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
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.
Gaelic sports usually cause athletes to work their hips mainly in an externally rotated position due to the demands of the sports. This can cause a significant decrease in hip internal rotation as the body will compensate due to the increasing demand on the hips to open in one direction over the other.
Why does this matter?
This matters because having such imbalances will cause your body to create more compensatory patterns which can eventually lead to decreased performance or injury.
If you have limited hip internal rotation, then eventually the way you walk and move might be changed.
For example, you could start walking with your feet and toes pointing out more as your hips will not have the full movement to allow your foot to go back to a neutral position. The foot and ankle will then no longer be functioning in their optimal patterns and might start overpronating to allow you to keep walking undisturbed. The knee may also start picking up the slack for both the hip and ankle which could put more stress on the knees and the body as a whole. With every step, you are reinforcing these patterns which can eventually lead to pain or injuries.
So to make it simple, the most common injuries related to poor hip mobility are:
Low back pain
Hamstring and Groin strain
But this is not to say that your upper back may not be affected by this as well. It all depends on how you move. Take a squat for example, if your hip mobility is limited your body is going to find other ways to move through the position you are putting it through. We already went through the changes in the lower extremity when talking about walking. Now let’s talk about your back: if your hips can’t sit through the motion needed, your lower back might start rounding to allow you to go lower, and then your upper back might overextend to allow you to keep looking forward while squatting down.
Those are just examples, you understand by now it’s all about your own body patterns and whether your compensations are putting you more at risk for injury.
One good exercise to work on hip mobility is the 5 months hip & pelvis separation from Dynamic Neuromuscular Stabilisation (DNS). This exercise helps your body work on hip and pelvic movements. Giving you more motion but also more control in those areas. It is important to work on both mobility and stability so that all increases in range of motions and overall movements still allow you proper control to avoid risk injuries.
During this exercise, make sure to keep pressure through the downward knee and foot, as well as the downward elbow throughout.
If you want more information or have any aches or pain, contact the clinic on 057-8678904 to see how we can help.
Scar tissue can be detrimental to body mechanics if not addressed as soon as possible. It can alter proper movement patterns and generate pain and dysfunction in the body. It can also predispose the area to future injury.
The aim of therapy is to improve tissue texture, flexibility, local blood supply and drainage. Therefore the earlier and more regularly that a scar is treated the better.
Qualities of a Scar
Tough fibrous and non pliable, with reduced circulation and lymph drainage
Reduced local tissue flexibility, resulting in limited joint mobility
Our Approach to Treating Scars
Soft Tissue Release: Gentle hands on massage technique applied around and at the site of the scar to stretch the tissues and promote healing
Instrument Assisted Soft Tissue Mobilisation (IASTM): uses specialised instruments and cream to glide across the scar in a form of cross friction massage to reduce pain and improve pliability of the tissues
Dry Needling: needles are applied around the scar site to encourage an inflammatory healing response
How Effective Can Treatment be?
Below is an example of my own scar healing with the help of treatment following a right clavicle (Collarbone) reconstruction with a surgical plate and pins
If you would like to book an appointment please contact us today.
A common condition we see in the clinic, that is often misdiagnosed is adhesive capsulitis or frozen shoulder. It is a debilitating and very painful shoulder condition, but what are some of the warning signs of this condition?
Gradual onset of shoulder pain from no apparent reason: Most of the time frozen shoulder comes on without having had any trauma. Pain is usually the first sign, and in some people if can be so severe that it radiates down the arm.
Gradual loss of shoulder movement: In the first stages of it, the pain can cause people to overlook that their range of motion has slowly started to decrease, most times this will become very apparent upon examination.
Pain at night: not necessarily worse pain at night, but noticeable pain during the nights
Cannot lay on that shoulder: Usually apparent at night as well, the person is not able to put any body weight on that shoulder.
Cannot make sudden movements: Moving the arm is a big challenge, especially with sudden movements, the pain becomes dramatically worse.
Frozen shoulder is very tricky, especially in the early stages, and it often gets misdiagnosed. It can be complicated further by diabetes and thyroid issues. The recovery time can be long, but there are things that can help. Think you may have frozen shoulder? Contact us today to get a thorough examination and see what options are available for you.
