Triathlon’s shoulder (also known as swimmer’s shoulder) is a term that is used a lot, and not only in the world of athletes. But what does it really mean? What is involved in creating the pain and what can be done to help alleviate it?
What is triathlon’s shoulder?
The medical terminology for triathlon’s shoulder is “impingement syndrome” which is a fancy term to say that there is a narrowing in the space between the acromion (the most top bony part of the shoulder) and the humeral head (connecting the arm to the shoulder). This narrowing causes a “pinch” in the tendons going through that space: usually the rotator cuff (supraspinatus and subscapularis in the picture below) and/ or the biceps.
What causes it?
It occurs more often in athletes and labourers that perform repetitive motions which can in the long term cause this sort of overuse injury. The typical sports include but are not limited to triathlon, swimming, baseball, volleyball, and racket sports. Jobs involving repeated overhead activities such as painters, carpenters, and electricians are also more at risk.
The recommended hand on approach involves the patient, the chiropractor and the coach (if sport-related injury) to combine their efforts together using:
Manual chiropractic adjustments
ART: Active Release Techniques muscle work
Dry needling
Laser IV therapy
Technique evaluation and correction
Proper rehabilitation exercises
Finding the cause of what initiated the pain is very important in order to avoid reproducing the same injury in the future. This does not mean stopping the activity involved with that movement but rather finding a new pattern that will allow to achieve the same goal without putting yourself at risk for injuries. This process works best with everyone working together as a team to get you out of pain and back into doing whatever activity or work you want or need to do.
The following video shows what a normal shoulder full range of motion should look like. Please only perform this exercise to your own tolerance. This is not a treatment.
If you have been experiencing shoulder pain and would like a consultation, contact the clinic on 057 8678904.
Almost everyone has experienced a headache in their lifetime. If it only happens once then there is usually no need to do anything about as it will be quickly forgotten. What about those that come back regularly, every month, weekly or even daily? There are many kinds of headaches which can be very debilitating, especially migraines.
What is a migraine? A migraine is a specific type of headache. It is defined as recurring head pain due to changes in the brain and/ or surrounding vasculature. These can come with or without an “aura”. An aura is a symptom/ feeling/ sound/ vision that comes on before the migraine starts, as a warning sign.
Migraines are usually related to triggering factors such as:
Stress
Hormonal changes
Diet
Medication
Pain can be very intense and is usually described as pulsating or throbbing. More often than not it is located on one side of the forehead and can last several hours to days.
Some common side effects of migraines are:
Nausea
Vomiting
Sensitivity to light
Sensitivity to sound
What can ease the symptoms of migraine? Migraines can respond well to conservative care including:
Chiropractic adjustments
Mobilisation
Active Release Technique (ART)
Dry needling
Diet
Dynamic Neuromuscular Stabilization (DNS)
Medication (if needed)
Another very important aspect to help with migraines is to find the triggering factor(s) to be able to avoid them if possible or at least manage them when encountered.
If you have recurrent migraines or headaches and are not sure what to do about them, contact us at the Lawlor Clinic in Portlaoise for a consultation to see how we can help.
Those new born days and weeks for most women can be described as a being a bubble of love and awe at what your body has produced. During the nine months prior to this we invest so much time making sure we eat healthy, exercise wisely and educate ourselves of what’s to come.
We may have attended ante natal classes that focus on breastfeeding and focus on how to get that perfect latch. Some mothers and babies take to it easily but many have obstacles to overcome, such as suboptimal latch, tongue tie and nipple pain.
Breastfeeding is supposed to be the most natural thing in the world but it isn’t in anyway easy.
Someone that is often neglected at this precious time is the mum. It can affect us in so many ways particularly emotionally, mentally and also physically.
How does breastfeeding physically affect the mum?
Many postpartum women who attend the clinic have issues with neck pain, mid back pain, headaches, low back pain and even referred pain into the arm/ hand. Basically their posture is inadvertently suffering from all that nursing, cuddling, holding and carrying of their little one.
