Tag Archives: shoulder pain


Movement Monday: Neck and Shoulder Corrections From Your Desk

Video explanation, demonstration, and further detail over at:

Movement Monday: Countering Anterior Dominance

Don’t Just Sit There (Part 1)

The phrase move it or lose it has been around for years and for good for reason.  The concept is contingent upon the process of adaptability or plasticity.  Without moving or utilizing certain processes within our bodies, over time we lose it.  On the flip side, when we utilize certain muscles or nervous system connections known as pathways, we have the ability to strengthen them.

This concept can be simply understood by looking at what happens when you work out or don’t work out a muscle.  If you are constantly doing curls, naturally your bicep will grow as it is your body’s way of adapting to the increased demand.  However, if you don’t use your bicep, another muscle, or various pathways in your brain, the muscle or process will become weakened or atrophied and could quite possibly go away completely.  This is your body’s clever way of adapting.  In our miraculous design, the body is designed to be as efficient as possible. Lack of an activity provides feedback that we don’t need to devote any energy or memory to this process; thus not moving it or using it, leads to losing it.

While the topic of utilizing different, diverse neurological pathways leading to plasticity is a main concept behind Functional Neurology and adjunct therapies like Lumosity, what we are talking about today is literally making sure you move as much as possible.  In particular, we are speaking of trying to avoid long periods of uninterrupted sitting as much as possible.

Mounting research has implicated extended periods of uninterrupted sitting as a major determent to your health.  We are not just talking about a culprit behind back pain, neck pain and headache.  We are not just referring to it being a contributing factor to various diseases or conditions like osteoarthritis, diabetes, and obesity.  The eye opener here should be the fact that research has shown that regardless of your fitness level, individuals who spend their days logging long hours of uninterrupted sitting actually have SHORTER LIFE SPANS.

I don’t know about you but that’s all I need to hear to perk up and pay attention.  Being someone who has always been active and involved in some level of daily fitness or sport activity, it is quite alarming (yet logical) to hear that even if you do get a good workout in multiple times per week, if you’re logging long hours at a desk without moving, you may just meet your maker sooner than expected.

I say logical because when you think about it, it does make sense that what we do the majority of our day (sitting) would have more of an impact that what we do a fraction of the day (a workout).  Studies out of NASA on the determents of microgravity situations that the astronauts find themselves in when they travel to space found the most comparable Earth situation to be sitting.

From a biomechanical perspective, there are a variety of reasons this position is bad news.  Your anterior muscles become shorted.  There are muscles in your lower half that connect to your spine and anchor to your pelvis or hip.  From prolonged, uninterrupted sitting these muscles eventually begin to shorten due to the flexed forward position.  Now when you stand up these muscles can pull down on your lumbar spine, creating the sensation of back pain and the misconception that standing up is the problem.  While standing up does actually cause the individual discomfort, it is actually due to the prolonged sitting and subsequent shortened muscles that the dysfunction and manifestation of pain as a symptom occurs.  This is a prime example of what we talked about in the previous post of going beyond addressing the pain or symptom and fixing the breakdown that led to this symptom in the first place.

If we move up the spine and throw in the fact that prolonged sitting is usually taking place at a desk or car, we begin to flex forward in the upper portion of your body as well.  This shortens the muscles of your anterior shoulder and chest and gives you that hunched forward, kyphotic thoracic spine, and anterior head carriage.  The muscles on the posterior side now become over worked as they must fight even harder to hold you upright.  This leads to that mysterious shoulder and neck pain that you experience after a long day at work.

Lengthening, overworking and weakening the posterior side muscles from uninterrupted sitting and poor posture leads to the breakdown in function that we touched on in last week’s post that so often leads to back pain and other dysfunction.  It is these posterior chain muscles (think low back muscles, glutes, hamstrings, calves, etc.) that are designed to keep us upright and moving smoothly, efficiently and pain free through space.  When the front side muscles become shortened and the back side muscles become lengthened and weakened we begin to not only assume poor posture but a faulty movement pattern that predisposes us to other injuries at proximal and distal locations throughout the body.

Actual sitting is also the worst position for your lower back.  This makes sense too if you think about it.  When we stand, our body weight is distributed through our spine and pelvis to the lower extremity where we have numerous muscles designed to assist in this matter.  When we sit we have removed everything from the upper portion of the pelvis down as far as support goes.   Now our low backs must support the entire weight of the upper half of our body.  This load is heavily placed upon the discs in between the individual vertebrae of our spine leaving them dehydrated and compressed. It is a major reason behind the widespread and seemingly “normal” degenerative disc disease and osteoarthritis seen in our heavily seated culture, but not in others.