To date, Fibromyalgia is still a misunderstood condition. There are many theories as to what causes it, what can trigger it, and what can help with the pain. But we don’t know for sure. As you can imagine, that can be very frustrating for someone who has been diagnosed with this condition, not knowing what to do about it. Lets learn a little more about this common condition.
1. Fibromyalgia is a condition that causes wide spread muscular pain, it is more common in women than in men, and can run in families. Fibro= fibrous tissue, myo= muscle and algia= pain.
2. The newest theories on the causes of it are leaning towards a dysfunction in the nervous system. Something triggers the nervous system and the persons pain response is altered. Or how the brain is interpreting the pain is altered.
3. There are many other symptoms associated with this condition besides muscle pain, some of these include: fatigue, muscle weakness, poor concentration, brain fog, headaches, and anxiety, just to name a few.
4. There is no specific test for fibromyalgia. It cannot be detected in a blood test or scan. The best way to diagnose it is from the persons specific history. Guidelines from the American College of Rheumatology state that the person must have : ” widespread pain lasting more than 3 months, and other general physical symptoms including fatigue, waking unrefreshed, and cognitive (memory or thought) problems.”
5. There is also no specific treatment for fibromyalgia. Common is for patients to be put on pain killers, or anti-inflammatories, and sometimes anti-depressants.
You may be feeling quite grim right now, because we don’t know what causes it, and it can be hard to treat. So what can we do?
Exercise – regular exercises seems to be one of the biggest things that helps to keep fibromyalgia manageable. Not only is this shown in the research about the condition, but in our experiences here in the clinic.
Chiropractic treatments – chiropractic care can help relieve muscle tension and pain that comes along with fibromyalgia.
Laser – our class 4 laser is also a great tool at helping ease the pain of those tender points associated with this condition.
Dry needling/acupuncture- another one that our fibromyalgia patients feel the benefits from.
Nutritional supplementation- more research needs to be done, but there is some evidence to support certain supplements and their role in helping this condition, including vitamin D, co-enzyme Q10, probiotics, and trace minerals magnesium and zinc.
So you can see, there are things that you can do to actively work on taking control of this condition. Our best advice, find a provider who will work with you, looking at the whole picture and incorporating some of the things above, and help you to stay consistent.
Have fibromyalgia? Book an appointment today and let us help you get on the road to managing this condition and getting back to your life!
Have you been diagnosed with a disc herniation? It is one of the most common conditions that we see in the clinic. Today we want to show you one effective exercise that can help reduce your pain: The McKenzie Extension exercise.
In the last blog, you learned what happens to your discs. We guided you through the stages of disc herniations, and how they can protrude outwards into the spinal canal, which can cause irritation around the nerves and pain. With this exercise we are trying to get a decompression of the discs, encouraging them away from the spinal canal and the nerves, which will be evident by an improvement in your pain.
If you are experiencing pain down one leg, what we would expect with the Mckenzie extension exercise, is that the pain starts to become more central. Meaning that instead of feeling it all the way down to the ankle, you start feeling it only at the knee, or down to the bum.
If your pain does not improve with this, that means you may need a different type of exercise for your lower back pain. As always, its important to get a proper assessment and diagnosis to get the best treatment plan for you!
Diastasis Recti is a condition we see commonly in the clinic. Most often it’s associated with pregnancy and the post partum times, but did you know that it can affect anyone? While can be considered a cosmetic issue, it is a major warning sign that a more serious issue with the core is going on. Lets learn a little more about this common condition.
What is it?
We all have a line down the middle of our body, that separates the two halves of the outer layer of abdominal muscles. It runs from the breast bone to the pubic bone. Diastasis recti occurs when there is a separation or widening between the two sides of of the muscles. Everyone has a little bit of a gap, but it is considered more of a problem when it’s 2 fingers wide or more.
What causes it?
Diastasis recti is common in pregnancy due to two things:
1. The growing belly that pushes out against the abdominal musculature, thinning the connective tissue.
2. The maternal hormones that cause the connective tissues to become softer and more flexible can promote laxity in the structures.
It is something that naturally happens to a degree during pregnancy, and after the baby is born, should come back to normal if your core was in balance before pregnancy. It is worth noting that in many studies, women who were active before pregnancy and continued that exercise throughout their pregnancy tend to be less likely to suffer with diastasis recti. But this is not always the case.
