Quick Test: What Does Actual Shoulder Mobility Look Like?

Image may contain: one or more people, people standing and indoor

Image may contain: one or more people, people standing and indoor

A key component in maintaining strong, healthy shoulder joints is understanding how to differentiate between using actual shoulder mobility v. other joints to compensate for a lack of shoulder mobility.

As the above photos demonstrate, more than one joint can be used to reach arms overhead. Many of us mistakenly believe we are strictly using shoulder mobility to accomplish this motion. The first photo shows someone reaching arms overhead to touch the wall behind them. At a glance this might look like fantastic shoulder mobility, but take a closer look at what is happening at the rib cage. It moved away from the wall to help move the arms further overhead. Once the end of actual shoulder mobility is reached, rib cage thrusting can help us achieve further movement without using the shoulders but using the low back instead. 

Is this a problem? Not always. But if you are looking to improve actual shoulder joint mobility, compensating with rib cage thrusting bypasses the...

Continue Reading...

All Walking is Not Created Equal

When it comes to walking, most of us have a strong preference between walking outdoors, indoors, or on a treadmill. We tend to think these activities are interchangeable from a health perspective, but are they? The surfaces that we walk on change the experience of our body and the muscles that we use.

Walking overground should be powered by the backs of our legs with our torso vertical. In order to propel us forward, our muscles generate a pushing action behind us to push the ground away. On the other hand, a treadmill forces our body to do exactly the opposite, relying on a walking pattern driven by the muscles in the front of the hip and thigh to catch yourself because the “ground” is coming toward you. Therefore, treadmill walking is not the same as walking overground.

So Why Does This Matter?

For most of us, the muscles of the fronts of our hips are already shortened due to time spent sitting every day. Treadmill use encourages further shortening and overuse of...

Continue Reading...

A Brief Overview of Chronic Pain

As the chronic pain epidemic continues to pour over into the opioid epidemic, new research continues to break down the complexity of chronic pain. Just a few years ago, chronic pain was viewed completely from a biomechanical perspective. When the medical community realized that treating only the injury was not only not working, but the epidemic of chronic pain continued to worsen they realized they needed to take a step back and look at the whole person. What has been discovered has been an eye-opening look at how chronic pain involves factors beyond what is happening within the body tissue. Now, we take a broader look at the whole person and understand chronic pain has a multitude of origins.

The Actual Risk Factors for Chronic Pain

Over time, physicians and other professionals realized the amount of tissue damage being seen on an MRI and the amount of pain a person was experiencing just were not matching up. Beyond that, those who underwent surgical procedures were showing...

Continue Reading...

When Body Alignment Does Matter: A Discussion of Chronic Pain and Function

Chronic pain is the leading cause of disability in the United States, with an annual cost estimated to be about $100 billion. These costs are associated with healthcare expenses, lost income, and lost productivity. A majority of adults experience acute pain at least once in their lives with about 28% later developing chronic pain (3).

With the nation’s growing opioid epidemic, there has been considerable emphasis on understanding the sources of chronic pain. Many mistakenly believe that tissue damage is directly correlated with a person’s risk of developing chronic pain. Statements from medical professionals to their patients which include “Your MRI shows that you have the spine of an 80 year old and you can expect to be in pain for the rest of your life” or “just avoid stairs or squatting entirely if it your knees are hurting” just further exacerbate the myths surrounding chronic pain.

There is much confusion regarding body alignment, movement,...

Continue Reading...

High Heels and Your Health

For every 1 degree of heel your shoe has, 1 degree of spine, hip, and knee joint reaction is required to compensate…. meaning for every 1 inch of heel your shoe has, it caused 20 degrees of change throughout the joints of the lower extremities and spine! Think even a modest heel is not a detriment to your health? Think again.

Our footwear choices can be a detriment to our joint, bone, and muscle health. The amount of joint reaction caused by wearing heels can be contributing to knee and hip osteoarthritis, lumbar disc compression, and even pelvic floor dysfunction (new moms please avoid heels!). Improper footwear choices are also a common culprit of falls in older adults.

One of the highest impact steps you can take toward improving your health is changing your footwear. The purpose of a shoe is simply to protect our skin from the environment. The shoe should still allow your feet to experience as much natural movement as possible.

Start by looking for shoes that are flat,...

Continue Reading...

Should I Get an MRI for Low Back Pain?

Mounting research indicates that getting an MRI for chronic back pain is more harmful than it is helpful. When someone walks into their doctors office looking for low back pain relief, imaging and medication might be recommended. However, an MRI report may come back with results like “degenerative joint disease” or “bulging discs”. Both of these findings are highly normal and present in up to 50% of the general population. In fact, it would be abnormal if the spine did not show any signs of aging. Once we hear a diagnosis like “degenerative joint disease” we think this is causing our back pain and assume that we will be in pain the rest of our life. This could not be further from the case.

Normal MRI Findings

60% of adults over 60 years of age will show abnormal MRI results, regardless of whether or not they have pain. In some cases, people do have low back pain and an MRI will show no abnormal results. This does not mean pain is...

Continue Reading...

Normal Aging of the Spine and Low Back Pain

When it comes to back pain, we often hear phrases like “the doctor says I have the spine of an 80 year old” or “there is nothing that can be done about my back pain, it is just old age”. It is completely normal for the spine to begin to change as we age. However, these changes in the spine do not automatically lead to limited mobility and pain. On the other hand, age can cause an increase low back pain for a variety of other reasons. About one in three older adults will experience low back pain. Normal changes in the spine that come with age include postural changes, decrease in strength, changes within the joints, and decreased flexibility. These factors are most likely to contribute to back pain, but are also easily changed.

So am I more likely to have back pain as I age?

The majority of low back pain in older adults is not due to a specific pathology, such as fracture, and is diagnosed as non-specific low back pain. Degenerative changes on...

Continue Reading...
Close

50% Complete

Two Step

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua.