Subacromial decompression surgery. A very common surgery for an unfortunately common diagnosis by providers worldwide. The theory that is behind this diagnosis of subacromial impingement syndrome is that some of the tendons within the shoulder are being pinched or squished between the head of the shoulder bone (humerus) and the bottom of the collar bone (acromion). This leads to a surgery that cuts the bottom of the collar bone out in hopes of “clearing more room” for the shoulder tendons to move so that this pinching or squishing no longer happens. Sounds good right?⠀ •⠀ The problem here is is that this 2017 randomized controlled trial took 2 different surgeries and no surgery at all and compared them all together. The first surgery was the one in question, the subacromial decompression. The second surgery was a placebo or a fake surgery called an arthroscopy which simply cut a small hole in the back of the shoulder to “clean it out.” And the third group got nothing. ⠀ •⠀ After measuring patient reported outcomes, they found that there was no difference between the supposed actual surgery which is supposed to help by making more room within the shoulder, and the placebo/fake surgery. And how did the group that got nothing compare? “Surgical groups has better outcomes for shoulder pain and function compared with no treatment but this difference was not clinically important.” We can assume that getting something will likely be have better outcomes that getting nothing at all. See placebo effect.⠀ •⠀ Yes there is very little risk in getting a shoulder surgery, but there is still much more risk than not getting a surgery at all! And the authors even go on to state that the postoperative physical therapy could explain why the patients got better than no treatment at all. Maybe it was the fact that they were likely given resistance and progressive overload exercises for their should rehab compared to nothing at all. ⠀ •⠀ The take
✈️Travel Tip✈️ Those long car and plane rides don’t just slow your energy, they also slow your blood flow. Did you know that you are at risk for blood clots, particularly DVTs during long periods of inactivity? • Our body has a muscle pump system that works exactly how it sounds... our muscles contract and move the blood closer to our heart (away from the gravitational pull). Here are our 3️⃣ favorite muscle activations to prevent blood clots during travel 1️⃣Ankle Pumps: tighten your calf and raise your heels up and down. This can be done in the seated position 2️⃣Glute Squeezes: that’s right, those big buttock muscles are great to pump blood up and away! 3️⃣WALK! most importantly, walk around! When the seatbelt sign says it’s safe, get moving around the cabin! Or take more frequent pit stops if you’re in a car. Happy holidays and travel safely! • #dvtawareness#traveltips#travelsmart#atrphysicaltherapy#ayrsleytownrehab#getpt1st#orthopedics#patienteducation#musculoskeletal#physicaltherapy#exploreclt#cltfitness#cltfitlife#health#wellness#pt#injuryprevention
I met this sweet boy when he was newly identified with hearing loss. He had not heard anything for over 2 years as he was born deaf, but not identified at birth. I knew we had a lot of work to do to make up for that time his brain was without sound. But this guy...oh my gosh...this guy showed up to every session with a smile on his face and ready to work. Tonight he won first place in a speaking contest. Thanks for reminding me mountains can be moved, Davy. I am beyond proud. And now I shall go get more tissues. #bestjobever#jonestherapyservices
💥Banded Shoulder Clocks💥 . SWIPE for video ➡️ . I love this variation for helping clients get some core and shoulder work all in one. Anytime you're working with the shoulder, you always need to account for the role the core has in pain-free performance of the shoulder . Grab your @perform_better better mini band and work any combo of directions and variations you want. The key is making sure you stay locked in and stable through the down arm and through the rest of your body . Questions? Comment below. Know someone who needs this? Comment below, tag them, and share it with someone who needs to see it 🙏🏼 ⬇️ . If you've been dealing with pain or limitations in your workouts for longer than a month, and it's just not getting better, shoot me a message to talk through options for getting it under control‼️
🏋️♂️Want to be able to do lunges while carrying luggage? Want to lose extra weight for your new years resolution? ⬇️🎵 Sound on ___ 🧠 Lunges are the ish as it is, but add unilateral weight and all the sudden you have a core exercise on top of a great leg workout. By the way, I was deadlifting before this so don't judge me for belting up for lunges okay. ___ 🤯 I hate steady state cardio, and the people who enjoy it. For me to drop pounds after bulk season, I simply lift weights faster. I also like using a strategy I call pairing. I perform my usual compound lift, in this case, a deadlift and pair it with these kettle bell lunges instead of taking a true rest period. This keeps my heart rate up the entire workout, shortens my time at the gym, and helps me burn extra calories to get a heard start on the new year. ___ 🧐⬇️Shoot me a DM or comment if you have any questions about how to structure an effective workout, how to program for weight loss, and how to get the most out of limited workout time. #weightloss#cardio#weightbelt#hiit#newyearsresolution#trainwiththedoc#docswholift#clinicalathlete#dpt#physicaltherapy#smartlifting#athlete#weightlifting#fatburner#runningalternative#ihatecardio#trainsmarter#exercisetips#vans#fitness#functionaltraining
ACL Rehab: Jumping Mechanics 🔹 An important of the rehabilitation program for athletes is to teach them how jump and land correctly. 🔹 We like to teach landing mechanics first to so our clients can learn to absorb ground reaction force and create joint stiffness. Once they are able to do that we then move on to jumping mechanics. 🔹 Throughout the rehabilitation, we focus on triple extensions for force production. Using band to assist we are able to create safe environment while building confidence and quality in the movement. 🔹 Contact us to start reaching YOUR potential today.
