Very rarely is strength the answer for shoulder pain. For sure, you are going to need to load the shoulder in shoulder rehab… And use shoulder ‘strengthening’ exercises to do this… But strength is not always the problem? Context is key. Clearly, a post-op shoulder, or a severe shoulder injury that has been immobilised for a period of time, will have lost some strength… And you’ll need to do some strength work as part of the rehab process. But I am more talking about the majority of other shoulder pain patients you see. Like those patient's that have irritated their shoulder, when the pain is not so bad that they have had to stop all activity, but it won’t go away. Patient's with rotator cuff, ACJ, 'impingement' injuries. You see these type of patient's right? What I have found key with shoulder pain rehab, with both patient’s and pro athletes, is that you need to start slow. By slow, I mean that you need to restore your patient’s ability to move well, load and function slowly, and at low intensities, before you progress. A big mistake I see a lot with new grads and shoulder pain, is giving them too much rehab to start with. Often this overloads the shoulder and can actually be detrimental to their recovery. Picking the right exercises and doing them pain-free and doing them well is vital at the start with any shoulder pain patient. Then you can add load and get them strong if that is what they need! This is not just a shoulder thing either. This applies to all injuries… All over the body! Start slow... Progress quick! Hope this helps, Andy Barker The New Grad Physio Mentor PS. Want to learn more about the best way to manage shoulder pain patient's? Then check out my FREE Shoulder Pain PDF Right Here… newgradphysio.com/ #newgradphysio #newgradphysiomentor #newgrad #newgrads #physiotherapy #physio #physicaltherapy #students #therapy #MSK #physiotherapist #studentphysiotherapist #physiostudent #sportstherapy #studentphysio #sportsrehab #learning #cpd #sportsphysio #mentor
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Just because your patient has shoulder pain does not mean they have a shoulder problem… And need shoulder rehab. WTF Andy! I had a patient just yesterday in the clinic complaining of left shoulder pain for the last 3 months, yet it was not his shoulder that was the problem… But his left elbow! In short, he had flared his left elbow on holiday carrying his youngest child a lot, developing a distal bicep problem. This had seemingly fixed itself up, however, a month after the elbow pain, the shoulder on the same side started to hurt. The body is clever like that. It will find a way around a problem. It will compensate. In this case the shoulder, and specifically his left anterior deltoid and pec minor were doing more work, to help out the bicep problem. Initially, this is a good strategy, as it allows the body to keep functioning, but… If not addressed it causes issues longer term, just like this patient’s shoulder pain. The last physio he saw rehabbed his shoulder and gave him all the usual shoulder rehab exercises… But he did not get better, because… His shoulder was not the problem. If your shoulder pain patient is not improving, make sure to check that another issue elsewhere is not driving the problem. Hope this helps, Andy Barker The New Grad Physio Mentor PS. Being able to make sense of this patient’s injury stated with the subjective assessment… And the ability to be able to identify previous injuries that might have been contributing to his shoulder pain… Before testing out these assumptions in the objective assessment. Would you know how to work out if a patient’s elbow issue (or some other injury) was causing their shoulder pain, or not? Need some help? Head here and I’ll show you how to do this… https://lnkd.in/gGyB8aHF #newgradphysio #newgradphysiomentor #newgrad #newgrads #physiotherapy #physio #physicaltherapy #students #therapy #MSK #physiotherapist #studentphysiotherapist #physiostudent #sportstherapy #studentphysio #sportsrehab #learning #cpd #sportsphysio #mentor
