’t have to come in and fit their square life into year round peg hole right around and then one thing I want to talk to you about was the dry needling when when patients here that or people in general there Michael street acupuncture yeah what’s the difference L. sometimes in the difference is best explained with the similarity which is its use an acupuncture needle and that’s that’s about right so I’ve gone through some basic acupuncture certifications to here in Texas as a chiropractor so that I can then go get trained and dry needling all C. E. you know I don’t want to get my head chewed off by an acupuncture but essentially and I still refer to acupuncture is just all I’m not trying to manipulate any G. right if you’re coming to me to get your your chi balance to your A. G. somewhere in here and you’re in trouble trouble right I mean so that’s what is that realignment of the cheese yeah the goal of acupuncture for essentially right you’re she is kind of more or less your life force energy the that she is believed to travel in meridian sideways that’s the kind of highway sister that she so and there’s it goes way of course way way way deeper there’s experts to talk about the stagnation of chi and all these it goes very deep in this but for the most part right now I’m not I’m doing more of like a western exam typically a movement based exam orthopedic exam so where is and a traditional Chinese medicine the needle placement is not only to manipulate your chi or balance your chi but the the diagnostic might be feeling your polls got it or looking at your tongue or some practitioners hearing your symptoms right verses mine would be checking your shoulder entrar rotation taking you through a series of a battery of tests looking at your thoracic extension etcetera to to so basically you’re using the dry needling as an extension of your core foundational chiropractic yeah right like just helps augment what yeah right right have used a hammer before yes yeah how are you a contractor I have not I use a needle but I’m not an acupuncturist right so it’s just a two it’s one of many tools that just happens to be a very powerful tool right

and the way that we the way that we use it really helpful and and yes we had another mutual patient that does it and swears by it you know these are really intense athletes like Ironman competitors and so again if you if you’re thinking about doing this just check out Sam’s website yeah I wanted to ask to this is a common question I get well I heard about dry needling but does it hurt or the cupping does that hurt yeah you know what some people do say the cupping hurts okay I think that those are given the benefit of them having just being very sensitive because of their pain yeah at that moment or units everyone has different pain threshold and tolerance right I would I would have to say coping does not hurt okay he can you know if you’re doing some coping with some movement you don’t have enough lotion down you’re just dragging that Cup around you have you have the opportunity to to make some discomfort happen but compared to a lot of other popular effective manual techniques I would say cutting is should be pretty comfortable pretty painless yeah and of course depends how long you leave the Cup on you know how much movement you’re doing with it or if you’re doing with my how long are you supposed to leave the couple doesn’t matter does it depend on the condition that year yeah for sure I mean depending on somebody’s tissue health right so I have not seen the research on this yet but I understand they’re supposed to be some coming out that talks about how cutting challenges the micro circulatory system locally so that come gets on there creates a vacuum blood rushes into that spot when you remove the Cup the blood should be able to come out okay that does not you get a big fat Bruce right right so the idea of being and I have noticed this anecdotal in my practice is if if let’s say you leave a Cup on you you stick it on there and you do seven pumps right K. here so there’s kind of like a standard amount of vacuum on there and then you leave it for five minutes and that patient might turn purple mmhm right and

I have an upset like I am an assistant that’s watching so that we can avoid purple back syndrome right but let’s say let’s say they they turn really red or even purple and summonses you could continue with weekly treatment and maybe by their eighth sixth to tenth treatment they don’t turn purple the bruise that used to last three or four days and now lists turns into like a red spot that’s gone in a couple hours so it depends a lot upon the skin there vascularity maybe even their their protein status if they have hyper protein Nemea and they’re prone to extravasation fluids out into the extracellular spaces using big words now said I see doing that you probably don’t want to leave it super along with yeah yeah fifty poems all right yeah it’s it’s the the first couple times you’re seeing somebody you’re just doing your it’s an educated guess right either had their general health and well being hydration status some people are clearly just L. he run into it all the time right so yeah it on under a young robust twenty year old male who’s got a a more acute flare up for the first time yeah it’s it’s gonna be different than treating somebody who’s sixty and has had three failed back surgeries and forty pounds overweight right you’re gonna make a clinical decision based on so basically the answer is it depends and in my in my own world that’s yeah that’s my deal yeah it’s it’s very new yeah yes all right and then so then needling designer yeah I was joking my new patients have been like is this going to hurt without a doubt it is not always it again depends right so depending on really if they have a lot of neuropathic pain let’s say somebody has some hot sciatica you know pain is flowing down their legs like in you and you think they maybe have a little peripheral involvement right maybe that sad nervous compressed a little bit there glued the treating that side is without a doubt gonna be more uncomfortable than somebody that just has like a little loss of hip flexion okay now so it the condition can drive it and the course again some people are innately I