***Author Spotlight*** Had the pleasure of meeting this beautiful soul in Louisiana... Author, Motivational Speaker, and Physical Therapist, Dorshena has entertwined her faith, training and love of people in this page turner... Before I knew it, I had completed this read by the time my plane touched down. Check it out! Dorshena Pittman works in helping rehabilitate Stroke Victims and can be contacted below: ☎ 504-332-5535 @ firstname.lastname@example.org 🌎 theptforyou.com #stroke#victimsofstroke#physicaltherapy
WHY I CAN DEADLIFT PAIN FREE BUT NOT SQUAT PAIN FREE: SSB 280lb/127kg for 4’s The “Kind on Spine” low torque bar that allows me to squat at only 1 or 2/10 pain. I also have to be EXTREMELY CAREFUL of maintaining a NEUTRAL lumbosacral junction since ANY flexion prompts my posterior L5-S1 disc herniation to protrude rearward and flare up. I literally cannot afford ANY deviation into flexion, so aside from giving EXTREME attention to more core and bracing (topic for another post), I have to catch depth before terminal hip flexion since the squat requires so much flexion at both the knee and the hip. The hamstring biases toward its primary function and point of insertion of course (KNEE flexion), so when going BEYOND terminal hip flexion WITH knee flexion, the hamstring will bias toward knee flexion and pull on the pelvis, compromising the position of the lumbosacral junction (no amount of mobility work can change this, one’s individual angle of terminal hip flexion before the lumbosacral junction deviates in positioning is fixed, and is reached even more quickly with knee flexion). This is also why I can deadlift (even conventional) pain free but can’t squat pain free. There is significantly less knee flexion on a deadlift, so the hamstring is able to bias toward its point of origin at the pelvis instead of its point of insertion at the knee, allowing for more hip flexion without lumbosacral junction compromise. Also, with sumo there is low torque as well as both less hip AND knee flexion than a squat, which is why it’s so kind on my back. #herostrength#teamherostrength @herostrengthofficial
Working to improve overhead mobility on a recovery day. Starting with extra tight lats after a few years of surfing. Thankfully kiwi is here to coach me through this. Being able to reach both arms comfortably overhead without extending from the back is super important for a lot of reasons...ranging from optimal shoulder health to letting you to keep your core engaged while reaching overhead during a climb. #physicaltherapy#rehab#climbing#recoverystretch#dogsofinstagram#stretching
Further findings from studies on the benefits of correct breathing: Psychological studies have revealed breathing practice to be an effective non-pharmacological intervention for emotion enhancement(Stromberg et al.,2015), including a reduction in anxiety, depression, and stress(Brown and Gerbarg 2005.;Anju et al.,2015). A 1-day breathing exercise was found to relieve the emotional exhaustion induced by job burnout(Salyers et al.,2011). A 30-session intervention with a daily duration of 5 min can significantly decrease the anxiety of pregnant women experiencing preterm labor(Chang et al.,2009) In addition, similar effects on anxiety was observed in a 3-days intervention study, where breathing practices were performed 3 times per day(Yu and Song.,2010) Further evidence from a randomized controlled trial (RCT) suggested that a 7-days intensive residential yoga program that included pranayama (breathing exercises) reduced anxiety and depression in patients with chronic low back pain(Tekur et al.,2012). So don't under estimate the simple things in life and how they can effect your health and mental well being massively. Don't take breathing for granted. Our bodies are constantly trying to achieve homeostasis(a perfect equilibrium of the body and it's operations). So why not try help your body and mind by simply correcting your breathing? Costs you nothing and takes no time at all. It's a no brainer really. Tomorrow I'll post up some breathing techniques.
