All Posts tagged tightness

Chiropractic & Sports Medicine

Five of the most powerful tools to target muscle pain and scar tissue adhesions related to sports injury (injuries) are the

Rapid Release device
Deep Muscle Stimulator (DMS)
EnPuls – Radial Shock Wave Therapy
Piezowave – Acoustic Shock Wave Therapy
Laser Therapy
Between my hands for the Chiropractic evaluation and these tools we can release painful adhesions, tight muscles, stiff joints and help chronic pain.

 

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What’s wrong with sitting?

I typically see:
tight hip flexors, hamstrings, calves
tightness through the external hip rotators, leading to restriction in hip joint range
limitation of lumbar spine extension
stiff thoracic spine
protracted and elevated scapulas with weak lower trapezius and serratus anterior
tight and weak posterior rotator cuff
poked chin posture with associated weak deep neck flexors and overactive upper trapezius, levator scapula and rhomboid muscles.

Prolonged sitting has also been linked to hamstring strains. The lumbar spine stiffness associated with sitting leads to altered neural input into the posterior thigh, the theory goes. This can manifest as increased muscle tone of the hamstrings, which will alter the length-tension relationship and increase the risk of strain.

Hunched postures cause thoracic spine stiffness, shoulder imbalance and winged scapulas.

Each of my clients is encouraged to correct their posture, perform a daily flexibility program and take a look at the ergonomics of their work-stations to help them regain the alignment and muscle balances that are essential for them to achieve their best health.

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Muscle Imbalance

Combinations of muscle weakness and tightness cause musculoskeletal pain. The most difficult part of treatments are to the muscles that become inhibited, (restrained, blocked, or suppressed) because this requires patients to perform exercise at home on there own. Muscle inhibition is common in the neck, low back, and extremities.

Inhibition refers to the inability of a muscle to contract fully on demand. This inhibition is a neurological response and manifests particularly at the extreme ranges of motion – when the muscle is contracted fully. A muscle may have strength at the mid-range, but be very weak when moved into a shortened position; this creates instability at the joint. When the body senses instability, other muscles tighten up as a form of protection. To improve these muscle and joint imbalances I expect my clients to perform the exercises that I prescribe as part of my treatments.

Inhibitied muscles usually generate hypertonicity/tight muscles in adjacent regions of the body (low back & hip, neck & shoulders)). In other words, the relationship between weak and tight muscles is reciprocal. Inhibition is frequently found in muscles resulting from injury, inflammation or pain and that inhibition or weakness leads to reciprocal facilitation of its antagonist(s) muscles.

When a muscle has been over-stressed or over-worked, the result is altered feedback from the nervous system. This causes a reduced capability for the muscle to contract, from the instability through full physiological range. The end result is an inability for the muscles to properly stabilize joints. This is a major point that I want you to understand. I teach you stability (strength) exercises to train the weakened muscles to hold the joints in place again.

Again, please understand, hypertonicity in a muscle leads to blockage(s) or weaknesses in other muscles close by. Inhibited (weak) muscles are capable of spontaneous strengthening when the inhibitory reflex is identified and remedied (most commonly through joint or soft-tissue manipulation).

Muscle hypertonicity/tightness/spasm generates inhibition in surrounding regions of the body, and so spasm is treated first using the Deep Muscle Stimulator, warm laser, manipulation and deep soft tissue massage therapy.

The inhibited (weak) muscles are treated with exercise, rocker boards, wobble boards, and other tools. I prefer to teach clients bodyweight exercises, resistance band exercises, stability ball maneuvers and kettlebell training.

I pay a lot of attention to posture because the postural muscles tend to be short, tight and usually hypertonic. This is why some times I will teach you to stretch, and other times I will teach you to strengthen your muscles.

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