Have you ever had knee pain that you do not know what is causing it and it keeps coming back?
This blog will help you to understand what sort of knee pain you have and what is driving your pain. A lot of people develop knee pain while barbell training or playing sport but do not have a clear understanding of what is causing the pain.
The common conditions we will cover today are:
Illiotibial band Sydrome
Patellofemoral Compression Syndrome
Biomechanical Dysfuntion
Patellar Tendinopathy
Iliotibial Band Syndrome: The IT band is a thick band of fascia that starts at the hips and runs the entire length of your upper leg. The pain usually is on the outside of your knee. The reason for the pain is the compression caused by the thick IT band compressing on the bony part of the outside of your knee. Normally you will not get it from a specific incident but will gradually come on overtime. The pain can start as a dull ache and then progress into a sharp pain.
Patellofemoral Compression Syndrome/ Biomechanical Dysfunction: If you have pain on your knee cap or underneath it is most likely down to a compression problem or a biomechanical dysfunction (bad technique when training). Pain normally increases the more you load the knee. So for example, if you are squatting 60kg the pain might be 1/10. But if you increase the weight to 100kg it may increase to a 4/10.
As your knee moves your kneecap/ patella will cause the muscles to tense and surround your knee to stabilise it. But if these muscles are tight then the knee will not move properly and will rub and can cause injury. In the clinic, we assess your squat both in a normal deep squat position and also doing a single leg squat. This allows us to see where you are not moving properly and then work on this with manual therapy techniques and form alternations to help your knee move better and have you perform pain-free again.
Patellar Tendinopathy: If you do sports that involve more explosive movements that are highly repetitive. For example, hurling, rugby and gymnastics. It is common to have patella tendon pain when you do excessive jumping or loading through the knee. It is much more common to get the pain when you are putting force through the knee, for example, jumping. Rather than just running because it is difficult to overload the knee just running on its own.
Mainly the pain is on the patella tendon itself but you can also get pain on the little bump below the knee (called your tibial tuberosity). This is a common place to see swelling too.
In conclusion
Just looking at the knee is rarely enough to fully fix your pain. It can help a great deal to release off tissue and muscle tension around the knee to allow it to move better but the mechanics that have led to the injury in the first place must be fixed in order to stop the pain from coming back.
This is where we can help you in the clinic by both helping your knee move better and lower pain levels but also see where you are moving poorly to help the pain from returning.
If you would like a full functional assessment and find out what is causing your knee pain, then contact the clinic today on 0578678904, direct message us on Facebook or book now.
Yours in Health
The Lawlor Clinic: Spine & Sport, Portlaoise, Laois
When you were training for sports in your P.E classes, you were most likely told to hold your hamstring and groin stretches several seconds before starting your training session. This static stretching is very popular and is a common routine in any athletes routine.
But more recently if you ask a medical professional or coach about stretching before your workout you will likely get a different answer. So why is some advice to stretch before working out and other advice is to stretch after your workout? We will cover the reasons behind this in today’s blog.
To start, there are different kinds of stretching. These are listed below:
Static Stretching: This is this most common stretching that people think of. For example, if bend over to touch your toes and hold the position, you are performing static stretching.
Passive: This is when someone else moves your body into a stretch and proceeds to hold the tension while you are relaxed.
Dynamic: This is a controlled movement into the stiff position. The best way to think about it is performing a deep squat or lunges.
Ballistic: This involves using your bodies momentum to bounce in and out of stiffness. It’s not recommended by many because of the chances of injury but is more commonly used by dancers.
PNF: This is an acronym for proprioceptive neuromuscular facilitation and describes a combination of passive stretching followed by different types of muscular contractions. If someone gets your muscle into a position, for example a hamstring stretch while you are on your back. Then asks you to contract and then relax while they push the muscle further, this is PNF.
In the past, research showed that performing static stretching before training or a competition could reduce the chances of muscular strain. This is why it is such a popular form of stretching.