Another pitfall of the effects of prolonged sitting is that due to the flexed forward, anterior posture assumed, you actually close down the space available for your organs to function correctly.   Full chest expansion (and thus filling capacity of the lungs) is impeded and you are no longer able to take in as much oxygen.  This leads to widespread systemic consequence because as we know, virtually all function within the body requires oxygen.  Organs within the abdomen can become compressed and deprived of optimal blood flow leading to dysfunction within the liver, digestive tract, reproductive organs, etc.

Hopefully all of these reasons are enough to spark some interest in learning what you can proactively do to make sure you are not included in the “normal” range of society.  It is currently estimated that some 80% of the population will, at some time or another, suffer chronic low back pain.  This widespread prevalence does not exist in other countries that are not sitting all day, every day.  This should tell us something.   I don’t know about you, but if “normal” is having an 80% chance of low back pain, I want no part of it.  I also don’t want any part of the other issues sited in the previous paragraphs.

Stay tuned for our next post which will illuminate some simple steps you can begin to implement as far as breaking up the sitting and doing what you can to avoid these seemingly “normal” issues.

Have a great weekend.

Have You Tried Active Release Therapy?

One of the most desired and effective soft tissue treatments we utilize at Clarke Chiropractic and Wellness is that of active release therapy or ART.  My Crossfitters swear by this form of therapy and we normally implement it to some degree or another on every patient.

So what is it?

What we are talking about here is a soft tissue technique whereby the practitioner applies pressure in a specific direction to a specific area of an involved muscle or ligament while the patient then moves through a specific range of motion.  You may note by my use of the 3 “specifics” that proper application of this technique requires a thorough knowledge and understanding of human anatomy and the mechanics of all individual muscles.

It goes way beyond simply massaging a painful area, and includes identifying and addressing all other structures involved with the problematic area.

For example, one of the most common problem areas most athletes come in for is the shoulder, and it’s usually due to anterior or front side shoulder pain.  Rather than directing all treatment at the spot of pain manifestation, the entire shoulder complex is addressed, sometimes including up to 10 separate muscles.  The shoulder complex, like many joint complexes in the body is just that, complex; and addressing all of the muscles that contribute to its function is key to not only alleviate discomfort, but to ensure the issue doesn’t resurface.

How does it work?

By taking a specific contact on a muscle or ligament, the practitioner anchors that tissue in place.  Then, by having the patient move through a precise motion (usually taking the tissue from a shortened or contracted position to an elongated or extended position) tension is created at the site of the practitioners contact.

Benefits to this include breaking up adhesions or scar tissue build up that may be causing discomfort or limiting full range of motion.  Having pain is one thing and is usually the reason people come visit us in the first place, so addressing it is always a priority.

But restricted range of motion due to chronically shortened or tight muscles can be the underlying issue behind a multitude of issues, including pain.

Muscles that are constantly tight, contracted or constantly working means they tend to build up lactic acid which causes the perception of pain.  This can also lead to compensatory postural changes and movement patterns in order to continue to function despite the limited mobility.  This can also lead to accelerated degeneration or early arthritis due to suboptimal posture and movements.

Reduced range of motion also leads to a reduction of blood and waste removal from the area.  You see, the heart pumps blood to our structures but the body relies on gravity; more so, movement to return that deoxygenated blood to the heart.  Without proper movement you now open the door for more swelling which can than place pressure on surrounding tissues, causing more problems.

You also need full range of motion to rid yourself of inflammation.  Just as the veins rely on movement to bring blood back to the heart, the lymphatic system (your waste removal system) relies on movement to pump all the nasty, pain- provoking, inflammatory mediators out of dodge.

Another variation of ART we implement is that which incorporates something referred to as “nerve flossing.”  That’s right.  It’s not just for your teeth.  Many times, nerves and other soft tissue can become “stuck” or irritated by adhesions or simply by a tight muscle.

The term “flossing” comes into play because we essentially pin the area where the nerve is presumed “stuck” and then have the patient move in a way that allows the nerve to slide back and forth as the fluoride-free floss does between your teeth.  This method can be quite advantageous for people experiencing a variety of symptoms including carpal tunnel symptoms, sciatic complaints, neck, shoulder, and elbow pain.

These are just some of the benefits of properly applied ART.  We could fill pages and pages with a broader explanation and other benefits.  Feel free to research on your own or give us a call if you have any questions.

As with all treatments, this particular technique serves as a worthy adjunct to the total package of neurologically based chiropractic care and nutrition.  As described in the previous paragraphs, ART can be part of a perfect marriage of healthcare delivery in finding a way to breakthrough to those stubborn aches and pain.

If you or someone you know has been unnecessarily dealing with pain and have tried other methods with limited success, I invite you to call us and try a fresh approach to natural and holistic healthcare.

When you’re ready, I’m here to help.