Of course this doesn’t just apply to nursing mothers but also to those that bottle feed.
Tips on how you can help yourself:
It’s important to ‘check in’ every so often when you’re feeding to make sure you’re not hunching over your baby constantly. This will put strain on those postural muscles and local joints.
Bring the baby to you and use supports such as a nursing pillow to help.
Look at changing nursing position if possible. For example try laid back nursing where you can relax more during feeding.
Foam roll your mid back little and often to relieve tension.
Start doing some gentle stretches for your mid back, chest, neck and hips.
Chiropractic, soft tissue therapies and dry needling are excellent tools for relieving joint restrictions and muscle tension. As well as these, stability exercises are given to make sure these areas are better able to withstand the demands of everyday parenting.
If you are still in discomfort or experience an increase in symptoms consult your local health professional or contact us today for a consultation.
Golf chiropractor Shane Lawlor discusses the ‘X-factor’ swing, favoured by players like Rory McIlroy, and the importance of strength and conditioning.
Harder, better, faster, stronger.
Professional golfers are hitting the ball further and swinging the club with more force than ever before.
Advancements in club and ball technology, along with improved strength and conditioning training, have helped players smash driving distance records, forcing designers, particularly in the United States, to lengthen their courses.
Whether the arms race is good for the sport is up for debate. Another important discussion, however, is whether it’s good for the players.
A study published in the Journal of Neurosurgery: Spine in February 2019 claimed the modern ‘X-factor’ swing – designed to increase distance – can cause back injuries.
Clinic Patient Privacy Statement
Lawlor Clinic as a data controller is aware of its obligations under the General Data Protection Regulation (GDPR). The Clinic is committed to protecting the privacy and security of your personal information.
We want you to be absolutely confident that we are treating your personal data responsibly, and that we are doing everything we can to make sure that the only people who can access that data have a genuine need to do so.
This privacy notice summarises, in line with GDPR, how we collect and use personal data about you during and after your time as a patient of this clinic. It also sets out how long we keep it for and other relevant information about your data. It applies to current and former patients.
Please contact the Clinic on info@lawlorclinic.ie for full privacy terms and conditions or request a copy at reception.
We need to collect personal information about you and your health, in order to provide you with the best possible treatment. Your requesting treatment and our agreement to provide that care constitutes a contract. You can, of course, refuse to provide the information, but if you were to do that we would not be able to provide treatment.
We have a “Legitimate Interest” in collecting that information, because without it we couldn’t do our job effectively and safely.
We also think that it is important that we can contact you in order to confirm your appointments with us or to update you on matters related to your medical care. This again constitutes “Legitimate Interest”, but this time it is your legitimate interest.
We have a legal obligation to retain your records for 8 years after your most recent appointment (or age 25, if this is longer), but after this period you can ask us to delete your records if you wish. Otherwise, we will retain your records indefinitely in order that we can provide you with the best possible care should you need to see us at some future date.
Your paper file is stored in locked filing cabinets, the keys are locked in a safe, and the offices are always locked and alarmed outside working hours. Paper records are never removed from the Clinic premises.
Your electronic file is stored “in the cloud” using encrypted practice management software. We have a contract with this provider which includes a written declaration that they are fully compliant with the General Data Protection Regulations. Access to this data is password protected.
Email appointment reminders are set up for each patient, but patients can opt out of this service if they wish. We do not use SMS or email marketing communications.
Occasionally we will need to contact you in writing or provide a medical or solicitor report on your behalf. Such letters are saved securely on to our office computers, which are password protected and the offices are always locked and alarmed out of working hours.
We will never share your data with anyone who does not need access, without your written consent. Only the following people/agencies will have routine access to your data:
– Your practitioner(s) in order that they can provide you with treatment. Self-employed Associates and Therapists have a signed contract with the Clinic which includes obligation to maintain confidentiality of information relating to clients.
