To Stretch Or Not To Stretch?

 

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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Tiger. Back Pain. Golf. Responsibility.

Post by Brian Yee PT, DPT, MPhty, OCS, FAAOMPT Dr. Kharim Khan composed a blog on his response to Tiger Woods’ recent back pain episodes. He gives an explanation of the diagnosis and a discussion about health practitioners responsibility of educating patients on proper evidence based information. I could not write my thoughts better than his, so please read his blog. I would love to hear feedback both from patient’s perspectives as well as health practitioners. Click HERE for the blog. _________________________ Medical Disclaimer: Motion Stability has created and compiled the content on its websites for your information and use. This information is not intended to replace or modify the medical advice of your doctor or health care provider. Please consult your…

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You’ve Got Some Nerve…

Post by Brian Yee, PT, MPhty, OCS, FAAOMPT People fall. People get hurt. Injuries usually get better… as we would hope. There are many cases, however, when common injuries that we think would get better over time do not. Here’s a case in which I have seen people have traumatic injuries such as slipping and falling on an outstretched arm, causing wrist and forearm pain. Most people, including physicians and physical therapists, would assume it’s a wrist injury such as a ligament sprain or fracture, and in most cases, it probably is. But let’s say the injured arm now presents with tingling, redness, or swelling. Now what do you think that may be coming from? One structure that is commonly…

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My Numbness and Tingling Continue, but My Testing Does Not Show Anything!

Post by Brian Yee, PT, MPhty, OCS, FAAOMPT Many times we get patients in our clinic who experience ongoing or unresolved nerve symptoms. This can include things such as tingling, numbness, a pinched nerve in the neck, herniated disc, or burning pain that they know is coming from a nerve condition, such as sciatica. The patient may go through exhaustive testing by MRI, which rules out significant involvement from a herniated disc. Or they could participate in an EMG or Nerve Conduction Study which shows the nerve is conducting fine. And yet, the patient still has nerve-like symptoms. This results in the health practitioner sending the patient to physical therapy to try something like traction, whick does not help long term…

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Nerve Injuries in Athletes

Post by Brian Yee PT, MPhty, OCS, FAAOMPT If you know me, you know I’m a big Lakers fan! I was absolutely excited when the Lakers traded for Steve Nash from the Phoenix Suns two years ago. Steve Nash has been one of the best point guards of our time. However, last year Steve had a freak injury that fractured his fibula and caused nerve damage in his leg as well. It took him out of a large chunk of games last year to recover. I will be the first to say that I am not his Physical Therapist, nor do I even know the extent of his injury. In this article, he does state that the team’s Physical Therapist…

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Can stretching my hamstrings get rid of my low back pain?

  Brian Yee PT, MPhty, OCS, FAAOMPT There are cases when stretching your hamstrings can be good for your back and other cases when it can make it worse. It can be good to stretch your hamstrings when they are tight due to poor mechanics and posture. Many times people use their hamstrings too much to move and stand. Your hips and butt muscles, as well as your ankle/foot joints and muscles should be the primary areas that provide stability and movement. If they don’t work correctly or fatigue easily, then your hamstrings will, by default, have to be used to get you through the day. Your hamstrings attach to the bottom of your pelvis that connects with your back….

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What are natural treatments for nerve pain?

Brian Yee PT, MPhty, OCS, FAAOMPT In Physical Therapy, nerve pain can be treated naturally through techniques called ‘neurodynamics’. According to Michael Shacklock in Australia, a worldwide leader in nerve pain and rehabilitation, there are three major areas to address. This includes the mechanical sites that can compress a nerve, the nerve itself, and the tissue the nerve innervates. First, nerve pain can be caused by a tissue that pinches on it. This could be a herniated disc, a muscle spasm, or arthritic changes in the spine. Such treatments as mechanical traction or soft tissue massage around the pinched area of the nerve can alleviate the nerve pain.Second, the nerve itself can become injured. Physical Therapists use manual therapy techniques…

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Why is back pain such a medical mystery?

Brian Yee PT, MPhty, OCS, FAAOMPT Many patients are fixed solely on what medical imaging says structurally about their spine and how it causes their back pain. This includes disc herniations, joint degeneration, or stenosis. Patients should understand that other factors can cause back pain as well. This can include poor muscle control and movement patterns, nerve pain, referred pain from muscle trigger points, and even the fascia around the back can cause pain. Food allergies or internal organ dysfunction can also cause referred pain in your back.Even pain itself is a mystery. Over the last decade there has been growing research on what pain is and how it presents itself, what the medical community calls Pain Sciences. Although we…

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