ACHILLES TENDON REHAB (tag a friend or someone you know with Achilles’ tendonitis) -- Today, we are discussing Achilles’ tendon injuries. *Only perform these exercises for Achilles’ tendon injuries with supervision* -- The Achilles’ tendon is a thick tendon that connects the calf muscle to the heel bone (calcaneus). In physical therapy school, we dissected cadavers. Once my brain could think clearly from all the formaldehyde, I thought to myself that the Achilles’s reminded me of a thick steel cable. -- Can you imagine all the accumulative stress on the Achilles’ tendon throughout your life? Tension is placed on the Achilles’s tendon with every step and yet the tendon can withstand all that tension most of the time. -- Occasionally, the strain on the Achilles’s tendon exceeds the tendon’s ability to withstand that strain. Excessive training or poor dosage of training are a few contributing factors to Achilles’s tendon injuries. -- It’s annoying to have an Achilles’s tendon injury because we need to keep walking and walking places repetitive tension on the tendon. If you have Achilles’s tendon pain, then take action to get it checked out. -- The rehab program to heal the tendon is very specific to each person. It’s important to load the tendon appropriately. The exercises in this post are examples of Achilles’s tendon (more advanced) and they are great for someone returning back to sports. -- If you live in San Diego, come by my clinic for an assessment.
We got a Mass Suit at Vargo!!! Besides making you feel/look like Ironman, this @jukeperformance Mass Suit works wonders! As soon as the ankle bands click in, all of your muscles become activated. By pulling your shoulders back , it even forces you into AP(anterior pelvic tilt) and engages your core, or else you’ll fall straight on your ass. Always consult your doctor/coach before using this type of equipment. No matter your situation, whether for rehabbing or athletic training, you’re bound to get great use and results out of this thing. Come check it out 💪🏽💪🏽 #digitalhealth#resistancetraining#physicaltherapy#foamed#meded#healthtalk#4patients
𝐓𝐫𝐞𝐚𝐭 𝐘𝐨𝐮𝐫𝐬𝐞𝐥𝐟 𝐓𝐮𝐞𝐬𝐝𝐚𝐲! If you’re ever visiting Clemson, you MUST stop by Clemson Confectioneries and try some of their delicious treats 🎂🍫 Deciding which flavor cupcake we wanted was the hardest decision we’ve made all day. 𝐅𝐢𝐧𝐚𝐥 𝐃𝐞𝐜𝐢𝐬𝐢𝐨𝐧: Monster Dough 🍪 Vanilla and red velvet cupcake filled with M&Ms topped with cookie dough, chocolate and more M&Ms. Thanks to @allisongrace01 for introducing us to this new spot tonight. It’s always nice to have a piece of home 🏠 visit Clemson. Happy belated National Cupcake Day! Happiness is only a cupcake away 😊
A Month of Myths Day 17 with @dr.joe.dpt: You Can Speed Up Natural Recovery. ⠀ How do we define recovery? Most people will say that they are attempting to decrease delated onset muscle soreness and keep their ability to produce force or "perform" after either a novel workout or an intense workout. ⠀ First things first: its not lactic acid build up. Lactic acid has been the blame for muscle soreness for quite some time and the fact is that it just doesn't have the role in muscle soreness and recovery that it is though to. So the theories that revolve around flushing lactic acid out of the cells or increasing blood flow to try and move lactic acid out are false before they even begin. ⠀ Some of the more popular methods of passive recovery include things like massage, foam rolling, cold water immersion, stretching and hyperbaric oxygen chambers. Since we are no longer trying to bring blood flow to an area to flush out lactic acid, massage just doesn't seem to make sense not only in theory but also in peer reviewed evidence. Same can be said about foam rolling and stretching. While these things may feel good on sore muscles, thats about it. Hyperbaric oxygen chambers not only take a significant amount of time for any sort of physiologic changes to happen, but there is also a risk of explosion. So don't blow yourself up for gainz. ⠀ So what does work? Well there is some evidence for cold water immersion therapy that helps with perception of pain related to DOMS, but there is not improvement in strength output with cold water immersion. And you certainly dont want to build in a habit for yourself that will necessitate cold water immersion every time you train. Things that work the best seem to be time, intelligent programming and adequate levels of sleep. Pretty cut and dry. ⠀ Barnett et al. Using Recovery Modalities Between Training Sessions in Elite Athletes. 2006. ⠀ Poppendieck et al. Massage and Performance Recovery: A Meta Analytical Review.
