Chiropractic / Musculoskeletal / Joint pain Q & A...

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  1. Quote Originally Posted by ScottyDoc View Post
    First off, excellent question, foam rolling for tight and/or cramping muscles is awesome! I personally think that foam rolling serves it purpose best as a post workout therapy to loosen tight muscles. Pre-workout therapies would be some type of physical activity to raise the body's core temperature and specifically pump more blood to the area/body part preparing to exercise!
    Great advice, as always!

    I normally do 5-10 min warm up on stationary bike but yesterday my hams and hips were so tight I decided to a few mins of foam rolling. I was worried the tightness was going to ruin my leg workout and I wanted to insure a good workout. because we all live for leg day, right?!!! Lol anyway, had a good workout and didn't feel as tight but I got 2 reps less on most my squats... Do you think the loss of strength is directly related to the pre workout foam rolling?

    My personal chiro says do NOT stretch immediately before lifting. Would you agree? And if so why?



  2. Quote Originally Posted by StakedCop View Post
    Great advice, as always!

    I normally do 5-10 min warm up on stationary bike but yesterday my hams and hips were so tight I decided to a few mins of foam rolling. I was worried the tightness was going to ruin my leg workout and I wanted to insure a good workout. because we all live for leg day, right?!!! Lol anyway, had a good workout and didn't feel as tight but I got 2 reps less on most my squats... Do you think the loss of strength is directly related to the pre workout foam rolling?

    My personal chiro says do NOT stretch immediately before lifting. Would you agree? And if so why?
    It is possible, but I would blame it on your unusual tightness and/or whatever may have caused you to be abnormally tight to begin with.

    Ahaaa... Ahaaa!!!
    Dr. Albert Scott Representative for FINAFLEX
    www.finaflex.com
    Redefine Yourself..... REDEFINE EVERYTHING!
    •   
       


  3. Quote Originally Posted by ScottyDoc View Post
    It is possible, but I would blame it on your unusual tightness and/or whatever may have caused you to be abnormally tight to begin with.
    Holy fast response batman!!

    My hams are always tight I just learned about foam rolling and I'm addicted to it! It has loosened up my hams a good amount but they get tight again just as fast. Since I started my SI joint hasn't bothered me nearly as much. I just have to stay on top of this...


  4. Quote Originally Posted by ScottyDoc View Post
    First off, excellent question, foam rolling for tight and/or cramping muscles is awesome! I personally think that foam rolling serves it purpose best as a post workout therapy to loosen tight muscles. Pre-workout therapies would be some type of physical activity to raise the body's core temperature and specifically pump more blood to the area/body part preparing to exercise!
    Completely agree here^^^


  5. Quote Originally Posted by ryansm View Post
    Completely agree here^^^
    Thank you sir... You are both a gentleman and a scholar, LOL!
    Dr. Albert Scott Representative for FINAFLEX
    www.finaflex.com
    Redefine Yourself..... REDEFINE EVERYTHING!
    •   
       


  6. Quote Originally Posted by StakedCop View Post
    Holy fast response batman!!

    My hams are always tight I just learned about foam rolling and I'm addicted to it! It has loosened up my hams a good amount but they get tight again just as fast. Since I started my SI joint hasn't bothered me nearly as much. I just have to stay on top of this...
    Definitely a good idea to stay on top of it, but like I said previously, I would look at warming it up differently (sauna/mild cardio for a few mins) and foam roll it after/post workout. For your warm up, just do something that gets you to a point where you are prespiring and you are doing something to actively bring blood to the Hams!
    Dr. Albert Scott Representative for FINAFLEX
    www.finaflex.com
    Redefine Yourself..... REDEFINE EVERYTHING!

  7. Alright Scott bud? "the great brit here" long time, just popped in to see if you have any advice for my elbows, they crick and crack in every direction, occationaly I have to wingle them just to straighten. It seems to me I have tennis elbow AND golf elbow, they not painfull but just very sticky and a little crunchy, when I try to lock the elbow sometimes I cant because they jam up a little.

