To Stretch Or Not To Stretch?

by Jake Reynolds, PT, DPT Spine & Sports Clinic of Motion Stability   I frequently have clients ask about stretching and tend find a lot of confusion about proper technique and dosage. This confusion can lend itself to injury as opposed to injury prevention and performance enhancement (the intent of stretching). If we are stretching incorrectly you may actually prime your muscle for injury. For the sake of clarity, lets get a one thing out of the way: yes—stretching is important. In fact the American College of Sports Medicine (ACSM) outlines the following guidelines for flexibility training in terms of risk factor reduction for the development of injuries and preventable diseases:   At least two or three days of stretching…

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Can your Muscles be the Source of your Pain?

Post by Brian Yee PT, MPhty, OCS, FAAOMPT Here’s a link from the Washington Post that talks about the role of myofascial pain in undiagnosed or unresolved pain. There is a tendency for patients to believe their pain is only from a structural problem such as a herniated disc, but in actuality there is a large contribution of pain that originates from the muscles and fascia of your body or what is called the myofascial system. Trigger points in the muscle and restrictions in your fascia around the muscles and joint of your body are just another tissue in your body that can be a pain generator. It is important to find a health practitioner that understands how to differentially…

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Why can sitting lead to back pain?

Brian Yee PT, MPhty, OCS, FAAOMPT Sitting, especially for a long time, can put undue stress on the low back structures. There is a clinical term called ‘creep phenomenon’ that describes how prolonged sitting can hurt the back. ‘Creep’ is like holding the ends of a piece of hard taffy and then watching it slowly stretch out over time. Similarly, with prolonged sitting the structures of the lower back can slowly deform and tissue breakdown occurs. This breakdown can include the muscles, fascia, ligaments, joints, and intervertebral disc in the back. Eventually with enough microtrauma to the tissues back pain occurs.     _________________________ Medical Disclaimer: Motion Stability has created and compiled the content on its websites for your information…

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Sciatic Nerve Causing Plantar Fascitis?

In the Journal of Orthopaedic Research – September 2006, Coppieters MW, Alshami AM, Babri AS, et al measured the strain and excursion of the sciatic, tibial and plantar nerves with a modified straight leg raise (SLR) test. By bending the ankle into dorsiflexion first before raising the leg, nerve movement at the ankle, particularly the tibial nerve was greatly increased. Clinically, the diagnosis of ‘plantar fascitis’ can be caused by multiple sources, one being sensitization of the tibial nerve which is a branch of the sciatic nerve. Thanks to Dr. Coppieters, as well as other neurodynamic specialists like Michael Shacklock MAppSc, DipPhysio, we now know that movement of nerves occurs greatest where joints move first, a concept called ‘neurodynamic sequencing’….

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