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.
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
