In the clinic, we often get questions about how to avoid injuries and manage low back or neck pain. This blog will cover the functional implications that a faulty breathing mechanism can have on your body.
Function vs Action
Muscles have both actions and functions. During a movement that muscle can be asked to do either of these and it is often a sliding scale between one and the other.
For example. If we choose your Gluteus Medius which is a muscle on the side of your hip that is commonly training by doing clamshells or hip abductions. For these exercises, your Gluteus Medius is being trained for its action. The action is abduction (lifting your leg out to the side) of the hip and external rotation. Because that muscle is not a very common movement you do day to day, let’s think about how the muscle moves when we are walking. The Gluteus Medius has the function of stabilising the lateral hip when you are walking. Meaning you can walk smoothly through your walking.
Definitions
Function: How muscles behave when we walk and breathe.
Action: How muscles behave when we move the origin to insertion.
So what happens when we look at breathing? We have to think about muscle functions rather than just actions to get the full benefit during your breath at the gym rather than just training the action of the following muscles.
Muscles of Inhalation
– Diaphram
– External Intercostals
Accessory Muscles of Inhalation
– Sternocleidomastoid
– Scalenes
– Pec Minor
A key thing to note is accessory muscles of inspiration are located around your neck and shoulder blade. This is why if we are breathing badly from the start and not using our diaphragm and abdominal muscles it is common to have neck and shoulder pain.
Muscles of Exhalation
Exhaling is a much more passive movement. But there are muscles that help assist it, this becomes more so the case when you are at full exhalation or forced exhalation.
Muscles of Exhalation
– Internal Intercostals
Accessory Muscles of Exhalation
– External Obliques
– Internal Obliques
– Rectus Abdominus
– Transerve Abdominus
– Quadratus Lumborum
These muscles are located around your lumbar spine.
How to help?
Below is an exercise to practice breathing in with a slight (10%) core contraction to help improve your breathing cycle.
If you are struggling with the exercise above, below is an exercise to practice breathing in through your stomach, you should feel your belly push up against your thighs.
Conclusion
So to go back to the opening paragraph of this blog. If we are spending more time in a high-stress, inhalation, stress-dominant state in both life and lifting it can lead to dysfunction and therefore pain.
In the clinic we assess both how you’re moving but also how you breathe and if you control your breathing. So if you have pain or just want to see if you can improve this aspect of your life then book yourself in for a full functional assessment. 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
When weight training, choosing the right shoe may help you break any personal records and improve performance.
When you go into the gym you will see a wide variety of shoes. From bright coloured Nike and Adidas shoes to old school Converses or Metcons and Nanos. This brings us to the point of this blog post, you would not pick a pair of rugby boots to go and play tennis. Shoes are built for set purposes and you should understand what your shoe can do for you and your training goals before you go to the gym to make sure you have the right one on.
Having A Stable Foot
Your foot is your foundation when performing any weightlifting movement. If your foot is not stable then you will not have a solid base to generate force and power for your movements. Even though your foot is very mobile it has the ability to be in a stable position by being in a neutral arched position. So your choice of footwear must integrate this foot position.
Barefoot Shoes
Firstly the barefoot shoe. These shoes provide the feeling of training barefoot but still offer some degree of support for your foot. The theory behind barefoot shoes is you are increasing the feedback your body is getting from the ground and also strengthening up the smaller muscles in your feet by making them work harder. Barefoot shoes also have a wide toe box and therefore allow your foot to have more space inside your shoe rather than being constricted. These are a good option for someone who wants to squat barefoot but has to wear shoes at their gym.
Flat Soled Shoes
If you compete in powerlifting, you will have seen some people rocking a pair of Chuck Taylors. They are terrible for running, but for squatting they are not too bad. The shoe has a 0mm drop from heel to forefoot. This is a big difference from a weightlifting shoe which can have a 20mm drop. If you have poor ankle mobility then these shoes will not offer you any help and if you have not fixed your ankle mobility before squatting or performing Olympic lifts then you may experience discomfort wearing these shoes and will not perform at your best. People who low bar squat may find these a good choice of shoe because you sit back into your hips more with this variation of squatting and therefore your knees will not have to move as far forward. A negative with these shoes is they have a narrow toe box meaning you will struggle to grip the floor as well.
