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
Foot injuries can be frustrating because they affect you constantly in the day. It hurts to run, jump, squat, getting up in the morning and can stop you from doing activities you love.
A common condition people are diagnosed with is plantar fasciitis. The plantar fascia is a thick sheet of connective tissue that lies on the bottom of your feet. It runs from the inner part of your heel and spreads under your foot, attaching to the base of your toes. The function is to act as a shock absorber for the arch of your foot when moving.
Imagine the plantar fascia as a rubber band. When you are not standing up the rubber band is relaxed. But as the foot hits the ground when walking or running, it is pulled taut. This is useful for two reasons.
Maintains your foot arch.
Allows the foot to be more rigid allowing the body to push off the ground propelling itself forward more efficiently.
Imagine you are trying to run through quicksand. It is hard to push off and gather speed because you have not got a firm surface to push off. But the plantar fascia creates an effect in the foot turning this quicksand to a firm surface so you can generate force efficiently and with more power.
For a long time, Plantar Fasciitis was thought to be an inflammation of the plantar fascia and more of a repetitive stress injury. But the true cause of this condition comes down to a problem with blood flow.
When your big toe is pulled inward for example in a narrow shoe or if you have a tight foot, a muscle on the inside bottom of the foot is under tension, this is your Abductor Hallucis. You can test this and see it for yourself. If you pull your big toe inwards and look next to the inside of your heel, you can see the stretching occurring.
This tightening of the muscle leads to pinching of a nearby artery that runs underneath. This restricts blood flow to part of the bottom of your foot.
This leads us to an important point. Poor blood flow limits the body’s ability to recover from stress.
Symptoms:
Most people who are diagnosed with plantar fasciitis have pain on the bottom of their foot (usually near the inside side of the heel) that is especially extremely painful when taking their first few steps in the morning after waking up.
A common description is a knife-like sensation stabbing the bottom of the foot. While these symptoms may get better through the day but are then made worse with loading. For example when you go for a run or stand up for long periods of time.
Mortons Neuroma: A very common condition that causes pain in the foot is Morton’s neuroma. It is a painful enlargement of a small nerve in your foot that runs between your third and fourth toes. But why is the nerve painful in the first place? The answer is often inappropriate footwear and a dysfunctional foot.
The three problem features of shoes contribute to nerve irritation.
Elevated heel: This causes the toes to be in an extended position. This will increase the amount of load on the nerve
Toe spring: Lifting the toes also increases the load on the exposed nerve to an even greater degree.
Narrow toebox: If the toes are pushd together, the nerve can be pinched between the third and fourth toes.
Symptoms:
This extra loading on the nerve and pinching causes symptoms of burning or electrical shock-like pain into the third and fourth toes. It also often gives an uncomfortable sensation in the foot and is often described as a feeling of a pebble in peoples shoes.
Next week we will cover the ways to help manage and fix these issues.
In the meantime, if you suffer from foot pain or have any questions 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
Shoulder pain is a common issue for a lot of people either in day to day life or when they are training. One of the most common conditions is shoulder impingement.
To prevent shoulder impingement it is important to have strength and endurance in a muscle called the Serratus Anterior. In movements such as putting something up on a shelf or exercises such as an overhead press, this muscle activates and makes sure that your shoulder blade moves correctly and that your shoulder joint is stabilised in a correct position.
If your Serratus Anterior is weak or if it gets tired quickly then it can cause unwanted movement in the shoulder joint and lead to an impingement in the shoulder.
So what exercises can we do to strengthen the Serratus Anterior and also stabilise your shoulder?
Half-Kneeling To Overhead Press
A bottoms under kettlebell press is an excellent stability based exercise for the shoulder and this movement carries over to alot of movements you perform in the gym and daily life.
Start with both knees bent with the kettlebell in the front rack position. Then keeping your core engaged drive up and bring your leg in front of you. It is important to keep your core braced doing this and try to keep your ribcage stacked directly over your pelvis. Finally, press the kettlebell overhead and then lower it back down keeping control of the kettlebell throughout the movement.
Holding the kettlebell upside down means the centre of gravity is further away from your hand and therefore means you have to work harder to control the kettlebell as it is in an unbalanced position.
DNS Low Oblique Sit Stage 1
Start on your back with your right hand up in the air holding the kettlebell. This time the kettlebell will not be in a bottoms under position. Then bend your right leg up and keep your left leg straight. Pressurise through your abdomen and keep your core contracted. Bring your left elbow out and drive up through the elbow keeping the kettlebell overhead and your core braced. Keep in control of the kettlebell at all times and control your movement back into the start position.
Final Thoughts
If you are an elite athlete or just enjoy going to the gym then both of these exercises can help you. They both work very well as a warm-up before you do your workouts, or they also work integrated into a workout superset.
If you have shoulder pain and want to get it sorted 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
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
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
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
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
