Massage Warsaw- Massage Therapy – Warsaw Acupuncture

Tag: Shoulder Pain

  • Hand Pain: A Case Study

    Hand Pain: A Case Study

    Hand Pain: A Case Study

    Xela (Quetzaltenango), Guatemala has many Spanish language schools and has a reputation in the country as the place you go if you are serious about learning Spanish.  The cost of study is quite surprising: U$60 for one week of intensive one on one Spanish classes (4 hours/day, 5 days/week, 20 hours total).  A home stay with a local family can be arranged for an extra U$70 (7 nights accommodation, 3 meals per day).

     

    I took classes at the Miguel de Cervantes School and was matched with my teacher, Miriam for one on one classes.  After learning that Miriam was having trouble with her hand, I offered my help over the remaining 3 days.  She accepted, and saw some dramatic improvements.

    Miriam was 55 years old at the time of this article.  5 years prior, she tripped and fell in the street, landing on her right hand.  During the fall, most of the impact centred on her right carpal bones and the metacarpals heads.  She also tore her left achilles tendon which was treated during 8 months of physiotherapy.  She never received any treatment for her hand.

    Before treatments started, she showed the following signs:

    • For the past 5 months she has not been able to close her right hand to make a fist.  With effort she could close her hand to roughly 25% of the way.
    • Her right third finger could not move more than 15 degrees in flexion or extension.
    • Her hand was very sore throughout the day as she did her chores.  She had trouble holding a spoon to stir for extended periods of time.
    • Her hand hurt after 5 minutes of writing.
    • She relied more and more on her left hand.
    • She could not raise her right arm more than 90 degrees (50%) in abduction.
    • Her right shoulder hurt her when she slept. She slept on her back.
    • She had been suffering from asthma for her whole life.

     

    Upon examination of her hand, I noticed quite a build up of scar tissue around the second, third, and fourth metacarpo-phalangeal joints.  There was very little joint mobility in her carpals and between her metacarpals.

     

    I gave her the following treatment over three days:

    • A combination of myofascial release, ART, and tuina focussed on the right metacarpophalangeal joints and tendons, as well as the LI4 acupuncture point
    • Joint mobilizations of all carpal, metacarpal and phalangeal joints of the right hand
    • Acupuncture
    • Ginger and honey tea to help with her asthma

     

    She also did the following home care:

    • A daily 10 minute hand soak in warm water
    • Wrist flexor and extensor stretches
    • Self massage of the forearms and hands
    • Appley stretches for her rotator cuff muscles
    • Finger walks on the wall to improve glenohumeral abduction

     

    After 3 days of daily treatments and home care, she had the following results:

    • She could close her right hand 100% into a tight fist
    • She could write for 1 hour without any pain in her right hand
    • She used her right hand for everything now
    • She could sleep on her side
    • She had less shoulder pain while sleeping
    • She could raise her hand above her head for 100% shoulder abduction
    • She was able to sleep through the night without being awoken by her breathing problems

  • Video: Chest/Pectoral Stretch for the Office

    Here is another stretch for your chest pectoral muscles. It is a yoga stretch than can easily be done at the work place. Perfect for those moments when you are stressed out at work and don’t have time for a break.

    Guidelines for performing the stretches:

    1. Check with a health care professional before you attempt these exercises to ensure that it is safe for you.
    2. Do the exercises slowly and gently. Failing to follow the instructions or consult with a health care professional could cause your symptoms to worsen.
    3. Try to breathe slowly and keep your body relaxed. Do not tense up or hold your breath as this will invite muscle spasm.
    4. You should feel a gentle stretching sensation, but you should not feel any pain during the exercises. Be especially careful of any sharp pain in the shoulder. If you do feel pain, decrease the range of movement by stopping before you get to the point of pain. Continue the exercise within the pain free range.
    5. If you cannot find a comfortable, pain free way to do these exercises, discontinue immediately and seek the advice of a health care professional.
    6. To increase the stretch, try to squeeze your shoulder blades together and slide them down your back while you are doing the exercise.
    7. Do the exercises in a set of 3 for a minimum of 3 times a day for best results.
    8. Hold the stretch for a minimum of 15 seconds each time.