I’m I’m not tough by any stretch I am too well was getting needles and bother me I was all excited when I learned it you know I got treated at this time and I’m like oh man on this is this is killer and it’s not uncomfortable and I came back a surgeon and people are like oh my god and it seems like I got so many just diagnostic advantages for you too yeah it’s like a cheat code yeah we’re sure of it so but I’ll say in some people yeah some a lot of a lot of clients a man that’s weird right because when that when you hit the trigger point inside of a muscle little height tight hyper contracted area the muscle will switch the call a local twitch responses okay and when that happens it’s an involuntary muscle contraction so it’s super weird mmhm some people are like oh that’s really weird other people act like I I treated my sister came over some knee pain last night she pulled the brother card came up the tree near NY and she sound like I was pulling her fingernails out and hold us family whatever she’s usually pretty tough but great it greatly depends and there’s more comfortable ways to do it right you can there’s we have little hand held muscle stem units where we can go and find the trigger point leave it in and then hook it up to a kind of a literate literally a hand held unit where we’ll put one needle either leave the needle and and maybe have somebody hold a grounding pull and then run a little bit of electricity through so it’s like a rhythmic kind of twitch okay a lot of people find me more comfortable so on the whole I my default as of course it hurts it’s weird it’s foreign but most people within usually three ishe visits find it to be much more comfortable there are you seeing good results they don’t get a sore afterwards so you can ask them to hang in there and then rise and they’re like oh can you just need all this behind the scenes and I think you just if you just did this one that’s where you listen to the fifteen percent of what they’re at said fifteen percent exactly so take a guess it depends but yeah I think default the default is I think usually it be fair to say that dry needling can be uncomfortable okay but worth it and this and I was gonna ask this next how long you expect to see results you said about three sessions for the dry needling man it can be it of the three session thing is probably more in relation to just pain pain and recovery and when they start to be like oh this isn’t so bad I would say results can be immediate okay right I’m I’m definitely looking for immediate objective change each visit a subject of just being convinced that I table test somebody I check their their their back hurts I think it’s because of a lack of hip extension I check their hip extension I treat something

I recheck it didn’t get better that’s what I’m talking about objective right SIA I’d like to see that change intro visit wow if I am if I don’t then maybe I’m on the wrong spot or maybe it’ll take a few right at it it’s it’s very rare that we don’t see some nice object and then of course subjectively a lot of people will get relief also in the visit sometimes the beginning replaced by some soreness right so if you’re looking to try this you’ll know by the end of that first visited if this is for me yeah in may yeah I was saved from buckle up for your practitioner give you shots right because of course if you’re going for the true cause of somebody’s pain and let’s say let’s say they do have their own their I. T. bands bothering on northern either climb and then your practitioners kneeling your clients right but in a lot of those cases you’ll find hip weakness or ankle mobility and that’s was driving the bus of the knee pain right and that’s not going to go away and one visit some is a weekend they’re not leaving with a strong hip right so it if you’re getting just pure symptomatic relief short term yeah it could happen in the visit if you anybody that’s suffering from any real in order to gain underlying cause I mean it’s probably going to do is I mean it’s fair to say could take of it take a couple of weeks insert hip strength so hang in there it’ll start feeling yeah yeah I think we can say I’m I’m done try a plan right like the people come in and they’ve they’ve like I’ve seen you know eight eight different practitioners and I will he once you saw he was once like maybe one really long he has we get our maybe none of them won a non dailies give it a try yeah and then same thing with the cupping how long do they typically go before seeing advantages I mean if if we’re doing it for the kind of superficial neuropathic type pain we like to see that change in the end the visit right if you’re doing it because you’re challenging the micro circulatory system and you just want to see if that makes a difference for your chronic upper trap tightness yes yes then yeah I would say depending on the bruising if the trust of your practitioner and all that if it’s if their ethical I mean it could it could take some time yeah right but usually the way we use it we’re just let’s see if this thing works analysts recheck it which I think is vastly superior waited get all manual therapy and the overwhelming majority that cases trying and just practicing in general it’s nice to have some objective benchmark that you can keep referring to like a lab test or like you said maneuver and you can count yourself off and say okay this is working let’s do more of it it’s not you know it’s yeah right rear very scientific guy yeah you don’t wanna I don’t want you coming in because I tell you that it feels tight to me right right I want to empower you and be like now look is normally get a full toe touch right of these objective measures just like a time out with lab work yeah are you just key yeah you have to have some foundational something that you that you hold close where you can keep referring to it yeah Jack Tivoli is this working or not a hundred percent and then I lately you know the last year or so I’ve been seeing more and more gym goers walking around with all these you know cupping marks on their backs and so tell me about bruising is there any bruising that other than those conditions that we talked about that cupping and dry needling yeah I mean any time I always joke because there’s like some of those big tough guys of how more and I’m like if a needle touches of a vessel the vessels going to break and you’re gonna get a bruise right right that’s normal and these can be tough guys we like did I number is my address I don’t believe that or is I know he will you’re gonna sell yeah

