Tom W.

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Posted

17 Jun 05:34

You’re welcome!

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Posted

13 Jun 01:50

00:19

šŸ“šThe trapezius muscle is a large, flat muscle that sidebends and extends the neck and elevates, rotates, depresses and retracts the shoulder blades.

🧠Trapezius is often thought to be associated with neck tightness, certain types of neck and shoulder pain and neck-related headaches. As such, interventions designed to treat this muscle are commonly utilized in the physical therapy clinic.

šŸ”ŽOne way to address neck tightness and/or pain associated with this muscle is through massage or soft tissue mobilization. Most people are generally familiar with how to massage trapezius, but this video shows a technique I often like to use.

āœ…Besides massage, it’s important to incorporate stretching and resistance training exercises that target the trapezius muscle. The neck pain program here in the app guides you through three phases of rehab and includes a number of trapezius exercises. Here is a link for the neck pain program.

https://membership.rehabscience.com/programs/neck-pain?category_id=260344

Posted

11 Jun 11:55

10 Jun 10:55

Hi Karla, thank you for joining my app! Your messages aren’t blocked. I just sent you a message in the message area.

Posted

07 Jun 14:40

00:17

šŸ”ŽTender points in the posterolateral hip region (gluteus medius and minimus area) are a very common finding in the clinic.

🧠While the physiology underpinning these tender points is likely complex and can result from irritation of hip, lumbar spine and/or sacroiliac joint structures, simple exercise strategies are usually quite effective in terms of reducing discomfort.

āœ…Here in the app, you will find programs for piriformis syndrome (deep gluteal pain syndrome), SI joint pain and gluteal tendinopathy, which can all help with pain in the glute region.

Posted

06 Jun 08:30

00:20

šŸ‘‰Many people think a spinal manipulation works by ā€œputting a joint back into place.ā€ Research suggests the effects are likely much more neurophysiological than structural.

🧠A thoracic thrust manipulation creates a rapid burst of sensory input from the joints, muscles, and surrounding tissues. This input may temporarily alter how the nervous system processes pain, reduce pain sensitivity, and change muscle activation patterns.

šŸ”ŽAs pain decreases, the body often becomes less protective, allowing movement to feel easier and less restricted. This may explain why many people experience immediate improvements in mobility and comfort following treatment.

šŸ‘ŒInterestingly, the audible ā€œpopā€ is not required for a successful outcome. Research suggests the benefits can occur whether a pop is heard or not.

āœ…The takeaway: Thoracic thrust manipulation may help create a short-term window of reduced pain and improved movement. Exercise and movement can then help you take advantage of that window to build longer-lasting improvements.

šŸ“š References:

1ļøāƒ£ Coronado RA, et al. Changes in Pain Sensitivity Following Spinal Manipulation: A Systematic Review and Meta-analysis. J Electromyogr Kinesiol. 2012.

2ļøāƒ£ Walser RF, et al. The Effectiveness of Thoracic Spine Manipulation for the Management of Musculoskeletal Conditions: A Systematic Review and Meta-analysis. J Man Manip Ther. 2009.

Yes, I link the iliopsoas muscle with the gluteus maximus as the primary agonist/antagonist pair. Having said this, you could also put the hamstrings in as an antagonist to the hip flexors due to their hip extension action.

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Posted

04 Jun 14:33

00:53

šŸ‘‰The gluteal region is much more than just the gluteus maximus. Beneath the surface lies a complex network of muscles and nerves that play an essential role in hip stability, movement, and lower extremity function.

šŸ“šThe large superficial muscle shown here is the gluteus maximus, which primarily contributes to hip extension and external rotation. Beneath it sit the gluteus medius and minimus, which help stabilize the pelvis during walking, running, and single-leg activities.

šŸ”ŽDeeper still are the six short external rotator muscles of the hip: the piriformis, superior gemellus, obturator internus, inferior gemellus, obturator externus, and quadratus femoris. These muscles act together to provide dynamic stability to the hip joint while assisting with rotation and controlling femoral movement during functional activities.

🧠One of the most important structures in this region is the sciatic nerve, the largest nerve in the body. It exits the pelvis and typically travels beneath the piriformis muscle before descending through the posterior hip and thigh. The sciatic nerve supplies motor and sensory function to much of the lower extremity, making it a clinically important structure in conditions involving buttock pain, posterior thigh pain, numbness, tingling, or weakness.

3

Hey Stephanie! If you don’t have a partner who can help, you can get the Nordic home exercise tool below.

https://amzn.to/4vl2meS

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