  • Video: Chest/Pectoral Stretch for Neck & Shoulder Pain

    Tightness in the pectoral muscles is an important factor in neck pain or shoulder/upper back pain.  Shortness in the pectoral  muscles pull the shoulder blades forward and cause the upper back muscles to stay in a stretched, weakened position resulting in neck and shoulder pain.  This often happens because of poor postural habits, but more importantly it is due to our always being hunched over our desks or computers.  Doing a few pec stretches every day can help reverse poor posture, increase muscle length and decrease shoulder and neck pain.

    Guidelines for performing the stretches:

    1. Check with a health care professional before you attempt these exercises to ensure that it is safe for you.
    2. Do the exercises slowly and gently. Failing to follow the instructions or consult with a health care professional could cause your symptoms to worsen.
    3. Try to breathe slowly and keep your body relaxed. Do not tense up or hold your breath as this will invite muscle spasm.
    4. You should feel a gentle stretching sensation, but you should not feel any pain during the exercises. Be especially careful of any sharp pain in the shoulder.  If you do feel pain, decrease the range of movement by stopping before you get to the point of pain. Continue the exercise within the pain free range.
    5. If you cannot find a comfortable, pain free way to do these exercises, discontinue immediately and seek the advice of a health care professional.
    6. To increase the stretch, try to squeeze your shoulder blades together and slide them down your back while you are doing the exercise.
    7. Do the exercises in a set of 3 for a minimum of 3 times a day for best results.
    8. Hold the stretch for a minimum of 15 seconds each time.

  • Video: Shoulder Exercises for Improving Posture & Decreasing Chronic Pain

    Here is a video for some exercises for improving shoulder posture. It is definitely worth a try for people who haven’t had much luck with the traditional stretching exercises. Traditionally, to correct posture, we focus on increasing the length of shortened muscles or increasing the strength of weak muscles in an attempt to bring the body’s posture back to equilibrium. The technique proposed in this video focuses on awareness and activating. These gentle, almost effortless movements bring the participant’s attention to muscles that are often ignored. In this example, the participant activates her serratus anterior muscle, which is a small postural muscle whose weakness is often overcompensated for by larger muscle groups like the trapezius muscles. Teaching the participant to use her serratus anterior muscle results in a more evenly divided workload for the postural muscles, which in turn lead to better posture and reduced chronic pain. With the shoulder blade sitting better on the torso, the many neck muscles that originate from the torso or shoulder blade experience reduced stress.

    I tried the exercises myself on the weekend after a long bout of cycling (ie. sore neck and shoulders) and found instant relief.

    Enjoy the video.

  • Improve Your Shoulder Posture by Changing Your Workout

    One of the most important and long lasting ways to get rid of neck and shoulder pain is to change your posture.  I am sure that you have all heard it from your massage therapist, but, how can you change your posture after it’s been that way for decades?  The body has already been trained and it’s game over, right?

    Wrong!  Using the right fascial massage techniques, stretches and strength training can re-educate your body to develop and accept a new posture.  With postural re-education you will find more permanent results than simply trying to pull your shoulders back.

    Pace Yourself

    Firstly, understand that the change has to be gradual.  It can be next to impossible to change postural habits overnight.  Clients often feel like they have to change their posture instantly and that they are “failing” every time that they catch themselves falling into their old slouches.  I ask them to instead try to have good posture for a total of an hour a day for the first week and then gradually increase it.  This way they can understand that it is a gradual process and that they have a really good chance of succeeding.  Most will be able to do more than an hour a day and feel great about it.

    Strength Training for Posture

    The other approach is to start strengthening your muscles. Posture is only partly habit.  The rest of your posture depends on muscle balance.  The chest muscles (pectoralis major and pectoralis minor) pull the shoulder blades forward, while the back muscles (rhomboids, trapezius and latissimus dorsi) pull the shoulder blades back and toward the spine.  Most people are stronger in the chest than they are in the back, which is why they slouch forward.  Re-balancing your postural muscles involves stretching out the pectoral muscles and strengthening the back muscles.