I eat we usually need bruises I was just like my poor guys we like is this from you only if it’s a perfect circle yeah as for me right if it looks like not it for me that is probably from you bump into something it was funny as those needles are so small the overwhelming majority of time you don’t bruise at all what if somebody does believe from a needle it’s overwhelmingly less than one drop yeah I think if they have it on their arm is not gonna even that drive won’t even run down the arm it’ll just sit there and you take a cotton ball and poop and it’s and it’s over right it’s saying we’re needing for now one of these I do have a very I don’t have time but a very funny story I was feeling I was kneeling this lady’s as are hamstring and I hit a spot one drop of blood comes on like we got a bleeder right and then right then I needed to bolster her leg up on right hander knee so my system was walking by and I go Alex grab me a towel much probably put some words in between yeah yeah Yeahs houses that’s been a good story for years now but yeah I know it’s it’s minimal the bruises can last for sure and is there any way you hit but interestingly I don’t know if we want to be this graphic but typically when you take a needle you’re looking for what we call Bonnie backdrop so yeah you’re needling the glute medius you’re all the way down to the iliac crest so you might be which is one huge advantage to a needle is you can actually reach with the needle where you can’t touch with your hands right right like it would take a silverback gorilla to get down to your hip bone while I’m your glue right so and that’s kind of a little bit how I found it I saw there’s a really famous physical therapist I was talking about there some places you just can’t reach your hand and I had made a living helping people with low back and knee pain by working on their hips and I would leave every day whipped like lower the table getting my hands and grab the muscle aches and honor tension do that all day and and then I

I saw this this little vlog I guess for the guy and I was like well try and see if it helps some people and it’s it’s just amazing the result you can get when you do treat the structure that you’re aiming at while here also you also have incredible tactile sense with the needle right so that needle is so thin that let’s say you stick it in somebody’s glued or you can often times find old tears that people forget to tell me well the kneeling in an athlete’s Klein and I’m like oh this needle is not cutting through like a hot knife through butter there’s a bunch of drag right there and the needle has a hard time getting it or pulling out and then you can come maybe do a few visits for you put a small army of needles in that area and then maybe after you know let’s say six or eight visits that needle starts to slide like a hot knife through butter again really so it can that’s Tony city that’s not scarring one though that would be scarring right now it would be without a doubt right they’re like oh yeah I mean you can sometimes outline an old terror with the needle by sticking like all had I had a lady a couple years ago I came and hood how to cast here they opted not to do surgery and she had been eighteen months of physical therapy with a bunch of neuropathies still under flood in time to get that close your tibial nerves can compress inter caste from couldn’t stand at work couldn’t ride a bicycle and I was one of the first visit I started Needler and I sound like exactly like little racquetball size dense fibrous needle having a hard time going in coming out on her husband and driven they call him back to the office and I was like Hey check it out I put one needle right in the middle that scar and where the tear was and then I put one needle I don’t know a quarter inch away and I had him pull the needles out to show on a and that one needle slid right on the other one he’s tugging in the skins gripped on to it I like this so you know this is this is not a town thing this is a tissue quite a true some scarring fibrosis that’s potentially compressing that nerve and causing this distal while numbness tingling paresthesia pain right so in a case like that that’s always gonna require a lot more treatments than somebody that just as a a simple strain or you know they’ve at times you have tight traps only ask you the same if you didn’t have that skill you weren’t using the needles with your other you know motives diagnosed diagnostic menu yet would you have been able to find that on exam no no

I mean you can you can only pal peso depress and then the deeper you press the less sensitive you are as a second I’ll sense of you’re in somebody’s hip for instance three inches and you’re not gonna feel so things that are really critical piece that can be ended two years yeah I can try and be absolutely critical oftentimes if you get a good exam done and you stick with your treatment I mean there’s plenty of people I help for seven years before holding a needle right but there are times where there’s for sure things that would just be missed practically speaking the like that poor lady you’re talking about went almost two years not being able to ride bike walk properly the eighteen months all right and nice just be able to turn that around on you know within a visitor to yeah well I saw her several but yeah but I did see her many many times but in the her calf happy report is you cannot find the terror anymore while and she actually just came in I think three weeks ago and she said she hasn’t had any pain she is now comes and he’s like Hey I was hoping you’d just taken on like your good she’s on boot camp she’s cycling she’s now retired so she’s working out and doing all the stuff that’s amazing I think that’s a great story and talking about training you know going back to the fitness part of things if you have someone that just had a cutting procedure dry needling do you tell them to a hold off from going to the gym for an hour or something is there a time frame absolutely not now