Cross-Trainer Shoes
With CrossFit being a popular form of training, there is always going to be a shoe designed for that style of training. These shoes have good support at the heel and then a flexible forefoot design as well. The most common and popular kinds of cross-trainer shoes are Nike Metcons and Rebook Nanos.
They are both a good alternative to your normal running shoes and lifting shoes. Especially when you have a workout that combines all kinds of movements from box jumps, running, rowing machine and Olympic weightlifting. But if your goal is to just go for a run or just to squat and deadlift then these shoes are not the best option, they are built to be a good all-rounder.
Final Thoughts
When it comes to picking your shoe it should be chosen based on your personal goals. If you do have questions on what shoes might be best for you or issues with mobility when lifting and want to improve on this, 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
Currently, people will do anything to compete and perform at their best. When it comes down to game day, it is common for people to try and ignore their pain and then push through it. This goes back to the phrase we have been told from when we were young of ‘No pain, no gain’.
In the world today, no pain, no gain is frequently said and acted upon to cover up pain. We wrap our ankles and wrists before games, wear knee sleeves and take pain killers and use creams to get through training by keeping the pain at a low enough level in order to perform. Although this allows us to compete on a consistent basis but these temporary solutions for dealing with pain during competition and even training sessions have become regular occurrences for people during their routines.
So what can be the effects of pushing through pain?
Pain tells us that there may be injury occurring to the body. The type of pain can vary from sharp, stabbing or throbbing sensation. Pain can be muscular or you could be feeling it in a joint. It often occurs due to overuse, poor technique and inflammation. It is important to note that pain does not improve because of a proper warm-up or mobility work pre-session.
This is because pain is not a soreness. Whereas muscle soreness will almost always improve when you have done a throughout warmup. When your muscles are sore this is a natural part of training. So if you have done a warm-up and your pain improves it is most likely because you are just sore and can continue with training.
There are a few reasons why phishing through pain can be harmful. Firstly as mentioned earlier, pain can be a warning sign of a problem being caused for your body, similar to a check engine light on your dashboard. Although there may be times of pushing through pain to get a performance in, if it becomes part of your training routine it can be detrimental to your body and your progress. Continually ignoring pain is when injuries occur.
Pain also changes the way you move. This is because your body is trying to find a position where it is protected. But this can also affect your movement and therefore directly limit your mobility and diminish your strength. This is especially true for gym-goers when using a barbell. Because trying to push through the pain when you are lifting heavy will limit your development.
So do not ignore the signs with your body when it is in pain. Learn to embrace pain as a chance to fix your body so it can run for a long time safely.
If you suffer from pain and would like an examination and treatment to help relieve your symptoms and improve your movement patterns 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
A lot of people get back pain but continue to either train through it or rest until the pain lessens only to get it again when they continue with the activity they were resting from. So this blog will cover the basics of back pain, the main ways that your training might be affecting it and how to prevent pain.
Your spine is not just a stack of bones piled on top of each other. It is more of a curved tower of small bones called vertebra, where each of these is separated by the bodies equivalent of a pillow, called a disc. The discs in between the vertebra provide support and create a cushioning effect when you are loading your back. Then your vertebra is connected by little joints called Facet joints. The purpose of these is to allow you to bend and twist through movements. All of these structures are held together and supported by different tissues. These are ligaments, muscles, fascia and joint capsules.
So what actually causes back pain when people are training or doing general movements at work or at home?
The simplest answer is that pain is the result of excessive stress or strain on the structures of your back. Pain is more commonly due to an accumulation of microtrauma rather than one actual event. Three main areas that can cause a build-up of microtrauma are:
Poor movement or technique
Excessive loading of the spine during training causing an increase in compression to the spine
Poor training programming or periodisation (not enough rest)
Your body is built to resist a certain amount of force before it fails and gets injured. Athletes who can safely push themselves to the point just before the limit will find a big increase in improving strength and performance. But pushing past this limit is where pain occurs and injuries occur.
In the day when we are moving, bending, twisting and also when we go to workout the spine is most efficient when stacked in a neutral position. Microtrauma occurs when the spine moves out of this neutral spine position.
For example when deadlifting with an excessively rounded back, or having a butt wink when squatting. Also, microtrauma can occur when you load your back excessively. This microtrauma builds up and then gets to the point we mentioned previously where pain occurs.