    Start training your back muscles.

    By strengthening the upper back muscles, specifically the muscles that bring your shoulder blades together, you will find that your body with its balanced muscles will naturally and automatically go into the correct posture.  You won’t have to think about posture or make any real effort again.  The key exercises for strengthening these back muscles are lat pulldowns and rowing motions.

    Focus on Endurance

    The problem with pulling your shoulders back is that these muscles get tired as they lack endurance.  An 8 hour work day is a long time for these muscles to be working against the powerful chest muscles.  When strengthening your postural back muscles, build endurance by lowering the weight and working up to sets of 16 or more reps.

    Take it Easy on Your Chest

    Most people that work out love spending time on their pecs.  Guys love the strong, masculine look that big pecs give, while women like how it firms and lifts the breasts.  Remember though, that strong, short, tight pec muscles are a big reason for our bad posture.  These muscles shorten with repeated slouching and hunching over our computers.  Strengthening these muscles further shorten them and worsen our posture.  You can still work on your chest in a workout, but you will need to change your approach:

    1. Lower the weight you are using.
    2. If you can, leave the bench press alone and work the pec fly machine.  The pec fly works the pecs through its full range of motion including the stretched out end range.
    3. Stretch your pecs before and after every set.  Pec stretches will lengthen the pec muscles and keep them from going into spasm.

    A Second Look at the Elliptical

    Most people use the elliptical by powering through with their legs while their arms limply hold onto the handles and swing. This is good for cardio training and working the legs, but if you want to improve your posture and get rid of your neck pain, try using the elliptical in the following way.

    1. The key is to focus on what you are doing with your upper body.  Try to shift all the work from the legs to the upper body.  It may be difficult at first and you may need to alternate between focusing on the upper body and focusing on the lower body.
    2. There are 2 phases: pulling the handle back and pushing the handle forward.  To work your postural muscles, put all your effort into the pulling back phase while using the pushing forward phase to rest.
    3. When working the upper body, don’t let your arms do all the work.  Focus on your shoulder blade.  It should be either moving outward or pulling inward toward the centre of your back.  The more your shoulder blades are moving, the more you are working your postural muscles.
    4. When you pull back on the handle, try to pull your shoulder blade toward your spine.  This works the rhomboid, lats, and middle and lower traps: the postural muscles that pull your shoulders back.
    5. During the rest phase when the handle is going forward, don’t put too much effort on the arm, but try to distract your shoulder blade and slide it out and forward for a nice stretch.
    6. This exercise works great because there is a lot of repetition which builds  endurance in your postural muscles.  When those back muscles become as strong as or stronger than the front muscles your shoulders will automatically start pulling your shoulders back on their own.

    Good posture, naturally.

  • "My Shoulders Hurt When I Jog"

    jogging and shoulder pain

    We expect pain and discomfort in just about every muscle from the waist down when it comes to jogging, but why would we get a pain in the shoulder?

    First of all many of us have some sort of postural imbalance where the shoulders aren’t lined up well.  Also, there is muscle tension and stress that we keep in our neck and shoulders.  This means that there might be decreased flexibility, mobility, health and strength leading to early muscle fatigue, pain and cramping.  Treating the stress in the neck and shoulders with massage or acupuncture can free them up so that they perform better when jogging.

    Another approach is to look at how we jog.  Many jog in a way that increases shoulder tension.  A quick check is to look at your hands.  Are they loose or clenched in a fist?  They should be loose.  If they are clenched in a fist, then we are likely activating and clenching every muscle from our fingertips, arms and shoulders up to our neck when jogging.  This constant tension leads to early muscle fatigue and pain.  A simple remedy is to keep our hands, arms and shoulders loose as we jog.  It can be hard to be constantly thinking of our arms while jogging, so try this simple technique: touch your thumb to your middle finger lightly and keep it there the whole time that you are jogging.  In this position it is really difficult to have any real tension in our arms and shoulders.  The shoulders will stay loose and the pain will go away.

    Stay loose.

    Ken Shim, RMT