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You ARE allowed to round your back when you deadlift And you ARE allowed to round your back when you pick things up off the floor, even if they're heavy Now before everyone loses their minds... I'm not saying that you shouldn't try to optimize your mechanics when lifting heavy things off the ground (pulling the object/bar as close as possible to you, stiffening your trunk/spine to RESIST increased spinal flexion as much as possible while utilizing a strong hip extensor torque/hip hinge, etc) So please don't attack me and say that I'm saying that you shouldn't care about technique (because that's not what I'm saying at all) What I want you to know is that people demonize the spine rounding (flexing) during deadlifting (or lifting things off the ground) when it literally HAS TO FLEX/ROUND Even when it looks like it is not to the naked eye, it is rounding/flexing to a degree (Potvin JR, 1991) Again, to clarify, this does not mean that I am advocating for everyone to go out and purposely round/flex their spine maximally or to throw out technique or mechanics when deadlifting... You still want to try to optimize your biomechanical levers and try to RESIST spinal flexion (using your spinal extensors simultaneously with your hip extensors) as much as possible BUT...I'm simply letting you know that it is OKAY if your spine flexes a little (or even a decent amount) when deadlifting (you will notice that for MOST people, you will be able to visually see this as the weight/load more closely approaches maximal effort) As long as you have slowly built up your tolerance to the load you are lifting and aren't jumping up in weight too quickly (or ignoring warning messages from you body like persistent or increasing pain), you should be fine 🚨 Disclaimer: If you currently notice that forward bending is painful/aggravating, then temporarily limiting the degree in which you bend/flex your spine can definitely be helpful! BUT...this doesn't mean that bending/flexing the spine is BAD or more likely to cause injury in every single person, nor that you should avoid it forever! ⁉️ Questions? Comments? ⬇️ If you need help with your own training and/or rehab: 1️⃣ Work with me 𝟭-𝗼𝗻-𝟭 𝗼𝗻𝗹𝗶𝗻𝗲: I’ll perform a detailed assessment, put together an individualized program based on where you’re currently at and where you want to get to (your goals), and then coach you through the process of getting there ➡️ Tap below and fill out my application form (I’ll respond within 48 hours) ⬇️ https://lnkd.in/gZ5Uey7B 2️⃣ Join over 2000 others in my app: if you don’t need 1-on-1 coaching but need structure, my app includes 𝟭𝟬 𝗳𝘂𝗹𝗹 𝗹𝗲𝗻𝗴𝘁𝗵 𝗽𝗿𝗼𝗴𝗿𝗮𝗺𝘀 and 𝗼𝘃𝗲𝗿 𝟭𝟲𝟬 guided mobility, strength and stability routines within 𝟮𝟱 categorized sections covering the whole body ➡️ Tap below to get full access to my app 𝗙𝗥𝗘𝗘 for your first 𝟳 𝗗𝗔𝗬𝗦 and then 𝟰𝟰% 𝗢𝗙𝗙 ⬇️ https://lnkd.in/g8DHxEVC
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Getting on top of shoulder pain (and keeping it at bay) is one of a new grad physio’s biggest challenges! A few shoulder stretches… Scapula stability exercises… Or theraband external rotations don’t cut it for most shoulder injuries. You know what I am talking about, right? Here’s what you need to do instead… #1 Don’t Push Into Pain There are some injuries you can load into pain, like some tendon issues and injuries like a lateral ankle… But shoulders are typically not one of these injuries. The often do not respond well to loading into pain, as they irritate the shoulder, causing an increase in your patient’s symptoms… Something that your patient will not thank you for!!! But don’t get this wrong… This does not mean you have the rest the shoulder and be uber cautious and conservative. Complete the opposite. The shoulder needs to be loaded to get better. You just need to know what exercises to do to find the right balance between loading the injured area… But not push it too far so that you flare up your patients shoulder symptoms. Easier said than done right? Need some help with your shoulder pain patients? Then just send me a DM with the word ’SHOULDER’ and I’ll send you over my most popular shoulder pain resource for FREE. Hope it helps, Andy Barker The New Grad Physio Mentor PS. Keep your eyes out for my next couple of emails that will have some more top tips to help you make sense of... And manage different shoulder pain problems! #newgradphysio #newgradphysiomentor #newgrad #newgrads #physiotherapy #physio #physicaltherapy #students #therapy #MSK #physiotherapist #studentphysiotherapist #physiostudent #sportstherapy #studentphysio #sportsrehab #learning #cpd #sportsphysio #mentor
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Senior Lecturer - BSc Sport Rehabilitation, MSc Sport Rehabilitation and Athletic Training, Performance Coach and Sport Rehabilitation GSR BASRaT-reg, Accredited S&C
