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What is Piriformis Syndrome?

One common complaint in just about every Chiropractic clinic is that of the dreaded “Sciatica.” Contrary to many people’s beliefs “Sciatica” is not a diagnosis but rather a symptom. Sciatica simply means that someone is experiencing pain or discomfort in their back and leg. The question that the clinician must answer is always; “why is this happening?” Scatica can be the result of a few different diagnoses. It could be the result of a nerve being pinched by a disc herniation, it could be the result of arthritis, or quite commonly it is caused by tight muscles in the back, glutes and hips.

So what is “Piriformis Syndrome” and what does it have to do with sciatica? One common cause of sciatic nerve impingement is the piriformis muscle. This muscle lies deep to your glutes and works as and external rotator of the leg. In majority of people the sciatic nerve passes underneath the piriformis muscle, however in some the nerve passes through the muscle making it more susceptible to impingment. Most patients presenting with this condition complain mainly of deep, dull gluteal pain. This can also be experienced as burning and tingling in the leg which is noted by many people depending on position. One of the main causes of piriformis symdrome is poor biomechanics of the pelvis and spine. This could be due to muscle imbalances, poor posture, or simply an increase in training intensity or change in terrain. When the muscle becomes too tight, it spasms compressing the neve causing you pain!

Runners pay attention, this is one of the most common problems runners present with in my office! Why? Running is very linear, relying mostly on the glute maximus for hip extension and the quads for hip flexion. This means that the glute maximus will often develop trigger points causing spasms which will compress the prirformis muscle.

A few tips for prevention:
•Your body is like a high peformance car, it is very in-tune and even the smallest deviation can cause major problems. See a Chiropractic Physician! Poor biomechanics will always lead to issues.
•Warm-up before your work-out’s with light jogging or walking.
•Stretch your hamstrings, calves, and glutes

Think you may have Piriformis Sydrome ? We have successfully helped many runner’s and athletes with this condition. Give us a call! (781) 460-0939

Keep Moving.

Dr. James Ellis

www.evolvedhealthchiropractic.com

Shoulder Pain? Skip the Bench Press

The bench press is a great way to build strength and power. The problem is, even when done correctly a serious injury is possible and some in some cases likely. Read below to find out why.

The shoulder is one of two ball and socket joints in your body (your hip being the other). This means that the joint is capable of going through 360 degrees of motion (think of a golf ball sitting on a golf tee, that’s your shoulder.) If you can picture that analogy, you can see how the shoulder is an inherently unstable joint.

What does all this have to do with the bench press? Theoretically, If you have balanced, symmetrical shoulders you are less likely to have a serious injury. This does not include the majority, however. If you look around the room right now you will likely see many people slumped over their phones, shoulders and head forward. This rounded shoulder posture unfortunately represents many of us to some degree. With the shoulders pulled forward there is insufficient room for the rotator cuff muscles to pass under the acromion, leading to an impingment, or possible tear. Bio-mechanically, the barbell bench press fails from the get go. In a barbell bench press your shoulders are fixed in one plane (due to the bar), this means that your body cannot even compensate to avoid impingement. That pain you feel in your shoulder during the movement, don’t ignore it!

If you love to bench here are a few recommendations that will help you avoid injury, and actually get stronger!

  • Get adjusted! majority of us lack extension in our back, this motion is necessary to avoid shoulder impingement.
    Try starting out with some light, high repetition pectoral fly’s. This will allow for a more dynamic warm-up, stretching and activating the muscles.
    Stretch your pecs regularly
    Strengthen your back using exercises like the seated row.
    Avoid barbell shrugs

If you are experiencing shoulder pain don’t wait, call or schedule online now: (781) 460-0939

Keep Moving.

Chiropractic Treatment of Tendonitis

Tendonitis is defined as irritation and resulting inflammation of a muscle tendon; typically resulting from over-use. Some of the more common types of tendonitis experienced include: Tennis Elbow (pain in the later part of the elbow), Golfers Elbow (pain in medial portion of elbow), Supraspinatus or Rotator Cuff Tendonitis (pain on the top of the shoulder or neck), and Plantar Fasciitis (Most commonly characterized by heel pain.) Statistically, many people will experience tendonitis at some point in their life. Many physicians still advise “waiting it out”, and report that many cases pass. While this is partly true, what happens in chronic cases that do not seem to remit, or seem to flare-up more often? Many people are left with little to no solution to their problem.

A better approach to treatment of Tendonitis:

While many people seem to recover rather quickly with little to no intervention, if you find that you are someone who has been dealing with tendonitis off and on for quite some time there is a good chance your problem can become chronic. What does this mean exactly? Chronic inflammation of a tendon is characterized as Tendonosis; or chronic tendonitis that has lead to damage at a cellular level. When you have chronic inflammation in a tendon over-time it leads to micro-tears in the muscle. These micro-tears cause the body to trigger a healing response. In an effort to quickly heal the body will produce Type III collagen fibers to “patch” the irritated muscle. Type III collagen is lacking the tensile strength of healthy tissue; making the tendon weaker, and more likely to rupture. Additionally, cases where tendonitis seems to “come and go”  are more likely to become chronic and lead to a greater chance of a more serious injury.

IASTM (Instrument Assisted Soft-Tissue Mobilization) has been shown to promote healing and increase tensile strength of injured tendons and ligaments by promoting a healing response on a cellular level. By inceasing blood flow and fibroblast activity we can activate a healing response. Many people have even reported resolution of their tendonitis. IASTM in addition to stretching, spinal or extra-spinal manipulation, and specific rehabilitative exercise is an extremely effect, and cost-efficient solution.

Wondering if IASTM is right for you?  Click Here to schedule an appointment and start healing!

 

Keep Moving.

 

Dr. James Ellis

www.evolvedhealthchiropractic.com

(781) 460-0939

Fix Your Posture- Part 1

It’s no secret that many people experience back and neck pain. Though many are looking for an exact cause of their pain or discomfort, it’s often a culmination of events that have allowed dysfunction to build over time in their muscle’s and joints. If you have followed my past post’s you already know that I believe many of us sit too much, too often, which leads to muscle imbalance’s, and ultimately pain! Contrary to belief many people that experience these issues are quite active. Unfortunately, being active cannot counteract the effects of sitting at a desk for 40+ hours a week.. and this doesn’t even include the commute for many of you!

Does this sound like you? Over the course of the next few weeks I am going to be writing about specific exercises that will aid in correcting faulty posture that many of us have acquired due to our lifestyle, so follow along!

How did we get here? Though the advances in technology are great for us as a society they are reeking havoc on our muscles and joints! As a Chiropractic Physician I see even young patients presenting with back and neck pain. The problem lies in the fact that many of us sit all day at work, or school, then sit in our car to commute to work, then go home and sit on our tablet, phone, computer, etc. What we develop is essentially a hunched posture adding pounds to our spine (see below).

 

Click here to read the full article

Dr. James Ellis

www.evolvedhealthchiropractic.com

www.doctorjamesellis.com