But recent research is showing that static stretching can lead to a decrease in strength, speed and power. So this would lessen the athlete’s performance. But it might not be the static stretching that is the problem, rather it is the long duration someone will hold the stretch for.
Stretches for short periods of time (under 30 seconds) cause no harm to muscular performance and cause an increase in mobility, this means you can get into better technical positions when performing your lift or movement. It is when a stretch is held for 45 seconds that there is a decrease in power, speed and strength.
A test to do:
If you struggle with tightness and feel restricted you can test if you are short of what is expected of your muscles.
Place your foot 10 cm from the wall and then bend your knee to try and touch the wall without lifting your heel to do so. If you can touch your knee to the wall you have passed the test and have good ankle mobility. Working on passive stretches of 30-second holds can help to free up your calf and get to pass the test without affecting your performance.
For example, a deep goblet squat can help improve your ankle mobility before training. Hold a kettlebell on your chest and sit down into a deep squat. Hold 4 stretches for 10-30 seconds.
If you do not have good ankle mobility you will be unable to get into a good squat position and therefore will hinder your technique.
In the clinic, we work using a variety of techniques to help improve mobility in all areas of the body, including ankles. So working on your muscles and joints to help get into a good position will allow you to perform and move better day to day and during athletic performance.
In conclusion:
Stretching prior to your workout is not a one size fits all. It will come down to you as an individual and what your body responds best to. Also, it will depend on where your weaknesses are. Your tightness can also be down to overall muscle weakness, so it could tighten up to try and stabilise the area.
To help work out what needs to be done to fix your issue and to help get you the best results contact the clinic today on 0578678904, direct message us on Facebook or book now.
Yours in Health
The Lawlor Clinic: Spine & Sport, Portlaoise, Laois
Lots of people come into the clinic complaining of elbow pain. Commonly people have pain on the inside of the elbow and say it is down to overuse of the elbow after a long week or overtraining and the elbow has flared up because of it. But with pain on the inside of the elbow, it is not always down to overuse but down to misuse.
With elbow injuries, if you just look at the site of pain and blame the elbow for the cause of the problem you might be missing the root cause of the issue. This is because the muscles which are around your forearm attach onto you humerus which is the upper arm bone and this starts at the shoulder.
People spend a lot of time in a hunched over position with the arms turned inwards and therefore when you have to turn your arms out for example when you hold the bar squatting or doing barbell curls, if the movement is not coming from the shoulder then the movement has to come from the elbow. This creates stress at the elbow as it is not designed to overly rotate.
A lot of the time with elbow pain the thought process is to stretch out forearms. But this is treating the symptoms, not the cause. The root cause is often from being restricted in shoulder movement.
So, if you are having elbow pain or even if you are not you can try this quick test. Hold your hands out in front of you with your arms straight and turn your palms upwards. A lot of the time the you will see a difference from side to side with how much you can turn your palms upwards. You may also find you are compensating to get this movement from the wrists or feel stress through the elbow. If this is the case then helping your shoulder mobility will prevent pain from occurring or if you are in pain, be the resolving factor in your pain.
If you want to know more about potential causes of injuries or get your pain sorted, then contact the clinic for a full functional assessment to see where your imbalances are. To do this contact the clinic today on 0578678904, direct message us on Facebook or book now.
Yours in Health
The Lawlor Clinic: Spine & Sport, Portlaoise, Laois
With people still working from home it can become a big change in peoples lives. Therefore this blog post will go through the most effective ways to work from home safely and efficiently.
Get into a good routine
It is important to get into a routine, so a good way to do this is make a plan of how your working day is going to look. Having this routine set out from the moment you start work through until when you finish will make sure you get what needs to be done completed and also prevent you from overworking. Having a routine also will be less stressful. This is because knowing when you will finish will keep you motivated to work during your work hours and then switch off when you finish. Also it can be useful to have a schedule so you can tick off the jobs at the end of the day.