Posterior Oblique Sling💫 . We're chatting about the posterior oblique sling and how it essentially "connects" the opposite side glute max and latissimus dorsi. . So let's say you have a glute max that isn't functioning at full capacity but ya know, you're up walking around counting on that tension and propulsion of the POS to move you forward... body tries to steal tension from other areas to make this happen... (the TL fascia and in turn opposite lat)... and we know the Latissimus Dorsi is a big player in shoulder function... so maybe your shoulder and glute issue are actually connected. . If they are- a simple exercise you can get started on is a reverse lunge. I think I borrowed this one from @stopchasingpain back in the day and I still love it. . To do: 📍step back to induce hip extension (glute firing) 📍squeeze/engage the stepped back leg glute 📍front arm sweeps open and back (flexion, horizontal abduction)👉🏻think of engaging latissimus dorsi to rotate your bod 📍opposite arm reaches across the body and pressures slightly into the knee - make sure to continue breathing - repeat 2-3sets of 10 . Go SLOW, concentrate on getting everything to engage and fire. . And now- are you also working the front stance side glute? Yes. Are you also working the opposite side pec? Yes. Is your core firing? Hope so. - this stuff doesn't work in isolation, it's okay guys- roll with it 😎 . . Questions? Comments? Hit me up! ❤️
Announcement!Announcement! Announcement! . . CHRISTMAS is coming early to Clarksburg, WV this year!!! . . Due to an increase in request for services, we are thrilled to announce Move Right PT will now be available in 2 locations!!!! 🙌 . . If you have been following @moverightpt and you are interested in joining the movement, comment below or message us for details. . . We look forward to extending our innovative approach and highly specific services to the Clarksburg/Bridgeport area. The future is bright for @roninfitnesswv and we are honored to join forces!! . . It’s time to retrain your pain!!! Don’t spend another year stuck in the same patterns. Message us today to find out how you can start Moving Right! . . Call or text 304-552-6051 to get scheduled with Dr. Smith OR shoot us a message to chat with one of the Movement Docs!! . . Schedule now. Move Right! . . #pt#dpt#orthopt#jointhemvmt#mastersofmovement#functionalfitness#physicaltherapy#bridgeportwv#clarksburgwv#2019#newyearnewyou#manualtherapy#cupping#shoulderpain#chronicpain#retrainpain#movement#moveright
Shoulder Mobility Work👇🏽 • Do you have tight shoulders? Try performing @joetherapy’s shoulder mobility exercise to help increase your shoulder mobility! • Focus on slow, controlled breathing throughout the entire movement.
Reposting from @the_movement_dr A Month of Myths Day 17: You Can Speed Up Natural Recovery with @dr.joe.dpt⠀ ⠀ How do we define recovery? Most people will say that they are attempting to decrease delated onset muscle soreness and keep their ability to produce force or "perform" after either a novel workout or an intense workout. ⠀ ⠀ First things first: its not lactic acid build up. Lactic acid has been the blame for muscle soreness for quite some time and the fact is that it just doesn't have the role in muscle soreness and recovery that it is thought to. So the theories that revolve around flushing lactic acid out of the cells or increasing blood flow to try and move lactic acid out are false before they even begin. ⠀ ⠀ Some of the more popular methods of passive recovery include things like massage, foam rolling, cold water immersion, stretching and hyperbaric oxygen chambers. Since we are no longer trying to bring blood flow to an area to flush out lactic acid, massage just doesn't seem to make sense not only in theory but also in peer reviewed evidence. Same can be said about foam rolling and stretching. While these things may feel good on sore muscles, thats about it. Hyperbaric oxygen chambers not only take a significant amount of time for any sort of physiologic changes to happen, but there is also a risk of explosion. So don't blow yourself up for gainz. ⠀ ⠀ So what does work? Well there is some evidence for cold water immersion therapy that helps with perception of pain related to DOMS, but there is not improvement in strength output with cold water immersion. And you certainly dont want to build in a habit for yourself that will necessitate cold water immersion every time you train. Things that work the best seem to be time, intelligent programming and adequate levels of sleep. Pretty cut and dry. ⠀ ⠀ Barnett et al. Using Recovery Modalities Between Training Sessions in Elite Athletes. 2006⠀ ⠀ Poppendieck et al. Massage and
That's that spot. #myofascial Trigger Spots. The word Myofascial means #muscle tissue (Myo) and the connective tissue in and around it (#fascia). Myofascial #pain often results from muscle #injury or repetitive #strain. When stressed or #injured, muscles often former trigger points, like contracted knots, that cause pain and tightness. The #theragun is great for allieving those spots! Perfect gift for a loved one or even yourself!
