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
This blog will cover a common myth of the squat. It is commonly thought by many that the knees should never go over the toes when squatting.
No one is certain where this originated from but it has become a common theme in the fitness industry and medical world.
But, is it really a dangerous thing to do? For Olympic weightlifters to be able to lift the most amount of weight during their clean, they must catch the barbell in a deep squat position. Then in order to remain upright with the bar secured on the chest, the knees of many lifters will move past their toes. So does this mean all weightlifters are placing their knees in harms-way when they get under the barbell?
When you squat poorly, the origin of the movement will commonly be from the ankles first. This means as the ankles move the knees are forced to hinge forwards. This creates a chain reaction of moving your weight onto the balls of the feet. This is called a knees first approach to squatting. Doing this in this way leads to greater shear forces on the knee joint and contributes to increased risk of injury and eventually to pain.
So because of this, it appears the issue is at the knee because that is where the site of pain is. So if you limit the amount of movement the knees have then this solves the problem. However, limiting the knees from moving only addresses the symptoms of the issue rather than the overall problem.
What to do?
Where the issue lies is your balance. This is because the knee is only a hinge joint. It will move due to what it is being dictated by at the hip and ankle. So we should be focusing on the hip and ankle joint when we squat.
During squatting we must have our centre of gravity over the middle of our foot. This is because our body can remain balanced and work effectively in producing speed and power. During a bodyweight squat, our centre of gravity is located around our belly button. When weight training, the barbell now becomes our centre of gravity.
So how do we correct for moving from the ankles first? It is important to sit back or push the hips back so we hinge from the hips in order the get the hips moving first and therefore allow us to descend into a deep squat. Doing so will limit the amount of pre-mature forward movement of the knees. So the centre of gravity will stay over the middle of their foot.
But this only works up until a point. In order to reach full depth in the squat there comes a time when the knees must eventually move forward. To stay balanced while we go deeper into a squat, our knees have to progress forwards of our toes, this will help us stay balanced. This is because to get to the full depth in the squat, the hips must be under the torso. This allows us to remain balanced and keep our chest upright.
The main point is that we should not be concerned when our knees move past our toes, not if.
If you suffer from knee 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
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
Rugby is one of the most popular sports around today and is one of the toughest on the body. As many people who play rugby know, there are few areas of the body that can avoid getting hit or injured while playing because of how heavy of a contact sport it is. In this blog, we’re going to look at which injuries are the most common, and what actions you can take to avoid them.
Common injuries
It is common for players to get bruises or strains to the muscles when playing rugby. Almost half of rugby injuries are on the muscles but many can be avoided or prevented. So knowing the best ways to do this is crucial to your game management.
Another 25% of injuries are head injuries. With the main head injury being concussions.
Fractures are another common and more serious injury involved in rugby.
Also sprains such as ankle sprains (which are the most common) can occur at ligaments in various areas of the body for example the knee, shoulder and ankle
Risk factors?
Although the injuries mentioned above are the most common injuries in rugby, different people will be at risk in different ways. For example, children are more at risk of fractures than other age groups because bones still developing until you are in your 20’s.
Also, the role you play in the team has an effect on the risk of injury. Hookers and flankers are the most injured players on the team and put themselves in positions where they are more likely to get injured, this is especially relevant in tackling.
Injury prevention
So as we have covered there are many injuries you can pick up during rugby and it is common to think that this comes with the territory of playing the game. But you can reduce the risk of injury and therefore play more minutes on the pitch.
It has been shown that most rugby injuries take place right at the start of the season. This is because people have fallen out of their training routine and are suddenly going from 0 to 100 when returning to play. By doing this the muscles and ligaments are not fully prepared for being back and are at a greater risk of injury. The best thing to do in the offseason is to still train and keep your body at a good level of fitness so you are prepared for the return to the pitch.
Certain muscles and joints are at more risk of injury in certain positions. For example, backs are more likely to injure their knees because of being in a compromised position. If your body isn’t functioning correctly and is tight in certain areas then injuries are more likely to occur. This can occur because if you force the joints or muscles into positions they are not used to then they can be injured whereas if they were loose, mobile and stable, then they have less chance of injury. This is the area we focus on in the clinic. We do this by doing a full functional assessment and then explaining which areas of your body can be worked on to help improve performance and decrease the risk of injury.
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 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
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
Check out Shane’s XIX Podcast Interview discussing all things Golf Injuries, Rehab & Performance
▫️How he got to work on the PGA & European Tour ▫️Whats it like working with tour pros? ▫️The changes he’s seen in the past 10 years ▫️What it takes to be a tour pro? ▫️What amateurs can do to improve their game?
Our feet play an essential role in how we transfer our body weight when we move, provide vital information to our brains for position awareness and sometimes are even called upon to help out our weak cores. We need to look after them and have them strong enough to meet these many demands. Modern foot wear, orthotics and lack of time walking around bare foot all contribute to weak intrinsic foot muscles and it is these which we need to strengthen.
Try the following movements shown in the video below to see how strong your feet are
1. Foot Crawl
2. Big Toe Up while keeping other 4 down
3. 4 Toes Up keeping big toe down
4. Toe Pianos
5. Toe Spreads
“In order to master it you need to practice it”
Start with doing any weak or difficult movements everyday for 1 minute
If you would like to book an appointment please contact us today for a quick chat to see how we can help!
Yours in Health
The Lawlor Clinic, Portlaoise
Chiropractic, Golf & Sports Injuries | Active Release Techniques (ART®)
A common condition we see frequently in the office is knee pain. In a lot of cases we can trace the pain in the knee back to a dysfunctional joint above or below it, unless you got a direct trauma to the knee itself.
This is largely because the ankle and the hip have far more range of motion and thus more risk for injury and dysfunction than the knee itself. The knees are hinge joints, which means they primarily move in flexion and extension, with a bit of rotation. The femur (thigh bone) sits on top of the tibia (shin bone), cushioned by the meniscus (cartilage) in-between the two. It’s all held together by a lot of strong ligaments, along with the muscles of the thigh and calf there to support as well. Here are 3 common factors:
1. Big toe dysfunction– this problem is more common than you would think. When the big toe gets stiff and loses movement, the body starts to compensate to try and get the same range. This leads to the ankle collapsing inwards and also the knee along with other problems further up the body. This inward collapse of the knee toward the other one is called a valgus stress- and you don’t want to have this!
2. Ankle mobility– limited motion, specifically dorsiflexion or lifting the ankle up towards the body, requires the knee to go more forward to make up the distance lacking at the ankle. Knees forward over the toes is another risk for injury. There is too much strain on the knee in that position and eventually something will give.
3. Glute activation-or lack there of. With our modern lifestyle we are sitting much more, which means the glutes are not getting worked as much as they should be. Specifically, weakness in the glute medius and other external rotators can predispose us to valgus stress at the knee…. which if you remember: you don’t want to have this!! Try these clam shells to get your glute muscles firing:
There are many other reasons why you may have knee pain, but these are some of the most common we see in the clinic. Instead of straining the knees with your movements, why not work on moving properly through the ankles and the hips to take the pressure off them and prevent future injuries? Want to get your knee pain assessed? Contact us today!
