🔴Optimal Treatment for Trigger Points🔴
What is a trigger point?
Any trauma to the tissue or body creates inflammation. Inflammation in turn, activates the body's pain receptors(nocioceptors) and intitiates a protective mechanism/response. Whereby increasing tension within the muscle or causing spasm. As a result of the spasm, adhesions (knots) begin to form in the soft tissue. These adhesion forms a weak, inelastic matrix, that decreases the normal elasticity of the soft tissue. This leads to altered length-tension relationships, altered force couple relationships and altered joint motion creating pain.

What do you do?
Ice the region/area for 3 days. Then apply heat, and stretch the area, Ie. Upper trapezius which is a common area where they form. Then use a tennis ball or something comparable and perform self myofascial release to the area(see picture below). The key to eliminating trigger points is consistently stretching, getting up every 1-2 hrs from sitting, strengthen the posterior chain(rhomboids, low traps, external rotators)

If you liked this post, please comment below and email us for more topics you are interested in. Email PTCS at: ptcg1999@verizon.net

#pinnacle #pinnacletrainingconsultingsystems #triggerpoints
#post rehab #Trps #paininneck
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-----------------Tip of the DAY! --------------

Rotator Cuff Breakdown

By Chris Gelllert, PT, MMusc & Sportsphysio, MPT, CSCS, C-IASTM

Background:

Rotator cuff tears come in all shapes and sizes. A small tear (<1cm) typically can heal typically without surgery and would benefit from physical therapy, addressing soft tissue restrictions, restoring functional mobility then stability. A medium tear (2-5cm) may or may not require surgery. Finally, a large or massive tear (5cm or >), will not respond to physical therapy and conservative treatment, requiring surgery followed with physical therapy.

Therefore, understanding the location and type of rotator cuff tear will provide clarification regarding the client’s shoulder.

Most tears affect the supraspinatus muscle. Why? Beccause the supraspinatus is biomechanically weaker and has poor blood supply as compared the surrounding muscles.

Stage 1- Patients are usually 25 years old and have pain with activity that usually resolves with rest. The condition is reversible, and treatment is conservative.

Stage 2-Fibrosis and tendonitis. Patients are typically between 25-40 year old and experience recurrent pain with activity that does not always abate with rest. According to Neer MD, subacromila decompression should be considered if all other conservative treatment fails.

Stage 3-bone spur and tendon rupture. Patients are older than 40 year and have a history of progressive disability. Rotator cuff repair is advised.

Stage 4-Cuff tear arthopathy(disease of the joint). Patients are typically older than 60 years and have a history of progressive disability with a torn rotator cuff. Clinical management consists of a RTC repair, hemi-arthoplasty or total shoulder replacement.

Effective exercises: Based on evidenced based research and biomechanics, it is important to design a program that tailors to the need of post-rehabilitative client. Understanding the anatomy, biomechanics, forces, functional anatomy and exercise selection is paramount!

Teaching the client the following exercises is beneficial:

·     Mid row exercise targets the weaker phasic rhomboid muscles, helping unload the anterior shoulders and improving posture

·     Low trapezius pulldowns targets the weaker phasic low trapezius.

·     External rotation with cable exercise targets the weaker infraspinatus and teres minor muscles(see picture)

·     Pullaparts with tubing targets the posterior deltoid.

Exercises that are contraindicated include with rationale:

•      Seated dumbbell shoulder press (creates excessive load to the medial deltoid).

•      Lat pull downs behind the head (at end or range places greatest stress on all glenohumeral ligaments as well as on the labrum).

•      Upright row (at end of range-shoulder is maximally internally rotated which places stress on all glenohumeral ligaments, labrum and connective tissue).

 

#personaltrainer #pinnacletrainingconsultingsystems #ptcsconsulting #rotatorcuff

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Feature: Training the Spondylosis and Spinal Stenosis Clients

What is spondylosis?

A degenerating of the spine between the bones or thinning of the disc due to aging, type of work, lifestyle, poor posture, and biomechanical factors.

Spinal stenosis is a narrowing of the spinal canal--either central or lateral. This can be due to aging, present bone spurs that decrease vertebral space, or impinges on a nerve root. Conservative physical therapy can really help clients with spondylosis, spinal stenosis improve mobility before regaining proximal to distal stability.

Which exercises are safe for spondylosis? Because this is a degenerative condition, improving mobility should be the focus. Stretching, integrating yoga, pilates are a few great modalities.

Strengthen the core unidirectonal and multdirectional, but avoid teaching,having client perform vertical loading exercises. Such as barbell squats or back hyperextension, as this narros the spine, creating more spinal compression.

Which exercises are safe for spinal stenosis?

Training should focus on stretching the tight hip flexors, hamstrings and erector spinae. Stabilization exercises should include bridging with physioball, standing trunk rotation with cable, prone alternate arm and leg lift over physioball, just to name a few...

Strengthen the core unidirectonal and multdirectional, but avoid teaching, having client perform vertical loading exercises. Such as barbell squats or back hyperextension, as this narrows the spine, creating more spinal compression and potential further injury.

The plank on physioball with lateral resistance challenges the core and then some!! Happy wednesday

#pinnacle #pinnacletrainingconsultingsystems #spinal stenosis

#spondylosis #postrehabtraining #CPRS

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Testimonial Monday!

Click here for a list of all courses:

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#pinnacle #pinnacletrainingconsultingsystems #CPRS

#human movement #post rehab

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Do you need CEUs? Do you want to learn quality content on human movement?

Then you need to check out Pinnacle Training & Consulting Systems home study courses.

Click here for a list of all courses:

https://www.personaltrainerceu.com/online-learning-fitness-track

https://www.personaltrainerceu.com/cprs

#pinnacle #pinnacletrainingconsultingsystems #CPRS

#human movement #post rehab

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Attention personal trainers---Do you want to stand out from the rest in the industry? Become a Certified Post Rehabilitation Specialist(CPRS) and master the following understanding of:

*Functional anatomy

*Biomechanics of movement

*Joint actions

*Kinetic chain

*Musculoskeletal and movement screening

*Therapeutic exercise

*Periodization training and program design

*Common movement dysfunctions

Entire CPRS is approved for CEU's by:

ACE 3.5, NASM and NSCA 1.9, NATA 12, NFPT 4 CEUs respectively

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#CPRS #postrehabilitation

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 Become an advanced training specialist(ATS)!

The Advanced Training Specialist(ATS) is an entry level certification for personal trainers who want to learn more about:
*Anatomy
*Movement Analysis
*Essence of integrative training
*Periodization Training
*Common movement dysfunctions

Only $50.00 per course and each course has been approved for CEUs. For more information, please visit:
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#pinnacle #pinnacletrainingconsultingsystems #tva #rehab
www.pinnacle-tcs.com #exercisephysiology