Take breaks
Making sure you have breaks from work is crucial for your over all health. Our bodies are designed to move about all day so sitting down for long periods can increase the risk of injury. To help this it can be useful to stand up every 30 minutes (people will an Apple watch will know all about this) or change your posture. It can also be beneficial to get out of the house and take a walk so you feel refreshed when you get back to work.
Good posture
Keeping a good posture at work will help prevent you from getting aches or pains during work. The way to do this is when you are sitting, to make sure to find your natural best posture. To get into the right position push your hips slightly back, bring your back up straight, then bring your shoulders back and then bring your head over your shoulders. You can always stack your laptop on top of some books in case you need to have your laptop higher so you don’t strain your neck. It is also important for your feet to be comfortable. Whist working they should be shoulder-width apart and flat on the floor. Your knees should be lower than your hips and the way to do this is to shuffle forward on your chair.
When you have been sitting in a different position compared to what you are normally used to in the office, it is very common to develop aches and pains. This is because your body is sitting in a different posture to what you are normally used to and it is putting more stress and strain on certain joints and muscles in your body. If these joints and muscles are being loaded in a way they are not used to, that is when you will experience pain or discomfort.
If you have aches or pain while working at home and would like some treatment and advice about it, then contact the clinic today on 0578678904, direct message us on Facebook or book now.
With gyms opening up again and sports teams having training and matches, everyone will be getting much more active over the coming weeks. But after a long rest period, rushing back into training at full speed can cause an injury. So, if it is a casual round of golf or getting back into the gym here are some tips and advice to get performing safely.
Stretch
Before training, it is important to do a targeted warm-up before you start actively. This might not mean doing a 5-minute cycle before your gym session because instead, it will be beneficial to target to muscles you are training that day rather than just simply getting the heart rate up. For example, if you are going for a run you should focus on warming up your hips and legs. This can be done with exercises such as lunges and side shuffles. Then some hip mobilising exercises such as hip CARs which are attached below.
Fuel your body
Having the right food before a workout is vital to performing at a good intensity. This doesn’t mean consuming protein shake after protein shake but instead having a well-balanced meal before your workout and also throughout the day so you do not feel like you are crashing throughout the day.
Stay hydrated
Before and during your workout it is very important to stay hydrated. So if you know you will be training later you should make an effort to make sure you are hydrated before. You can also include natural electrolytes into your diet such as coconut water or pink Himalayan sea salt.
Be patient
After a long period of time off it is normal to have lost some of your strength or general physical fitness. So if you find it difficult to bench press what you used to or the number of reps has decreased don’t get discouraged. Set a goal to work to over the coming weeks and gradually increase your weights and sets. This will give you a great platform to get to where you were pre COVID and pugs beyond where you previously were.
If you have taken a break from the gym and you are feeling stiff or want to prevent a possible injury when you are back training then contact the clinic today on 0578678904, direct message us on Facebook or book now.
Yours in Health
The Lawlor Clinic: Spine & Sport, Portlaoise, Laois
What are the benefits of supplementing your diet with Omega 3?
Omega-3 fatty acids play a vital role in signalling roles for your heart, muscles and nervous system. This makes them a crucial requirement for you to consume as part of your diet. This should come to 250-500mg per day. If you are deficient in Omega 3 fatty acids it can be beneficial to have your diet include foods high in Omega 3 or supplement your diet. These benefits include:
Decrease muscle loss during immobilisation and recovery from injury.
Increases muscle recovery
Helps with cardiovascular health
Omega-3 is also a great natural anti-inflammatory
Muscle recovery? Periods of muscle unloading or limb immobilization result in can cause muscles to get smaller and weaker. It has been shown omega-3 fatty acid ingestion may alleviate immobilization induced muscle loss.
Muscle health? Consuming enough omega-3 fatty acid aids in protection against exercise-induced muscle damage (the feeling you get after a tough workout) with some studies demonstrating that omega-3 fatty acid ingestion reduces losses in muscle strength and the general feeling of soreness following exercise.
