WHAT OUR PATIENTS SAY

How to Get Mobility in at the Office? 

Getting mobility or movement in the office appears to be easy but when you are tasked with work, meetings, computers, or deadlines it can be very difficult. Often times I recommend that you get up out of your chair, walk around or do some various stretches.  This is easier said than done so getting some of this myofascial work/mobility work in while seated should be an option for those who have to keep seated.  All you are going to need is your desk chair, about 30 seconds to two minutes of our time and some sort of myofascial release ball.  In this case, I used a lacrosse ball.

Place the lacrosse ball behind the back.  You can do this to multiple areas of the body you may be tight on.  Some common areas that are very good to do are the shoulder blade, back of the shoulder, neck, mid back, and lower back.  Once the ball is behind you, apply some pressure going backwards into the chair.  You want to find an area that is a little tight and tender but at firs it may take some time to discover such a spot.  One you have found that area, stay there and continue to press.  Sometimes the tenderness will release within a few seconds and other times you may have to repeat this cycle for 2-4 times.

When you compress the ball against a tight muscle be sure to hold it for about 5-30 seconds.  If you need more pressure or want to advance this move a bit more, just move your arm, body, neck, head in some various range of motions.  Adding movement can really help improve your mobility and get that muscle to stretch more.

Why Mobility?

Mobility is a term we use in the field to help describe movement.  It really just means going through a range of motion.  This includes muscles, joints, tendons, ligaments and proper mobility and movement is critical for good joint mechanics and prevention of injury.  Most injuries occur over a long duration of time are those that have joint mechanic dysfunctions that lead to wearing down of the joint and of course pain.  Pain is typically the last signal you will receive and you cannot always feel your mechanics being altered.

We know sitting and prolonged poor postures, while good for work, may not be the best on our body so it is advised that we move often and move well.  Taking breaks, adding movement drills, walking, and changing it up in the office is important for injury prevention and getting out of pain.  Keep in mind, you sit driving to work, sit at work, sit driving back from work, sit again at lunch, dinner, and you sit down to relax.  All this sitting so you need to add movement to counteract it.

 

Why Your Shoulder Still Hurts?

Not all exercises are created equal.  As a Sports Chiropractor and shoulder specialist, we often see a lot of shoulder injuries & rotator cuff injuries but all of these injuries have one thing in common… poor movement of the scapula.  This is called scapular dyskinesis and truly contributes to poor shoulder movements, increases the chances of neck pain and mid back pain as well.

Lets Talk Rotator Cuff

Many are familiar with the rotator cuff band exercises.  You know the ones where we use a band and rotate inward and outward?  Well, a lot (actually a ton) of people do this with weights in their hand but it is completely incorrect!!!

External rotation with the bands are fine but when it comes to using weights its pretty much useless.  The reason is that there is no force to oppose that movement, meaning you need to have resistance.  When you are holding weights in your hand the force of the weight (and gravity) is downward.  When you are doing this exercise, you are holding the weight in your hand then rotating in external rotation.  As a result, you are not activating the muscle within the rotator cuff and posterior shoulder girdle as effectively.

So what happens is people have to hold this weight in place (isometric hold) and they are mostly strengthening the forearm (grips) and bicep.  Yes, you may be getting a small amount of shoulder firing but its not a true shoulder or rotator cuff movement.  The rotator cuff is does rotation of the shoulder but the primary job is actually to hold the joint into a good position.  That is why you want a strong and stable muscles that are not undergoing imbalances.

The force you need to generate to get rotation (and the fact that there are no opposing forces) allows you to overly rotate and shear the rotator cuff, ligaments, and tendons within the shoulder which can then cause injury, damage to it.

If for some reason you are no doing damage to the joint then great… but the truth is you are NOT strengthening it so don’t expect to improve your rotator cuff strength or have muscle gains with this either! No wonder you are likely not getting the results you want or are continuing to have shoulder pain.

Strengthening a muscle requires resistance against a movement.  Weight (gravity) goes down, so you go up!  Want external rotation, well the weight then needs to be pulling inward.   Think about where your forces are before doing the movement and what you need to do to oppose or work against that movement.  Knowing this concept can help you avoid other improper movements and help you isolate other muscles.  You will be surprised the results you can get when you engage in proper joint mechanics and give the muscle complex the proper resistance.

Have you ever been told that you have a short leg?

In the health and Chiropractic profession I see a lot of therapist tell their patients that they have some sort of condition, dysfunction and in this case, a short leg.  The troubling part is not the short leg but rather that the therapist is likely not telling you the truth or they actually don’t understand the mechanics of your problem.

Why is a short leg important?

Any short leg can cause a lack of symmetry in the body.  That lack of symmetry can produce biomechanics changes that cause one side to be used more often and create wear and tear.  We see this in the lower back a lot when people are suffering lower back pain, SI joint pain, and/or hip pain.

So whats the deal?

You most likely do not have a short leg!  Yes, DO NOT! In order to evaluate a true short leg you need to take an x-ray of the leg, thigh, and pelvis.  You would also need to take an x-ray of the opposite side so that you can compare them and measure them.  First of all, this is no standard and common practice to take that many x-rays for such a dysfunction.  Some Chiropractors still take Full body x-rays which will allow you to see the whole body in one picture.  This is very outdated and the profession, medicine has moved away from this.   Finally, this subjects you to x-ray beams (ionizing radiation) that would be excessive for that individual.

When could you have a short leg?

Most true short legs occur naturally by birth.  Sometimes people may have a short leg if they had surgery and hardware placed in them that can cause a length discrepancy.

So I don’t have a short leg, whats happening?

Most of the time people are actually having a “functional short leg.”  This is really where you can change the function of the body and mechanics of the body that make it appear that you actually have a short leg.  For example, a lot of people have a spasm or tightness into the lower back (specifically the QL muscle) and that muscle attaches to the hip.  If it goes into spasm it will elevate the pelvis and make it appear as if you have a short leg.

Conclusion

Most short legs are not real short legs and they are due to muscle imbalances, and a lack of symmetry in the mechanics of the body.  Releasing the tight muscles, strengthening the weak ones and creating balance in the body is critical for better mechanics, reduced wear and tear, and optimal performance.

This video is a quick clip of the Chiropractic adjustment (manipulation) that we do in our office.  The adjustment is designed to help restore normal range of motion, blood flow, and help the nervous system via neuroplasticity.

Chiropractic adjustments to the spine have been shown to improve neural connections not only within the spine but there has been research that shows the increase in firing patterns within the brain.  Think Chiropractic is just good for the spine?  Think again….

The master controller of the body is the brain and spinal cord.  If you can stimulate the brain and cord to improve its firing you can directly and positively influence the body on a global level.  This includes low back pain, neck pain, shoulder pain all the way to improvements in digestion, alertness and cognition.

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