– Our clinic manager and reception staff who have signed contracts of employment including strict clauses re data confidentiality.
– The practice management system that stores and process our electronic records
You have the right to see what personal data of yours we hold, and you can also ask us to correct any factual errors.
Provided the legal minimum period has elapsed, you can also ask us to erase your records.
Should your personal data that we control be lost, stolen or otherwise breached, where this constitutes a high risk to your rights and freedoms, we will contact you to explain to you the nature of the breach and the steps we are taking to deal with it.
Making a complaint
You have the right to make a complaint at any time to the Data Protection Commissioner via their website: www.dataprotection.ie
If you have any questions about this Privacy Notice or how we handle your information, please contact Karen Lawlor, Lawlor Clinic, 2 Audville Terrace, Dublin Road, Portlaoise, Laois, R32 VW62. Telephone number 057 8678904. Email: info@lawlorclinic.ie
PLEASE SPEAK WITH OUR RECEPTIONIST IF YOU DO NOT CONSENT TO RECEIVING EMAIL APPOINTMENT REMINDERS / IMPORTANT CLINIC UPDATES. WE WILL MAKE SURE YOUR RECORD IS UPDATED TO REFLECT YOUR CONSENT AND PLEASE BE AWARE THAT YOU CAN OPT OUT OF THIS SERVICE AT ANY TME. WE WILL NOT SEND YOU MARKETING COMMUNICATIONS.
The foot and ankle are often overlooked in golf when you consider the average round of golf will equate to about 10km of walking depending on how wayward your shots are.
One of the most important components of the foot is the big toe because of the impact it can have on your swing and walking during your round.
The right big toe is needed to load the right knee, quadriceps, and hip during the back swing and is also essential at impact through to follow through.
Signs of Big Toe Dysfunction:
Loss of Posture
Sway in golf swing
Limited follow through
Pain on walking
Hallux Rigidus:
One of the most common conditions we see in the clinic is hallux rigidus, where there is moderate to severe stiffness of the big toe. We use joint mobilisation, active release techniques (ART®) and functional integrated dry needling to improve the mobility of the joint. To help increase the joint range of motion and bring longer term results we give patients exercises based on functional range conditioning (FRC®)
It has been shown that 80% of the population will suffer from an episode of back pain during their lifetime. A smaller number will also suffer Sciatica, a referral into the leg which can be caused by a disc bulge, bony narrowing of the exit canal or entrapment of the nerve along its path down the leg, for example at the piriformis muscle.
Walking: It is important that you keep as active as possible, so we recommend short frequent walks for our patients who suffer from back pain or sciatica. Depending on the severity of the leg symptoms we also ask the patient to shorten their stride so this will put less pressure on the sciatic nerve particularly during the swinging of the leg forward.
McKenzie Extension: This is one of the few positions that patients or athletes will feel any relief from their leg pain, The extension exercise has been shown to centralise the disc material taking pressure off the nerve. You should feel the leg pain reduce during the hold, the pain may also localise to the low back or buttock area.
Cat & Camel: Spinal flexibility and control is important for the lumbar spine. The Cat & Camel exercise is a great exercise that we give to every patient. If you struggle with either of the movements then we suggest you use a mirror for feedback.
Nerve Flossing: This exercise will help with leg pain and also improve the sliding of the sciatic nerve from the low back all the way in the foot.
With any of the exercises it is important to work within a pain free range of motion, if you see an increase in your symptoms then please stop the exercise and consult your local health professional or contact us today for a consultation.
Plantar fasciitis is one of those phrases that gets thrown around a lot in conversations. But do you know what it actually means? What is the plantar fascia, what causes irritation to it, and how can you prevent and treat the cause of the problem using Active Release Techniques?
What is the Plantar Fascia?
The plantar fascia is not a muscle or tendon, it is actually a connective tissue structure that supports the bottom of the foot. It runs from the heel bone to the toes and lies on top of the deeper muscles of the foot. But it is not the plantar fascia on its own that causes the problem. The fascia works in conjunction with the flexor digitorum brevis and quadratus plantae muscles, both are flexors of the toes.