How to include it in your diet? Omega-3 fatty acid sources include fish such as mackerel, salmon, herring or plant-based sources such as flax and hemp seeds. To help achieve your weekly requirements you can have two servings of oily fish per week.
If you would like other tips and treatment to help perform at your best, then contact the clinic today on 0578678904, direct message us on Facebook or book now.
Yours in Health
The Lawlor Clinic: Spine & Sport, Portlaoise, Laois
Have you been working on your mobility and flexibility but over time have not seen that much of a change? This may be because you are failing to address the route cause of the issue.
Currently, runners, cyclists, home gym-goers and more are chasing the idea of getting an increase in range of motion. This is done to either feel less stiff, perform better or just as simple as being able to touch your toes. But the techniques being implemented may not be causing any long term change or potentially your risk of injury. Doing mobility training such as stretches forcing your muscles past their normal range of motion and therefore gives us the ability to perform exercises in more unstable positions.
Following this, the tendency is to then train strength immediately after mobility training in these unstable positions. End ranges are unstable positions so the perceived threat to the integrity of the joint is very high and therefore increases the risk of injury. This is because the body is trying to protect us from that unstable position because it lacks the joint stability to be in that position in day-to-day life. So often people get trapped in the cycle of stretch-strengthen and then repeat, failing to address the root cause of the tightness in the muscles.
Put simply you need to ask yourself why muscle is tight to begin with. This will help you get rid of the mindset of simply stretching a type muscle and therefore allow you to address underpinning factor. And this is how you will make a long-term change to your flexibility.
Some examples of muscular tightness is being down to stability issues are:
Hamstring tightness could be down to core muscle weaknesses
Stiff shoulders could be because of weak rotator cuff muscles
Tight calves should be down to weak muscles at the front of the leg or hip stability issues
In the clinic, we do a full functional assessment on every new patient coming in. This allows us to find the true cause of your pain or tightness and therefore create a long term change. So, if you suffer from long term tightness or muscular pain and would like us to assess and treat you, then contact the clinic today on 0578678904, direct message us on Facebook or book now.
Yours in Health
The Lawlor Clinic: Spine & Sport, Portlaoise, Laois
Headaches can affect peoples life from work, hobbies and when you are trying to relax at home. The most common headache is tension-type headaches. This can cause pain in the back of the head, into the neck and around your eyes. This typically happens on both sides of the head.
There are many factors that contribute to tension-type headaches. These include:
Stress
Anxiety
Not drinking enough water
Holding your head in one position for a long time
Sleeping in an awkward position
Eyestrain
Head and neck injury
Clenching your jaw or grinding your teeth
How can chiropractic care help your headache?
In the clinic, we can first check the lifestyle factors that may be aggravating your headaches and give you ways to manage them better. This includes looking at your posture and giving home exercises to you. We perform a full examination on every new patient which should identify the triggering factors for your headache.
We will also do various treatment methods that best suit you. These can be:
Soft tissue massage
Active Release Techniques
Chiropractic adjustments
Joint mobilisation
Home rehabilitation
Drink more water
Especially with the weather warming up, it is important to touch on water consumption for headaches and general well being. The average person should be drinking at least 2 litres of water which is around 8 cups per day. But if you are active and exercising try 2-3 extra glasses per hour of exercise. Getting your recommended water intake will help with the following:
Digestion
Normalising blood pressure
Regulate body temperature more efficiently
Flushes out bacteria using your body’s natural sewage system
If you have headaches or neck pain and are not sure what to do about them, then contact the clinic today on 0578678904, direct message us on Facebook or book now.
Yours in Health
The Lawlor Clinic: Spine & Sport, Portlaoise, Laois
Hip pain is very common in people who exercise regularly. But how can you help your hip pain and tight hips?
To prepare the body to be able to squat or lift weights pain-free, you should improve your sense of balance and general control single-legged.
Think about it, when was the last time you trained single leg exercises? I mean, really trained it? But it’s never too late to start incorporating it into your workout routine.