interesting discussion around calf rehabilitation and some thoughts 🟢 some athletes are able to run really fast and barely do more than 15 SL heel raises 🟢 use of a metronome can alter the number of reps done 🟢 does this mean there is an issue or does this mean some athletes rely more on tendon stiffness than isolated muscular effort? 🤔 🟢 sprinting and hopping tasks are biased towards the calf complex 🟢 the calf is certainly as important but often neglected in ACL rehab - remember gastroc is bi articular over the knee and ankle 🟢 foot position can greatly affect efficiency of running, bounding, rebound and hopping tasks (see Jonas dodoo posts) 🟢 triple extension is discussed in Oly lifting for sprinting and speed yet the calf "extends" last concentrically when it's the first under load during ground contact eccentrically 🟢 lifting should prepare us for jumping and hopping that in turn prepares us for running 🟢 tendinopathy isn't a short term one time thing and can be confused with tendon sheath and other pathologies 🟢 the foot and its associated movements through probation, calcaneal eversion have roles to play in locomotion that often aren't served in conventional strength training activities 🏃♂️ 🏃♀️ zoom zoom thoughts welcome
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Movement is Medicine🌟 Did you know that the right amount of exercise can be just what the doctor ordered for pain relief? According to groundbreaking research published in the Journal of Orthopaedic & Sports Physical Therapy (JOSPT), just five 30-minute walks each week can significantly improve your pain levels. But that's not all – the study also highlights Pilates as a standout for easing discomfort, proving to be exceptionally effective for those involved. Whether you’re looking to soothe persistent pain or enhance your overall well-being, Pilates might just be the perfect start. Why not explore this gentle yet powerful form of exercise? Incorporating regular Pilates sessions can help you harness the therapeutic benefits of movement and lead a more comfortable, active life. 👉 Dive deeper into the research and its findings here: [JOSPT Study](https://lnkd.in/dSpUGtMn) Ready to start your journey towards a pain-free life? Let's get moving with Pilates and feel the difference! Contact our Physiotherapist, Ané for pilates lessons today! #PilatesForPainRelief #ExerciseIsMedicine #MovementMatters #PainManagement #PhysicalTherapy #JOSPT #HealthResearch #StayActive
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Movement is Medicine🌟 Did you know that the right amount of exercise can be just what the doctor ordered for pain relief? According to groundbreaking research published in the Journal of Orthopaedic & Sports Physical Therapy (JOSPT), just five 30-minute walks each week can significantly improve your pain levels. But that's not all – the study also highlights Pilates as a standout for easing discomfort, proving to be exceptionally effective for those involved. Whether you’re looking to soothe persistent pain or enhance your overall well-being, Pilates might just be the perfect start. Why not explore this gentle yet powerful form of exercise? Incorporating regular Pilates sessions can help you harness the therapeutic benefits of movement and lead a more comfortable, active life. 👉 Dive deeper into the research and its findings here: [JOSPT Study](https://lnkd.in/dSpUGtMn) Ready to start your journey towards a pain-free life? Let's get moving with Pilates and feel the difference! Contact our Physiotherapist, Ané for pilates lessons today! #PilatesForPainRelief #ExerciseIsMedicine #MovementMatters #PainManagement #PhysicalTherapy #JOSPT #HealthResearch #StayActive
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🔍 Are tight quadriceps exacerbating your knee pain? 🦵 Discover why stretching might not be the solution and what you should focus on instead. Dive into the complexities of knee pain and stiffness with this insightful article: Uncover the hidden factors: - The role of weakness and poor alignment in knee stiffness - The importance of understanding the anatomy of the quadriceps muscle group - How overuse and poor alignment affect knee health - The impact of too much knee flexion on knee pain Learn the crucial steps to address knee stiffness: 1. Assess the need for quadriceps and hip flexor stretching 2. Correct instability and weakness effectively 3. Utilize the power of squats and single leg exercises 4. Emphasize the importance of ankle mobility Explore the comprehensive guide to improving knee mobility and reducing stiffness for pain-free movement! #KneeHealth #Quadriceps #Stiffness #NoPainNoGain https://lnkd.in/gSCUSx2e