    Ive stopped lifting weights for 2 months now, I already do:

    light wrist flexion with 6kg X 30rep
    extension with 3kg x 30 rep
    horisontal wrist flexion 3kg X 30 rep
    twisting 3kg x 50 rep OR with a broom stick x 2mins

    I also stretch my wrists flexed and extended almost every day. They improved a bit the first few weeks but its been about 6 weeks now and if they dont improve more I think I might have to give up weight lifting all together bro! . Im only 27! help!

    Ive applied to join the British Army aswell bro so I need all the help I can get, but dont mention it on fb please.


    P.S Thanks to you and Bezoe my spine is in the best shape ever these days, nice and straight (Im almost an inch taller sometimes) and that pain on the left side in the rhomboid region hasnt troubled me since, which is a mirracle!

  8. Quote Originally Posted by JohnBrinks View Post
    Alright Scott bud? "the GREAT-BRIT here" long time, just popped in to see if you have any advice for my elbows, they crick and crack in every direction, occasionally I have to wiggle them just to straighten. It seems to me I have tennis elbow AND golf elbow, they not painful but just very sticky and a little crunchy, when I try to lock the elbow sometimes I cant because they jam up a little.

    I've stopped lifting weights for 2 months now, I already do:

    light wrist flexion with 6kg X 30rep
    extension with 3kg x 30 rep
    horisontal wrist flexion 3kg X 30 rep
    twisting 3kg x 50 rep OR with a broom stick x 2mins

    I also stretch my wrists flexed and extended almost every day. They improved a bit the first few weeks but its been about 6 weeks now and if they dont improve more I think I might have to give up weight lifting all together bro! . Im only 27! help!
    We night need to get Bezoe's help on this one, kind of sounds like joint crepitus..."Definition: Crepitus is a symptom characterized by a crackling or grating feeling or sound under the skin, around the lungs or in the joints. In soft tissues, crepitus is often due to gas, most often air, that has abnormally penetrated and infiltrated an area (for example, in the soft tissues beneath the skin)." I'm not really sure if there is much more you can do about it than you already are doing. I mean it is very common amongst heavy lifters and people in contact sports or people that have been involved in car accidents and severe traumas, etc. All I can really say is if it is not painful, I wouldn't worry so much about it, although I will agree it is kind of young for that to have started already, more common amongst my older patients, mid-thirties and up, not that I consider that old, I'm turning 37 this May 22nd (FYI) and I have it in both shoulders and both elbows, more so in my left shoulder and left elbow, but it only truly concerns me if pain is associated with it, which means inflammation! I would really like to hear Bezoe's opinion on this one, I'll send him a PM with a link.

    Quote Originally Posted by JohnBrinks View Post
    I've applied to join the British Army as well bro so I need all the help I can get, but dont mention it on fb please.
    Mums the word... As a matter of fact...I have no idea what you are talking about???


    Quote Originally Posted by JohnBrinks View Post
    P.S Thanks to you and Bezoe my spine is in the best shape ever these days, nice and straight (Im almost an inch taller sometimes) and that pain on the left side in the rhomboid region has'nt troubled me since, which is a miracle!
    Glad to be of Help Brotha, hopefully we can get you through this one too!!!
    Dr. Albert Scott Representative for FINAFLEX
    www.finaflex.com
    Redefine Yourself..... REDEFINE EVERYTHING!

  9. Well first of all, I totally agree with Doc- if its not reproducing pain, its a little less worrisome. BUT.. you are a young gun and this shouldnt be happening.

    Questions:
    - Is it both elbows?
    - Any particular time of day it happens the most?
    - Have you traumatized your elbows at all? (car wreck, sports injury, fall etc.)
    - Do you have trouble with any other joints?
    - When did it start?

    Tennis and golf elbow, known as lateral and medial epicondylitis, repectively, dont seem to be whats going on. You would have achy, maybe even sharp muscular pain with activity.

    Without being able to physically examine your elbows, I cant come to a specific diagnosis.. (its not technically within my scope, but I have the knowledge to do it). I need to know the answers to these questions and also how much water do you take in every day and are you on any medications?
    Suffer now.. and live like a champion later.

  10. Quote Originally Posted by bezoe View Post
    how much water do you take in every day and are you on any medications?
    That is actually a good point, as in are you adequately hydrated and the medications is a biggy too! There are a lot of medications out there that are known to cause symptoms/side effects of joint pain, sore, swollen, or just crepitus (grinding noise in the joint, usually due to scar tissue).