I mean if you if you worry about this some instability or you think they’re going to endanger themselves or they had a desk and you don’t want to flex right but no I mean the soreness from treatment and oftentimes help by some movement oftentimes will encourage and let’s say you take somebody has had poor access to shoulder flexion and then you treat them and now they can flex our shoulder let’s go and use it so you’re not renting it right we want you to now go out and do some strengthening take it through it’s full range so that you can you’re much more likely to hang on to your result than if you just say let’s go back to my computer job and then lay down on my side at night so the movement and that’s while in our office we have the gym right in a typical visit you get your soft tissue work and then you got to exercise we have specialists who follows up with your home care right there right so we can try to so that late any snafus like hat that explains all the cupping marks at the gym that can cut it and the other question I get is will I get sore from either these treatments yeah I would say from cupping I mean you might have some local tenderness if you’ve made doc if I push on it it’s a little sore my skin dry needling for sure the first time can last you know typically about a day okay but depending on the severity in the certain muscles are more sore typically like calves are are typically smaller store than other areas right right but your health status your hydration how old you are trying to see all those things go into it so through my experience now I’d I have a much better job of guessing at house or I’m gonna make somebody then as a young but trying to you know so I will I would say you can without a doubt expects some soreness the first few times for about a day bye bye your fourth or fifth visit it hopefully will be more like an hour or two it’s funny because you mention cabs we had a mutual patient they came in to see me the other day that

I was palpated the cast as part of an exam just like I just had dry needling done so now I have a little more sensitive four yeah yeah but and you mention teaching your patience cupping and doing it at home talk about the safety of doing that at all yeah I mean I think just err on the side of caution right so we typically at that point we’ve developed a specific thing that we want them to do we don’t leave the cups on for too long right that’s really the main danger to cupping is just too long nasty bruise and you don’t want a couple over a bruise so you’re still purple not spot don’t throw cut back on it moved a couple over a little bit but it’s it’s typically pretty stinkin safe and when I’m using and I’m doing it more like let’s stick that Cup on here maybe we move it around add some neck movement and then it might be just a couple minutes at a time yes or not even expecting the ex that bruise anyway so it’s the way that we use it very safe to do it all great and if they’re doing it on their back let’s say you know in a hard to reach place can you still do that yourself

I mean if you can’t reach it there’s little cups now that are you know summer you know he’s section summer glass we gotta use alcohol and fire that’s the sex appeal right hand makes no difference on in front of me as a fact of myself but there’s a pump one and then there’s some now that are really cool that are kind of like a silicone that you can take the like you can squish it to get the air out of it and then you place it and then yeah Chris is a vacuum and then those are more moldable so they can go over surface irregularities like of a star’s puckered down on your wrist a little bony area where traditional couple have zero chance these little suckers alike you know they come in all different sizes from small to big and you can you can get creative and and and and football’s really big here in Texas tell tell us about what how you use this the dry cupping in needling for the football players what what type of care they typically you know a lot of my like NFL guys I’m doing a ton of needling on okay through the season you know you’re if you’re a linebacker in the league bye week ten do you have a whole list of old orthopedic injuries you’ve had your labor I’m done you’ve had your an ACL surgery you’ve had a stinger in week six you know you stranger elbow tackling some guy in week eight like so it’s a lot of a lot of soft tissue work and then this year size of the guys the needles are so superior right they’re already getting tons of manual they’re all they all have their own massage their positions in their house with a massage room set up right right is there isn’t a shortage of massage and hands on therapies on usually plan bad guy doing longer sessions and looking at me in a joint health and just sacrificing their soreness in the short term for their career in the long term

amazing well Sam thank you for everything that you do in taking help me take care my patients and I’m definitely gonna keep telling the more about coping in needling and where to find it yeah I mean tell me how if someone’s interested in this house what’s the best way for them to reach out to you probably uses Google my practice name next level chiropractic and rehab at this W. W. W. dot next level D. R. dot com and then we have our we have our info down and we’ll put everything in the description for everybody and again I just want to really thank doctor Sam Snead for coming in and hopefully we get to come you get to come back in and talk more to us love to read and I like to think founding media for hosting us thank you guys again for tuning and we’ll see you next time the apple a day doc talk podcast team includes me doctor Randy producer Mariah gossip and audio engineer Jake Wallace thank you to everyone it found the media for your support the apple of the dock talk is available on iTunes stitcher Spotify or wherever you get your podcasts you can follow me on Instagram at green dean N. D. spelled R. A. N. D. E. M. D. or check out the link to my YouTube channel and website in the show notes thanks for listening