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
Elbow injuries are a common injury in desk workers and athletes. In people who lift weights they are one of the most common injuries to have.
Although the elbow may appear to be a simple hinge joint that simply has two movements (bending or straightening the elbow), the reality is far from it. The elbow is a more complicated joint than it seems because the movement occurs between three bones and surrounding this are 16 small muscles. These help to not only straighten and bend your elbow but also rotate it as your palm is either up or down.
Although many elbow issues are due to overuse of the muscles causing a repetitive strain injury, it is common for people to cause an injury to one of the several nerves in the arm. This can cause tingling, numbness, a burning sensation and possible weakness in the hand.
A type of exercise that is used to help nerve pain is nerve gliding. This aims to either stretch the nerve or glide the nerve.
Gliding techniques will stretch the nerve and have the aim of increasing the tension and pressure through the nerve. This sometimes makes symptoms worse in people.
Sliding techniques will move the nerve with a lot less tension and pressure and therefore don’t increase symptoms.
The goal is to use these techniques to increase blood circulation, reduce the swelling that is around the nerve and get the nerve back to its natural movement. This will decrease symptoms once these areas are restored.
Make sure you only do a few sliders at a time because overstressing the nerve even with a less aggressive technique will potentially increase your symptoms. It is not always the case that a little bit of something is good so let’s do lots of it in a more is better approach. So do this little and often throughout the day rather than all at once.
If you suffer from any elbow issues or capal tunnel 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
Chances are you know someone with a hamstring injury or have had one yourself. If you have had a hamstring injury you will know first hand they can be very difficult to get rid of. Also, you are faced with the problem that if you have a hamstring strain you have a very high chance of re-injuring the hamstring again.
But what are hamstring tears?
Class I: There are only a few muscle or tendon fibers are torn. You will usually have pain during or after activity which would be worse when sprinting. There may be a small amount of swelling and discomfort. Usually associated with minimal strength loss. You will likely be able to walk directly after the injury.
Class II: A partial tear of the fibers. You will usually have pain during activity which stops activity. There will be a significant loss of strength and a significant amount of pain. You will likely have some pain when walking.
Class III: This is when there is extensive tears to the muscle, you will usually have felt pain immediately and may have fallen to the ground. Your range of movement at 24 hours is usually significantly reduced with pain on walking. There is usually weakness in contraction.
Class IV: A complete rupture of the muscle/tendon. This will be associated with a huge loss of muscle function, often an inability to walk due to pain and massive bruising on the back of the thigh. This class can often be less painful than class III.
How to help
If you have suffered a low-grade strain of your hamstring, here are some explanations of exercises that you might find useful. If you have sustained what you think may be a grade 2 or above injury, it is recommended that you go see a medical practitioner for some hands on help and to effectively rehab the muscle.
A good exercise to start for a low grade hamstring strain is a bridge. Start by lying on your back with your knees bent. Drive your heels into the ground and imagine you’re about to get punched in the stomach (this will make sure your core is braced). Then drive your hips upwards and squeeze your butt muscles. You should then hold this postition for 5 seconds and then lower yourself to the starting position. If this is painful then STOP, you don’t want to over strain the tissues that are healing. 2-3 sets of 15 reps.
Also it is important to work on your balance. To do this, stand on one leg, then do a small hip hinge and attempt to hold this position for 10-20 seconds. Start with your eyes open and then once you are comfortable with this you can try doing it with your eyes shut which will make it much more challenging. Also, try to do this exercise barefoot. 2 sets of 5 holds.
If would suffer from recurrent hamstring issues, 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
Tight hip flexors are a common issue we see in clinic.
With tight hips people commonly look for one of two reasons to why they are tight:
– Is it tight because it’s short and so we should stretch it?
Or
– Is it tight because it’s weak so we should strengthen it?
This brings us to an important point.
The psoas muscle plays a role in hip flexion but hip flexors shouldn’t purely be judged off the muscles action but should be judged from the function of the muscle, which for the Psoas is stability of the lumbar spine.
The psoas has a broad origin that is from all the segments of your lumbar spine.
Your lumbar spine has no structural stability unlike for example its neighbour, the thoracic spine. So the lumbar spine relies on muscles to stabilise it.
What can we learn from this?
Rather than attempting to fix your tight psoas by really pushing the muscle into a stretched position or by just directly strengthening it, a different line of attack can be taken by focusing your time on stabilising the lumbar spine and your core muscles.
To really increase the effectiveness when you try to stabilise your lumbar spine and core is focus on resisting force through all three planes of motion for the lumbar spine. These are flexion/extension, lateral flexion and rotation.
To do this you can integrate the Mcgill big three into your workout or daily routines.
Attached below are 3 key exercises to target all three planes of motion for core exercises.
If you suffer from tight hips and would like a full functional assessment and us to take give you tailored advice, feel free to contact the clinic today on 0578678904 or book now.
Yours in Health
The Lawlor Clinic: Spine & Sport, Portlaoise, Laois
Firstly, cycling in comparison to other sports has a low rate of injury, apart from crashes or collisions from, for example, someone jumping into the cycle lane on your morning commute and your morning coffee failed to wake you up in time.
However, cyclists do need to take care of their backs because in general, the most common thing cyclists complain of, is their back.
Being hunched over on a road bike will take an effect over time. Low back pain is reported by more than 50% of cyclists and in overuse injuries lower back pain causes the highest rates of functional impairment and medical attention amongst cyclists.
