Rotator Cuff, Rotator Cuff Injury, Nerve Injury discussed on Purity Products
The different muscles that are involved in the joints are involved that goes back to stability versus motor control. What are we talking about here? Well, we're talking about In order for Your body to be able to walk upright. You need to have the correct muscle firing patterns. In other words, the muscles need to be Contracting relaxing in a coordinated fashion. You can move smoothly now, if the muscles are not firing in a synchronous pattern. You're not gonna be able to stabilize the joints properly, right? Think about what happens when you're standing. We don't really think about us using muscles were just standing still. It feels like we're not using any mostly just standing there resting on her joints, but actually, there are muscles. Which are constantly Hiring. Help you stand up straight. And those muscle groups need to be firing in a very coordinated way. Now. Moving forward we're talking about Stability and stability has to do with moving through a range of motion. Why you're going against Outside or external factors. Gravity going up a treadmill? Well, not a patrol. No, but, you know, moving against the forces of General going up and down stairs riding a bike, you know, surfing. Uh, you know, Twisting and pivoting on your golf club. The dynamic stability involves being able to control those muscles. A range of motion and that has to be resisted by the impact with the ball with a heavy box. You're lifting We need to make sure that we're not just strengthening the one Area. Where the pain it's, but we need to take a look at one or two joints away as well. So, for example, I can't tell you how many times in the clinic when people come in complaining about shoulder pain. You might have even gotten multiple cortisone shots from there, Doc. They might have even had shoulder surgery. And then they find out you know what Then you have to step back and say, Well, wait a minute. Here. Let's take a look at how stable is that shoulder? Why is it unstable? Is it because there's a rotator cuff injury? You know, and we do a careful evaluation, their physical examination we come to find out. You know what There. There is a rotator cuff injury and part of it could be from overuse. But then we take a close look and find out the reason why that particular shoulder that rotator cuff is vulnerable to overuse. Is that there's nerve compression. Or what's called Noura genic weakness. Perhaps there is some type of nerve injury upstream. Turns out that the number six nerve root controls the muscles around the rotator cuff. And so if you've got nerve compression or Nora genic weakness coming from upstream, of course, the rotator cuff is going to be vulnerable. But guess what. If you get that rotator cuff injected If you get that surgery done, and you don't address the neural genic weakness component what's happened to cause those muscles in the cuff to be weak in the first place? The problem is going to keep coming back. So Yeah, we're getting back to that. That topic of when it comes to exercise. It's so critical to not just get out there and and Question. Move muscle and No. No pain, no gain kind approach. That's something we did about. 30 years ago. These days, the approach is more about training the right muscle groups. It's about maintaining stability. It's about working our range of motion. And when it comes to injured muscles and joints, we need to take a closer look. At what is actually helping those parts of the body to move. So, for example. Maybe you've heard about bursitis. Bursitis is a little pocket of fluid that can build up nearby a joint or attendant where there's Motion. And irritation can cause the fluid to build up and that Area of swelling is painful. And The area nearby. The Joint Is made up of the cartilage. Lines where bones meat bone. It's also made up of the areas where the ligaments ligaments are like thick rubber bands that hold Bones in place. And there's also the capsule. The capsule is like a fiber structure that surrounds the joint and all these structures can become tightened. Were limited. If there's no Range of motion. If the muscles have lost their strength, those other structures, the ligaments, the tendons that joints they lose their elasticity. And that will affect the range of motion that will affect how well the muscles could do their job. So When we're taking a look at a painful problem. We typically doom or at Premier Magen IX than hey, Where's it hurt? We're going to stick a needle here. We need to take a careful look going beyond the pain. Trying to understand structurally what's going on so we can restore that range of motion. And that plays into the exercise component. How do we get the exercise going? Because if you can't do the exercises if it's too painful if you're not making forward progress With the physical rehabilitation Then we need to take a closer look. Maybe we do need to Talk about something. Whether it's a medication or injection to stimulate that healing process. Spin Doctor Dwight here with you and the moving body. Um Course we do. Take.