One of my favourite pieces of Instagram advice for strength coaches comes from the beauty @tonygentilcore who said (paraphrased) that one of the keys to finding success in this field is to partner with a great physical therapist and exploit the shit out of them... enter @daveleylandphysio , @ryanhillphysio , @sheldon.crouse . Huge thanks to @lindsmuns for tearing her ACL (🤭) and inviting me along for her rehab process. I’ve learned so much over the past 11 weeks from the stud physical therapists at @coastperformancerehab and @allanmcgavinclinic . Thanks for letting me hang out, pick brains, and steal all of your secrets. Looking forward to more collaboration and success stories! • Also, all of the shoutouts to Linds who has crushed this whole damn thing since day one. Watching you front squat today almost made up for all of the god awful core workouts you’ve put me through over the last few months... you’re ok in my books. #integratedhealth#aclrecovery#strengthtraining#squats#physicaltherapy
Great working with a long time friend and Medical Student - @doctorcharizard today! Despite taking longer rest breaks than planned due to chatting it up about medicine and rehab, we still managed to get a very solid training session in! 😂💪🏽👨🏾⚕️👨🏻⚕️
THI #therapytuesday • • Guelph Student Athlete Lucas is in town for Christmas Holidays and decided to stop by THI for a therapy session with @dr.j.thi Lucas is a standout soccer player for the Guelph Gryphons managing the center-midfield position. He currently is experiencing discogenic low back pain... 😣 (Discogenic pain is pain originating from a damaged vertebral disc, particularly due to degenerative disc disease. However, not all degenerated discs cause pain. Disc degeneration occurs naturally with age.) • • Treatment Neurofunctional Acupuncture. Segmental points: T1-T4 L3-S1 local points to the areas of pain: quadratus lumborum, tensor fascia lata and thoracic iliocostalis. • • #exerciseismedicine was also prescribed despite the pain cycle Lucas is in -diaphragmatic breathing -prone segmental bracing -2 handed deadhangs -1 handed deadhangs • • Lucas left with more mobility and slight improvement in his gait. This injury occurred in August 2018 at training camp. Like most young athletes he played injured. Lucas played the entire U-Sport season with a suspected disc injury. At THI, we highly recommend against any athlete playing injured. Had he been assessed early on for this injury and the right course of rehab implemented he would not be in this cycle of pain and immobility. • • Please note: Prior to this injury Lucas had the following mucsle impairments Poor hip joint control Limited hip joint mobility Various bouts of intermittent back pain over the past 6 years Short and stiff (tight) hamstrings Poor ankle joint control Limited ankle joint mobility • • Unfortunately, this injury and most debilitating injuries occur as a result of a cascade of events prior. Stay tuned as #teamthi will attempt to guide him back to pain free movement and full range control of ALL joints of the body NOT only the ones in pain and limited in movement. Low back pain is a common condition, can be caused by lumbar sprain, spinal stenosis, disc
🧠#TBItuesday! Check out this great graphic by @turningpointemedical🙏🙏🙏. These figures are based on the largest NCAA concussion study I’ve seen to date (by far)! What stood out to me most? Wrestling actually had the highest rate of reported concussions! This should highlight the fact that not all concussions involve direct head trauma! High impact body contact, such as in a shot / throw, can transfer enough energy through the skull to induce concussion! If you feel symptoms of concussion after any kind of contact (see previous posts for lists of symptoms), be sure to reach out to your local concussion rehab team!!🧠 . . . 🚨COMMENT! . 🚨SHARE! . 🚨TAG A WRESTLER!
🎁 2 Christmas Gift Baskets added to our @hyperice Self Care Kit Raffle! Thank you Blue Crystal Maintenance for your generous donations 💎🙏. . Come by the clinic this week to buy your raffles for a chance to win! Donations will be distributed to The Covenant House in Toronto 🎄🎁. . $5/Raffle. $20/Arm’s Length.
How good is your single leg balance? 🤔 * Not just statically standing on one leg but also moving dynamically on one leg. This single leg RDL tells us a lot of things! 1️⃣How good is your balance? 2️⃣What do your hip, knee, and ankle want to do when you are moving? Do they collapse? 3️⃣Do you move through your low back or your hip? This can help give us a better idea if you have movement tendencies that may cause low back pain. 4️⃣Increased instability could put you at increased risk for ankle sprains. 5️⃣Running efficiency and exposure to other running type injuries. * Do you struggle with any of these things? Low back pain? Ankle sprains? Reach out and contact us today: www.resurgencept.com #resurgencept
People always ask us if our CBD products are hemp-derived or cannabis-derived. High CBD hemp is cannabis ✌🏻☺️We’re not talking about industrial hemp, either. We’re talking about high-resin, full flower goodness 🤲🏻 ❤️🌿