Case study: Sam, yoga instructor
This is Sam. Sam booked his first appointment at the clinic 2 weeks ago. He was suffering with pain in his right lower back, mid back and a restriction when trying to achieve deep overhead positions in yoga.
Treatment: How I reduced his back pain
Suffering from an injury?
You can also follow Sam on instagram: @sbarrett94
The first in our shoulder workshop series.
Since opening my clinic doors in 2013, I have been loaded with clients struggling with shoulder pain. From avid gym goers to the stay at home parent, no one seems immune from developing a shoulder issue. Dealing with such a variety of clients, made me realise that the University method’s of assessment and treatment were poor and inaccurate which is backed up by research.
Furthermore, it provided confusing and conflicting arguments on how to assess and treat the joint. By following this method, the patient spends far too much time on the treatment couch and not enough time being assessed functionally and incorporating the whole body.
What does that mean? It means you cannot just isolate shoulder pain to the shoulder. You have to take into account everything else happening in the body. I want to know about your lifestyle, your sleep pattern and stress levels, your training and recovery and especially your technique in your given activity. The activity could simply be 8 hours of sitting in a car.
When you, the client presents to me with shoulder pain, I want to find out in detail the specific tasks that you struggle with. When I delve into this I actually get a better understanding of your aggravating factors. I then choose to look at your movement doing this task. If it’s a reach up to a cupboard I will be looking from head to toe how your body moves. How does that foot behave when you are first shifting your weight to the other foot to get closer to the cupboard? Is that joint doing what it should do to allow effective loading? Or does it not move so well which causes a compensation?
If this is apparent then perhaps I need to address the foot movement and see if it plays a part in the shoulder pain. It can be quickly decided if this is the case and then I can go to work on improving that ankle. This can also be applied to shoulder pain when throwing a ball. Think about the process. When you step back and take your throwing arm behind you, you are loading up the human chain with stored energy to be able to throw the ball. The foot goes through a series of motions which allow the knee to move, the hip to move, the pelvis and the spine.
This, in turn, allows you to correctly load the shoulder. If the foot had restricted movement then you would need to find that range of motion from somewhere else. This might require the shoulder to go through more range of motion and for it to work harder than it needs to. This can easily result in a shoulder injury. Was the shoulder the culprit? In this case, it would more likely be the foot.
The frustration of applying such an ineffective method learned at University gave me such a burning desire to become much better at treating and managing shoulders. I have spent the last 10 years researching, learning and attending courses from respected shoulder experts in the field such as Adam Meakins and Dr. Jeremy Lewis. I consistently utilise online portals for continuous practitioner development such as clinical edge and my biggest mentor in the past 3 years has been Chris Wilkes who has hosted me on many occasions.
What does the course entail?
You should attend if:
- you have a painful shoulder
- you treat people with shoulder pain
- you coach clients or athletes who go overhead or use their shoulders to train
- you love coffee (coffee will be provided)
- Key principles of assessment and treatment
- Shoulder anatomy
- Red flags and differential diagnosis
- The stiff shoulder
- The unstable shoulder
- The weak and painful shoulder – management and treatment
- Function, strength and appropriate loading
To book our workshop click below:
We really look forward to seeing you then!
How to avoid injury in 2018.
Happy new year! As we say goodbye to 2017 and welcome 2018, one of the most common things to do is setting yourself some new year goals, targets or resolutions. Whilst this can bring about a positive change, there can also be consequences. Goal setting needs to be specific, measurable, achievable, realistic and time related. They need to be well thought through and intelligent.
I love the fact that people want to achieve something and or perhaps change something they don’t like about their lifestyle. However, generally speaking these goals are very hard to achieve or they are asking for trouble. I would rather see a change of lifestyle rather than trying to stick to something for January, which generally means it is only short term. A perfect example of this is to go from no training at all to wanting to be at the gym 5 times per week, or go out running every night with the hope of running a half marathon shortly.
It’s great that you want to get active, get healthier and lose some excess body fat. However in our injury clinics one of the most common factors that cause injury is a surge in volume to ones training. This is what we class as a spike in loading. Too much of a spike in load/volume is generally not the best thing as our body doesn’t have time to adapt to these new forces. We know there is a relationship between high training loads and injuries. On the other hand, we know that training does have a protective effect against injury, we just need to find the correct balance.
A paper published by TJ Gabbett was the first of its kind to find a ratio that might help predict injury. If you want to read more about the training injury prevention paradox then head on over to the British Journal of Sports Medicine here.
Our advice to you for 2018
By all means, set yourself some goals which you think are going to improve your lifestyle. Just make sure these goals are well thought through and get some feedback from a local expert. For example, if a goal of yours is to complete a half marathon then it would be wise to follow a strength and conditioning programme along side your running to help improve movement and strength. This is why in our free half marathon programme we have included training days that involve stretching, foam roller work and strength work. If you fancy giving this a go, then head of over to the free download page here. The thinking and the planning is done for you.
If you need help and structure with your goals you can book online here.
Hope you have had a lovely Christmas.
The IAC team
Injury Active Clinic opening at JustGym!
We are so excited to announce that we will be opening an injury clinic at Just Gym as of February 2018. This coincides with their new year move to a bigger and better facility in Saffron Walden.
We are always extremely particular in the location of our clinic as it has to be the right fit in order for us to be able to treat and rehabilitate our clients. We have made sure we have full access to the functional area of the gym so that we can carry out our treatment programmes on the gym floor. We are huge believers in getting people back to pain free health by making their rehab as task specific and functional as possible, something you won’t be able to do by just treating from the massage table.
We will be searching long and hard for the right candidate to fit our current team of 3 which has been expanding since Injury Active first opened its doors in Cambridge in 2013. JustGym has been has been open since 2010 and is an extremely popular gym in Saffron Walden. If you want to check out more on their gym and keep updated with the move, you can do so by clicking here. JustGym will be moving into their new home just in time for the new year.
We will of course be keeping you up to date on news of the clinic and its therapist when we know more. If you know of any physiotherapist or sports therapist (graduate) that might be interested in the job then you can forward the link here for application. Our closing date for the job will be January 31st as we hope to open our doors at the beginning of February.
The IAC team.