Often the point of pain at one part during a movement for example coming out of the hole of a squat and feeling a pop in the back or if you were just brushing your teeth in the morning and you felt your back give way. It is likely down to the movements you have done previously that then mean doing a simple thing causes pain in your back. So having proper form and managing your training loads are vital to keeping your back healthy and pain-free.
So if you are suffering from pain and would like treatment for it, or would like an assessment to see where your imbalances and potential injuries may originate from contact the clinic today on 0578678904, direct message us on Facebook or book now.
Yours in Health
The Lawlor Clinic: Spine & Sport, Portlaoise, Laois
People use a weightlifting belt in the gym when performing exercises such as squatting or deadlifting. You may have brought one or be thinking of buying one, but it is important to know how to use the belt correctly to help get the best out of your lift.
The most common fault is to just put it on as tight as physically possible as if you are wearing an 18th century corset. Some people wear the belt for their whole workout and some just for their maximum lifts in training. While some do not ever use one because they say their back and core is strong enough to not need one. But who is in the right?
The use of the belt comes when you actively pressurise into it to create extra stability for your back. If we are squatting and get under the bar it is crucial to take a big breath and brace our core to stop the bar from bending us over. Doing this will increase the pressure inside your abdominal cavity against the structures surrounding it so creating an increase in intra abdominal pressure. The weightlifting belt is an extra layer to help pressurise against to increase intra-abdominal pressure.
The way to think of this is to think of your abdominal cavity like a balloon. When you blow it up the pressure inside the balloon increases. If you put a bit of tape around the balloon to act as your core muscles and blow up the balloon, the balloon can only get to a certain diameter and then the pressure inside the balloon will increase against the tape. The weightlifting belt is similar to if you put a piece of gaffer tape around the balloon as well as the normal tape. Then if you blow the balloon up there is even more tension around the balloon and therefore the pressure inside can rise even more. Research shows that you can increase intra-abdominal pressure by 20-40% when wearing a belt in a heavy squat. But it is not enough to just wear the belt tight. The key is to breathe into the entire circumference of the belt and then pressurise against it.
So a belt combined with a correctly braced core is better than no belt foo increasing intraabdomincal pressure but it does not replace our core muscles.
In conclusion
So we know wearing a belt and pressuring against it correctly can help our lifts but one of the important things to not rely on the belt all the time.
It is crucial to lift without the belt for lighter weights so your body does not become reliant on the belt. It is merely a training aid but not a training necessity. Some lifters do not use a belt even for their max attempts but if you are going to wear a belt it is important to use it in the right way and not become reliant on it.
If you are training for a max lift or are a regular gym-goer and want some advice and treatment contact the clinic today on 0578678904, direct message us on Facebook or book now.
Yours in Health
The Lawlor Clinic: Spine & Sport, Portlaoise, Laois
For or any athlete or gym-goer, the ability to move pain-free and being mobile on the field is key to performance. Whether you play rugby, football, hurling and weightlifting, these all require muscle strength, flexibility, proper body mechanics and technique to prevent injury and perform your best.
Preventing Pain and Injury
People who are training consistently for a sport or activity are more likely to be stiff and sore after training or a match. This is especially relevant for those who participate in contact sports like rugby. In the clinic, we have a wide range of treatment options, which will help target your muscles and joints to gain more flexibility and decrease painful movement. This can help decrease the risk of injury because it encourages flexibility and movement so you have a better range of motion to throw, catch and run.
Restore Function
Many sports require repetitive motion that can lead to overuse injuries. This is because you need consistent practice at a certain skill to achieve accuracy and distance. This means muscles around the arm and shoulder can become injured. If the muscles and joints can become painful and inflamed you will start to limit the movement to protect the sore joint. While rest is helpful for repetitive motion injury, in the clinic with techniques such as massage therapy can restore normal function, relieve muscle spasms and pain quickly.
Enhance Performance
In the clinic, we will do a full functional screen to see where the body is not moving efficiently and help recognise where we can help improve your movement to help your sports performance.
Treatment methods we use in the clinic are:
Chiropractic adjustments
Mobilisation
Active Release Technique (ART)
Dry needling
Diet advice
Dynamic Neuromuscular Stabilization (DNS)
Laser therapy
If you have niggle or feel tight in certain areas and want to get it 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
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