    On a side note, are you taking any Glucosamine, Chondroitin, MSM, and your EFA's (Omega 3,6,& 9's)? If not you should be, extremely good for overall joint health.
    Dr. Albert Scott Representative for FINAFLEX
    www.finaflex.com
    Redefine Yourself..... REDEFINE EVERYTHING!

  11. Wonder what the job is? Repetitive motion, maybe repetitive gripping???

  12. Quote Originally Posted by celc5 View Post
    Wonder what the job is? Repetitive motion, maybe repetitive gripping???
    Yo... JB... more good questions here???
    Dr. Albert Scott Representative for FINAFLEX
    www.finaflex.com
    Redefine Yourself..... REDEFINE EVERYTHING!

  13. I'm just putting this post in as a placeholder, so I remember to come back later and ask a question when I see it in my subscription list

  14. Quote Originally Posted by EasyEJL View Post
    I'm just putting this post in as a placeholder, so I remember to come back later and ask a question when I see it in my subscription list
    Ask away Bro , that is why we are here, we really seem to have a good team of guys here on this thread... all doing our best to help our fellow meat-heads stay in the gym and reach their potential health goals!
    Dr. Albert Scott Representative for FINAFLEX
    www.finaflex.com
    Redefine Yourself..... REDEFINE EVERYTHING!

  15. well, I have a pain in my right shoulder joint that is bothersome unless I get my arms at very specific angles, and they are different for each press type. it seems like it may be rotator cuff or related as if I stick my arms straight out then bend at the elbows so my hands point straight down and then rotate my forearm upwards I get hideously horrible momentary pain at maybe 15-20 degrees up from straight down. The pain is stabbing and extend from the underarm side of the joint to midway up the bicep (straight along the bone). And when I say horrible pain, I mean it, I have high pain tolerance, used to get my fillings done at the dentist without novacain. This is almost as bad as the moment you sprain an ankle. What is a little odd though is that for press movements, the pain is more on the front delt side, and a bit higher. Before I started doing rotation specific movements (db power cleans) that pain on the front delt portion coincided with a spot that was pretty tender to the touch as well. Now that i've been doing those db cleans on both chest + shoulder days although the presses seem to hurt just as much as ever, that spot isn't very painful to touch anymore.

    Now for some fill in, i'm 43, was diagnosed with knee and lower back arthritis at 25, thumb arthritis about at 40-41, and none of my joints or tendons are very good.

  16. Going back to what Scott said about inflamation, Ive tried taking 50mg of Diclofenac sodium a few days in a row and it seems to have no effect.

    - Is it both elbows?

    It is, they both have the same symptoms but my right is worse.

    - Any particular time of day it happens the most?

    Nah, but deffinately after Ive been leaning on them at a desk, as I straighten them theres an almighty crack and a little disscomfort in both, if my palms are facing eachother theyre too crunchy to grind through, I have to pronate my hands to smoothen it out.

    - Have you traumatized your elbows at all? (car wreck, sports injury, fall etc.)

    I broke my right elbow, 6 years ago.

    But I also bashed both of them about a bit doing Thai boxing, and needless to say... throwing heavy weights arround, shamefully my form was sloppy for years before I bothered to take care (until I started having problems).

    - Do you have trouble with any other joints?

    well my left knee points inwards a little sometimes, Ive been told to walk and jog like so: from the heel down frist placing the weight on the outer edge and then evening it back round towards the ball of the foot as I follow through the stride (if that makes any sense to you): told to me by my Dad who learnt it in the South African Army back in his day. And I do hamstring stretches and ballance exercises with my foot turned out to 10 'O clock.

    Every morning when I get out of bed theres a pain in my shoulders just under my calvicles seemingly just above my caracoid process. For a while I thougth it was my pectoralis minor, I stretched and strenghtened it, then I thought it was my anterior delts, then I thought it was my traps, then I thought it was my subclavicular muscles, nothing seems to help, but it doesnt bother me anymore after about 5mins out of bed and it doesnt bother me during excercise so I just ignore it :S.

