CM Remedial and Sports Massage Therapy

08/04/2024

25/02/2024

I got them correct yay 😂

06/02/2024

🔈SHOULDER PAIN EXPLAINED

Shoulder pain, often associated with impingement, results from compression or irritation of structures within the shoulder joint. Three main types of shoulder impingement are:

1. Primary External Impingement:
- Compression of rotator cuff tendons and the subacromial bursa between the humeral head and acromion.
- Common in activities involving repetitive overhead motions.

2. Secondary External Impingement:
- Related to shoulder joint instability or abnormal motion.
- Caused by factors like muscle imbalances, weakness, or poor scapular control.

3. Internal Impingement:
- Compression within the shoulder joint, affecting rotator cuff tendons and the articular side.
- Often observed in athletes performing repetitive overhead motions, such as throwing athletes.

Referred pain to the shoulder can stem from the cervical and thoracic spine:

1. Referred Pain from Cervical Spine:
- Due to conditions like cervical radiculopathy, herniated discs, or foraminal stenosis.
- Involves muscles in the neck (trapezius, levator scapulae, and rhomboids) and nerves (brachial plexus and cervical nerves).

2. Referred Pain from Thoracic Spine:
- Less common than cervical spine-related pain.
- Associated with conditions like thoracic disc herniation or nerve compression.
- Involves muscles in the upper back (trapezius and rhomboids) and thoracic spinal nerves.

Neural Involvement:
- Neural issues may arise when nerves from the spinal cord are affected, particularly the brachial plexus.
- Nerve compression or irritation along the brachial plexus can lead to pain, tingling, or numbness radiating into the shoulder and upper extremities.

27/07/2023

While there is no surefire way to treat damaged tendons, a low-risk treatment option such as platelet-rich plasma (PRP) therapy may carry some advantages.

11/07/2023

Learn four ways exercise can help relieve the symptoms and long-term effects of rheumatoid arthritis. Guidelines getting enough exercise—and what to do if exercise is too painful—are also included on this page.

09/07/2023

Common symptoms of hip impingement include hip pain and stiffness, loss of balance, and limping.

30/06/2023

🔈 SERRATUS POSTERIOR INFERIOR - OVERLOOKED CAUSE OF LOWER BACK PAIN

You have a client who tells you this:

'I reached for something and suddenly I felt a sharp spasm in the lower part of my back, slightly to the side of the spine, at the bottom of the ribs, and when I breathe in really deep I can feel it'.

Based on the above description you should suspect that you might be dealing with the Serratus Posterior Inferior muscle.

💡 Where is the Serratus Posterior Inferior muscle?

The Serratus Posterior Inferior muscle connects the lower 4 ribs to four vertebrae (T11, T12, L1, L2) in the low back.

💡 What movements does the Serratus Posterior Inferior muscle control?

✔️ Forced expiration (breathing out when breathing hard)
✔️ Assists with twisting at the waist
✔️ Assists with straightening the trunk (standing up straight)

💡 Activities that cause Serratus Posterior Inferior pain and symptoms:

✔️ Twisting the body when lifting
✔️ Overreaching overhead or to the side of the body
✔️ Lifting something heavy using the back muscles instead of leg muscles
✔️ Sleeping on a sagging or too soft mattress

ℹ️ Trigger Points

Trigger points in the Serratus Posterior Inferior may cause an uncommon local ache radiating over and around the muscle.

This may extend across the back and over the lower ribs, even continuing through the chest to the front of the body.

This discomfort is typically described by clients as a nagging ache.

In many cases this pain remains after other trigger points have been inactivated. This should be a good indicator for the therapist to recheck the Serratus Posterior Inferior for undiscovered trigger points.

👩‍🔬 Stretching for self-release of the Serratus Posterior Inferior

Cross your forearms just above the wrist, at about chest height. Inhale deeply as you slowly raise them up until the area where the arms cross is level with your forehead. Now lower the arms as you exhale.

Do this once or twice, allowing for a brief rest (a few breaths) before repeating. Do this exercise set several times a day.

09/04/2023

https://theprehabguys.com/fix-flat-feet/

Looking for exercises to fix flat feet? We got you! But before we get into the exercises that can help address this "problem", we first want to address that flat feet in and of itself is NOT a diagnosis and NOT the sole cause of your pain! Pain is multi-factorial and while having

14/02/2023

03/01/2023

Historically RICE (Rest, Ice, Compression, and Elevation) was the protocol for treating an acute injury. However, it has been shown that this approach is unsupported and could be detrimental to the healing process.

Current research is telling a different story. Limited use of ice can be beneficial in decreasing discomfort and pain, but it is essential to understand that the intention should not be about reducing inflammation.

The inflammatory response following any tissue injury plays an important role in healing. Immediately after injury, the innate immune system is activated, setting in motion a local inflammatory response that includes the recruitment of inflammatory cells.

Inflammation serves the purpose of protecting the area and minimising movement to assist the healing process. Ice has been shown to delay the healing response, the inflammatory response is important as it initiates the release of kinins and cytokines which leads to an increase in fibrinogen and platelets for homeostasis which is followed by the clean-up guys to come in and mop up the necrotic debris which leads to collagen and protein synthesis.

Rest may also delay the healing response. Movement not rest is the current thought for a better recovery. Movement directly stimulates tissue healing hence, part of my recommendation is to start by moving within a pain-free range.

It is important that we base our treatment plans on current evidence-based research.

REFERENCE: https://thischangedmypractice.com/move-an-injury-not-rice/

11/11/2022

Sacroiliac joint dysfunction is caused by abnormal movement of the sacroiliac joints, which can result in pain in the lower back and legs, or inflammation of the joints known as sacroiliitis

16/10/2022

ankle-sprain-rehabilitation

Learn 5 great tips to optimise your ankle sprain rehab in this thought-provoking blog.

05/10/2022

calf raise

"Leg day" needs more than squats, leg extensions, and leg curls. Here why you should stop overlooking the standing calf raise.

30/09/2022

🔈 RELATIONSHIP OF SCIATIC NERVE TO PIRIFORMIS

(A) The sciatic nerve usually emerges from the greater sciatic foramen inferior to the piriformis.

(B) In 12.2% of 640 limbs studied by Dr. J. C. B. Grant, the sciatic nerve divided before exiting the greater sciatic foramen; the common fibular division (yellow) passed through the piriformis.

(C) In 0.5% of cases, the common fibular division passed superior to the muscles where it is especially vulnerable to injury during intragluteal injections.

22/08/2022