The hip airplane which was designed by Dr. Stuart McGill with the aim of being an active flexibilty exercise deals with both balance and general control head-on so will seriously challenge you to perform it equally side to side.
Therefore, the hip airplane will test and improve the stability of the muscles in and around your hip.
Even people who can squat huge amounts of weight can struggle with this and it will lead to injury. This is because of progressively causing micro-trauma to your tissues because you don’t have the functional stability around your hip. So, people of all athletic ability can benefit from training single movements.
So why is the hip airplane so important for the squatting movement pattern?
When you squat you femur’s are in an abducted position (so they’re pointing out) with your feet also out in relation to your pelvis. Your pelvis is the stable point around which your femurs will move and rotate in their socket.
So to recreate this movement but to work on stability rather than strength you can use the hip airplane. This is because instead of having your foot out to the side and your pelvis in neutral, the foot is now directly underneath your body and you will deviate the pelvis.
How to do the hip airplane
Firstly do the exercise barefoot to activate the small muscles in your foot which will help create a stable structure from the ground up.
Starting position: Then go onto one leg and bring your front leg upwards to 90 degrees.
Then bend your torso forward so it is over your leg in contact with the ground, do this while kicking your back leg behind you.
Keep your trail leg straight.
(If you know common weightlifting movements then this is very similar to the single leg roman deadlift or RDL).
Then slowly bring your belly button towards your leg in contact with the ground and then out to the side. Then return back to the starting position.
Aim: Practice quality of the movement with good form. But as a rough guide aim for 1-2 sets of 10-20 repetitions. But this exercise is all about control so even if you can only do 3 to start. Slowly build up from there.
As you do this exercise more and more you will get better at balance and your steering ability in rotation. As you improve you can start leaning further forward to make the exercise harder.
If would like a full functional assessment and to get some tips and feedback on your exercises, then contact the clinic today on 0578678904, direct message us on Facebook or book now.
Yours in Health
The Lawlor Clinic: Spine & Sport, Portlaoise, Laois
Most low back pain is primarily caused by the way you move and how you sit. During the day there are ways to do these things that put less stress on your back. Your spine has 24 vertebrae and it is common to think that all the parts move evenly. But certain areas take on more movement than others which are called hinge points. This blog post will give you some techniques and ideas to help remove these hinge points and to start getting you more pain free.
In between the segments of your spine, there are discs that act as little shock absorbers. As you sleep the discs gather water and hold the water so they become more pressurised when you wake up first thing in the morning, this means they are easier to injure. After an hour the pressure decreases to nearly normal so this is why it is extra important to be careful in the morning.
Ways to manage this in the morning:
Don’t bend and round your back when getting out of bed
When brushing your teeth, avoid spinal movement. Try and hinge from the hips. You should feel like you’re gliding your bottom backwards in order to lean forwards. It’s fine to lean one hand on the sink for support.
Try not to be hunched over when putting on shoes and socks
Don’t have your back rounded when sitting down eating your breakfast
Lifting:
Other problems for your back throughout the day are when you try to lift something heavy. If your job requires a lot of lifting it is vital to know how to squat with good form.
To do this you should have your feet at shoulder width. Then keeping your back straight you should move your pelvis backwards and keep your heels down. To practice this if you get a pole or a golf club and held it along your spine touching the bak of your head, mid-back and tailbone, the pole or club should stay touching throughout the whole squat.
Walking:
Also, when you are walking day to day it is important to do this correctly to reduce the strain on your lower back. So try to walk with your chest up and bring your head back and swing your arms. Interesting fact, walking is 12% more metabolically demanding with your hands in your pockets, this shows how your arms play a vital role in saving energy. Doing this will reduce tension in your lower back and walking can be therapeutic for back pain if you do these steps correctly.
I hope this helps, but if you do suffer from back pain and would like us to have a look at your problem and run through advice to get you pain-free, then contact the clinic today on 0578678904 or book now.
Yours in Health
The Lawlor Clinic: Spine & Sport, Portlaoise, Laois