Why do cyclists get low back pain?
There are many potential reasons why cyclists can get back pain but the following are the most likely:
Poor bike fit: This can be from an incorrect saddle height or and uneven saddle
Knee has a less than 25% bend at the end of the stroke. This will force you to rock your pelvis from side to side to get enough power at bottom of the stroke.
Your handlebars are too far forward causing you to overstretch which will increase tension in your lower back.
Flexing the lower back and causing core abdominal muscles to be in a poor position and so won’t work effectively. This means you won’t be in a stable position when you’re cycling.
You can also hurt your neck and upper back by bending your neck too far upwards. This will increase the strain in your neck and you could also hurt it going over unexpected bumps.
Using BIG gears. You should aim for a cadence of around 90 RPM. If you are getting lower than this then it will put extra stress on your back.
Tight hamstrings. If you have a reduced range of motion in your hamstrings then this will pull on your pelvis and rotate your spine into a more rounded position.
Poor core muscle strength.
If you are riding on bumpy terrain. This increases jarring and compression to the spine while you ride and can cause pain in your back.
Length of cycling done weekly. Cyclists who ride an average of 160 km or more per week are significantly more likely to report back pain than those who rode less km per week.
Things to check if you have back pain while cycling:
Ultimately there are 3 main things to do:
Check your bike fit. There is an association between bike fitting and your comfort while cycling. This can increase pain if your bike is not fitted properly.
Check your cadence and see if it needs to be increased. A low cadence puts more strain on your back.
Strengthen your core and back muscles. The low back is not designed to take much hard work when cycling. Your core should protect it and provide support.
If you suffer from back pain when cycling and would like a full functional assessment feel free to contact the clinic today on 0578678904 or book now.
Wearing high heels shoes can create a lot of problems when it comes to walking biomechanics which could cause injuries in your feet and further up your body into your hip and lower back.
What changes high heels make?
It creates a-lot of pressure in your big toe
It will reduce the ability to get a spring in your step because there is less tension in your calf due to it being in a shortened position.
You have to step higher to clear your foot off the ground and this can cause injuries to other areas of the body. The higher the heel, the higher you have to step.
With your heel raised the knee is moving forwards so there is more loading through your quadriceps and therefore more compression across the knee.
Whereas the people who use a low heeled shoe are more likely to put the foot under their centre of mass and use the muscles around the front of your lower leg as shock absorbers.
Simply put, if you run downhill you will feel like your knee is under more pressure. Therefore, if you wear high heeled shoes you are changing the biomechanics of your walking to affectively be always walking downhill.
High heel wearers moved with shorter, more forceful strides. This movement pattern continued even when they kicked off their heels and walked barefoot.
Try it yourself:
If you go up on your toes and take a few strides. It is very difficult it is to take a full stride and engage your glutes.
But, if the foot is flat on the floor with your toes extended it is much easier to engage your glutes.
So what can we learn?
If you wear high heels for a long period of time, your calf fibres could shorten and be put under much greater strain than if you do not wear high heels.
None the less, there is a bigger problem lurking and brewing underneath when heels are worn regularly.
Slowly and gradually the disuse of the muscles at the front of your lower leg will weaken and your calf will shorten. If left too long, it will result in tightness.
Exercises and rehabilitation
Shuffle walks
Instead of just stretching the calf and forcing the ankle into a position, the aim is to strengthen the front part of your lower leg.
First, bend the knee and lift the foot up with the leg bent. This will access lots of the required muscles. Then slide the foot forward and lower the leg. Repeat and slowly slide forwards.
Moonwalk
Bend the knee, come onto your toes so the whole calf is engaged. Then lower the heel down but as you do this increase knee flexion while the toes are raised. Do this one leg at a time and slowly move backwards.
Do 2 minutes of each of these exercises every day. This is especially important if you are doing running as an exercise.
If you would like a full functional assessment or have any pains when exercising feel free to contact the clinic today on 0578678904 or book now.
Yours in Health
The Lawlor Clinic: Spine & Sport, Portlaoise, Laois
During the current climate it may be difficult to find the motivation to train with no gyms or sports clubs open for business. However, regular physical exercise can still be done which will have significant benefits for your health and will get your body prepared for when sport starts up again.
Evidence shows that the benefits of physical activity and training in the senior population continue to grow. These benefits include that people have fewer falls with injury, improved muscular strength and endurance, a decreased incidence of coronary artery disease, and a lower risk of cardiovascular related mortality.
Senior athletes can enjoy participating in a variety of athletic or sport related activities including running, walking, swimming, golfing, lifting weights, cycling and tennis.
Based on the activity you are training for, the training regimen should be specifically designed to produce both metabolic and physical adaptations aimed to improve health and performance.
The American College of Sports Medicine (ACSM) recommends the following training guidelines for senior athletes:
•Train 3-5 days per week
•20 to 60 minutes of continuous or intermittent aerobic activity
•Any activity that engages the large muscle groups like walking, jogging, running, cycling, rowing, stair climbing.
•Perform resistance training: One set of 10-15 repetitions for major muscle groups, two to three days per week
•Perform flexibility training: stretch major muscle groups at least four times each for a minimum of two to three days per week
If you need help with planning a physical activity routine or have any pains when exercising feel free to contact the clinic today on 0578678904 or book now.