What causes Plantar Fasciitis?
An irritation and inflammation to the previously mentioned tissues and muscles, to state it very basically! But what causes the irritation? Biomechanical issues in the foot and ankle, tightness or damage in muscles of the feet or calf, sudden increase in activity that is too much too soon, some even say too much sitting around (underactivity) can cause the problem.
But when you do get it, you want it to go away as fast a possible because it can be very painful!
Some common symptoms include:
Pain at the heel or anywhere along the bottom of the foot
Cramping at the bottom of the foot
Pain worse first thing in the morning
How can ART® help plantar fasciitis?
Active Release Techniques ART® is a hands on technique for helping to restore normal function to the soft tissue. So release of the plantar fascia and other contributing muscles in the foot, might be uncomfortable but the results will be noticeable within 3-4 treatments.
Along with ART®, manipulation of the joints in the foot using Chiropractic techniques can help to restore normal biomechanics to help prevent this from recurring in the future. To help speed up the healing process we commonly use Laser Therapy and you will always be given exercises and stretches to do at home.
If you think you might have plantar fasciitis, don’t keep suffering, give us a call today to see if we can help you get on the path to healing!
Yours in Health
The Lawlor Clinic | Spine & Sport, Portlaoise, Laois
In the last blog article we covered a number of different topics related to concussion and its management. We will focus on nutrition and sleep in this article.
Post Concussion Signs & Symptoms:
Headaches
Dizziness
Vomiting
Blackout
Irritability
Difficulty in remembering things or people
Lack of Focus
How to Improve Recovery with Nutrition:
Omega 3 Fish Oils are important in cognitive function of the brain, they will also act as anti inflammatories for the brain during the recovery phase of the concussion
Creatine helps to increase water retention in the body which will in turn increase fluid levels supporting the brain during healing.
Turmeric is a powerful natural anti inflammatory which can also aid in the recovery phase
Improving Sleep:
The majority of post concussion patients will need to increase their number of hours of sleep as this is essential for the brain to recovery from injury. It is also important to decrease the time spent on mobile devices as the blue light from the screen can have an effect on melatonin levels which help to regulate sleep cycles. Most devices and computer now come with blue light filter or apps can be downloaded if not included on your phone, tablet or computer.
In the sporting world concussions are one of the most commonly seen injuries, particularly in impact sports. Concussions can also happen in the general population. They are one of the most important injuries to recognise quickly. Appropriate treatment and rehabilitation are essential, because concussion really is a mild form of traumatic brain injury.
Just one concussion can increase the risk of long term damage to the brain and can increase the risk of getting another concussion. This is why it is so important to recognise them and get treatment. Not only can you injure the brain when you have a concussion, there can also be damage to the spine and the neck musculature and ligaments.
What is Post-Concussion Syndrome?
Post-Concussion syndrome is what can occur after the initial injury and can last in some cases up to six months. Symptoms include: headache, dizziness, fatigue, cognitive difficulties (difficulty remembering things or focusing), and irritability, with some of these symptoms being caused by spasms in the musculature of the head and neck.
One common muscle involved in head and neck injuries is the Rectus Capitis Posterior Minor. It attaches on the first vertebrae of the neck and occiput, and then has connections into the dura mater, one of the layers of covering over the brain. When these structures are injured or not functioning properly, it can cause pulling on the dura mater around the brain leading to increased headaches.
How Can ART ® help?
Active Release Techniques® are used to help diagnose and find the injured area and treat it, with the goals of restoring the normal movement of the muscle and/or joint, thereby speeding up the rate of healing! And in the case of this muscle, helping to decrease headaches.
Along with ART ® we have numerous other techniques we use in the clinic to help you get back quickly to enjoying your activities and your life! Contact us today to see if we can help with your recovery from a concussion!