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INTERNAL IMPINGEMENT 🎯 WHY DOES IT OCCUR? 1) The increase in Horizontal Abduction (elbow moving behind shoulders) creates a pinching/closing angle fulcrum of the deep structures of the posterior shoulder (Infraspinatus, Teres Minor, Posterior Labrum, or bony stress collisions). 2) Now, add in the Max External Rotation which leads to the bulky greater tuberosity rolling to the back of the shoulder joint, leading to a pinch of the Infraspinatus/Teres Minor tendons into the glenoid rim and labrum 3) When this is done repetitively, those tendons or the labrum will create an inflammatory response and possible damage to the tissue depending on the severity and chronicity 4) Because it is the position and not the contractile force that causes these symptoms, the layback position is often symptomatic regardless on if there is resistance to the movement or not. Muscle testing can commonly test strong with no pain with this condition QUICK TESTS: 1) Have the Athlete bounce into ER with no load or ball and see if a posterior pinching or discomfort is reproduced 2) Bring Elbow in front of shoulder line (Horizontal Adduction), then externally rotate and see if symptoms decrease in comparison 3) FOR CLINICIANS: Perform a posterior humeral Glide with this full layback (similar to Jobe Relocation Test) and see if symptoms decrease ADDRESS THE PROBLEM AT IT’S ROOT 1) Horizontal Abduction is not bad in itself. However, if you cannot make your glenoid (golf tee of the scapula) point behind your shoulders with this motion, you are creating a large pinching fulcrum. Focus on the ability to retract your scapula to midline and on your T Spine/rib mobility in the segments above T7. This will help to orient the Glenoid pointing posterior of midline and keep arm centered in the shoulder joint. We have also talked with Pitching Coaches about the timing of ER and Horizontal Abduction “Loading” and the speed going into layback in the delivery also playing a role in this. This makes a TON of sense, but we will stay in our scope of expertise, which is not pitching mechanics. 2) Increase Scapular Posterior Scapular tilt and T spine extension to spread out where the layback is coming from and disperse the demands of this position to more stable segments 3) Hammering shoulder strength and stability work during this time will also be a crucial factor and one of the foundational component of the rehab process
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Another 5 🌟 Google Review! Here’s the entire testimonial… “I have been water skiing all my life, but over a year ago, I experienced a serious issue while trying to get up on my skis. I felt something pop in my hip/back area, and the pain became unbearable. My physician ordered X-rays, but they found nothing. The pain in my hip and lower back was so severe that at times I could barely bear weight, and my hip would occasionally feel like it was going out of socket, causing excruciating pain. After several visits to my physician, I was referred to two different orthopedic doctors. I had MRIs on both my hip and back, with findings of only hip bursitis and a slight ruptured disc in my lower back. I received injections in both my hip and back, but none provided any relief. I saw a spinal specialist who confirmed that my small bulging disc wasn’t touching any nerves, meaning it shouldn’t be causing my pain. Despite spending between $8,000 to $10,000 on X-rays, MRIs, doctors, and specialists, I still had no answers or relief. That’s when I made an appointment with Mike at Muscle Activation of Tampa. He conducted an in-depth evaluation of my injury history and identified that the root of my problem wasn’t in my hip or back, but in my left foot and ankle, which were weak from a past injury. This weakness caused improper weight distribution, leading my left hip to bear the brunt of the impact when walking. After running me through a series of motor movements to retrain my walking pattern, I finally started to experience relief. Mike was able to identify the issue that countless other doctors missed. I highly recommend Muscle Activation of Tampa for anyone dealing with persistent pain before spending thousands on traditional treatments that may not provide answers.” #testimonial #googlereview #happyclient #painrelief #exercise #tampa #muscles
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Teeth cleaning? Check. Eye exam? Check. Muscle and Joint Exam? Next up. Time to get your muscle and joint system checked so you can remain at your peak function.
Over 40? Time for your musculoskeletal checkup. - Zang Physical Therapy
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