Outside of pregnancy, it can be caused by overdoing it on the wrong abdominal exercises, such as traditional sit-ups or crunches and/or weak deep abdominal musculature. It is not just about weak muscles though. An imbalance in the muscles of the abdomen, and your overall posture can also contribute.
Why is it a problem?
When you have a diastasis that continues for months after pregnancy, it is a problem. It is a sign that your core musculature is not working properly. If you’re wondering why you need your core working properly, here are a couple reasons to consider:
Many who have diastasis recti also have or will have pelvic floor issues including urinary incontinence.
A weak core can lead to ongoing lower back, sacroiliac joint, and symphysis pubis pain
How can we help?
Diastasis can be helped by improving your function and removing any imbalances in the core musculature. Some of you may be thinking, I know other women who are very fit and still have diastasis, what about them?? The answer to that would be that just because someone exercises, does not mean that their core is actually functioning properly and that they know how to properly activate and brace their core during exercise, breathing, and normal day to day activities. They may be loading their core in a way that is contributing to more tension (in the wrong way) on that front part of the abdominal muscles.
It’s important to seek expert advice if you are struggling to get your core back after pregnancy. Look for a practitioner that will take a varied approach to getting you functioning better as a whole to help get your core back in balance! For more information check out this book from Katy Bowman.
Shoulder pain and stiffness is one of the top conditions we see in the clinic. One of the most frustrating shoulder injuries, is frozen shoulder. A stubborn condition that can be difficult to treat, causes loss of motion in the shoulder, and can be quite painful. Typically affects 40- 60 year olds, women are more affected than men, and smoking, diabetes, and thyroid disease can contribute to it.
What you need to know is this:
Treatment of frozen shoulder will not be successful if it focuses only on the surrounding musculature.
With this condition, the capsule of the joint causes the problem, and due to that fact, work must be done on the capsule to get the improvements that you want.
So how can we work on the capsule?
Laser Therapy. Our laser is great for helping to speed up the healing process. It helps frozen shoulder specifically because it can penetrate deeper below the skin surface to get to the capsular level.
Active Release Techniques. (ART®) is great for frozen shoulder because we have specific protocols to work not only on the muscles around the area, but to work on the capsule itself.
Dry Needling. If we are talking about getting down to the capsule, there is not much better than dry needling. We can put the needles directly into the capsule to help stimulate healing in the area.
And how long will it take for this stubborn condition to resolve? With work done on the right structures you can anticipate results in 6-8 visits. If you have frozen shoulder, don’t let just anyone work on it, get in to see someone who knows how to get to the root of the problem and get the results you want.
Yours in Health,
Chiropractic | Active Release Techniques (ART®)| Golf & Sports Injuries
At the Lawlor Clinic we provide Chiropractic for all the family from newborn to old age. Many of the problems that patients present with as adults can be addressed in childhood and treated appropriately with Chiropractic care.
Some of the common conditions we deal with in the different demographics include:
January is one of the busiest months in the gym as people try to get their fitness back on track. In the clinic we see an increased number of patients who have suffered from a gym related injury such as back & neck pain, sciatica, ankle sprain and shoulder pain.
Here are our top tips to stop you getting injured on your return to fitness
Proper Assessment and Screening: It’s important you know how your body is moving and of any physical limitations that might prevent good pain free movement. A good screening can also highlight potential areas of weakness that causes injuries to occur. Ask your medical and health professional for a functional movement screen (FMS).
Stay Hydrated: Increased training levels means that you will need to increase your water intake. Add himalayan pink salts to your water as a natural electrolyte
Warm Up: A 5 minute cardio session prior to a gym workout will get the core temperature up and prepare the body properly for each session.
Sleep: The best recovery tool on the market is sleep. Make sure you get a solid 8 hours a night.
No Pain No Gain: No one should train or do an exercise that gives them pain, this causes the body to move differently and compensate around the pain.
Overtraining: 3-4 gym sessions are optimal for maintaining good fitness levels. For proper recovery, training 6-7 times a week will only lead to injury.
If you would like a functional injury prevention screening or you are suffering from a gym related injury please contact the clinic for a consultation.