    - When did it start?

    it started about 3 years ago but its only got bad enough to think stop lifting about 6 months ago.

    If I dont make absolute sure my elbows and and wrists are lined up nicely during bench press and shoulder press I cant fully straighten them, thats when it gets a little sore if I try to push it to full lockout.

  17. Hey doc-

    I have always had elbows that get upset at me easily. I get pain on the medial aspect of both my elbows, and normally when I have elbow pain, my brachialis muscle shares in this pain. The pain is sharp, continuous, and only occurs after i overdo some sort of elbow flexion, and when I am at rest (in bed) it is the worst and gets a throbbing quality to it. When the pain occurs, so does a very eerie weakness in both my grip, brachialis and elbow extension/flexion. I take 10g fish oil daily as well as 2g cissus. I rode motorcycles for 14 years and have trained for about the same time. This most recent insult involved taking an atlas stone from ground to shoulder.

    Any ideas or advice?

    Regards

  18. EZ,
    If I understand your description correctly, you just described a positive test for tendonitis to the proximal biceps tendon. That's the tendon that slides through a groove real close to the shoulder. This sounds like overuse to me

  19. Quote Originally Posted by EasyEJL View Post
    I'm just putting this post in as a placeholder, so I remember to come back later and ask a question when I see it in my subscription list
    Easy my man! Welcome bra!

    Sounds like supraspinatus impingement. NEVER abduct and internally rotate your shoulder (dont raise your arm out to the side with your thumb down). This causes the small, fragile supraspinatus tendon to slide over the greater tubercle and under the acromium and can become frayed from doing so. The biceps long head can also be caught up this way.

    You may have some inflammation of the supraspinatus tendon, OR worst case, it may be kind of "chewed" up from years of overhead activity. My recommendation, without performing several tests in person, is to do some internal and external rotations with theraband, with your elbow against your side. This strengthens the other 3 rotator cuff muscles, which assist in "inferior translation" of the humeral head during shoulder abduction and flexion- keeps the supraspinatus tendon from being smashed between the two bones.
    Suffer now.. and live like a champion later.

  20. Quote Originally Posted by celc5 View Post
    EZ,
    If I understand your description correctly, you just described a positive test for tendonitis to the proximal biceps tendon. That's the tendon that slides through a groove real close to the shoulder. This sounds like overuse to me
    I agree, but that would be more of a nagging pain, what he is talking about has to have something to do with nerve pain, I mean minus actually tearing something, usually only nerve pain can cause that kind of instantaneous shock of extreme sharp pain, where is the tenderness to the touch again and does the pain shoot up or down your arm, or is the sharp pain pin-pointed?
    Dr. Albert Scott Representative for FINAFLEX
    www.finaflex.com
    Redefine Yourself..... REDEFINE EVERYTHING!

  21. Quote Originally Posted by bezoe View Post
    Easy my man! Welcome bra!

    Sounds like supraspinatus impingement. NEVER abduct and internally rotate your shoulder (dont raise your arm out to the side with your thumb down). This causes the small, fragile supraspinatus tendon to slide over the greater tubercle and under the acromium and can become frayed from doing so. The biceps long head can also be caught up this way.

    You may have some inflammation of the supraspinatus tendon, OR worst case, it may be kind of "chewed" up from years of overhead activity. My recommendation, without performing several tests in person, is to do some internal and external rotations with theraband, with your elbow against your side. This strengthens the other 3 rotator cuff muscles, which assist in "inferior translation" of the humeral head during shoulder abduction and flexion- keeps the supraspinatus tendon from being smashed between the two bones.
    I agree with this... another good thing is to do the exact same exercises described by Bezoe, but in water, it's summertime, next time you are in the pool, spend a few minutes running through a few of those movements against the resistance of the water!
    Dr. Albert Scott Representative for FINAFLEX
    www.finaflex.com
    Redefine Yourself..... REDEFINE EVERYTHING!

  22. Quote Originally Posted by TheKanezzi View Post
    Hey doc-

    I have always had elbows that get upset at me easily. I get pain on the medial aspect of both my elbows, and normally when I have elbow pain, my brachialis muscle shares in this pain. The pain is sharp, continuous, and only occurs after i overdo some sort of elbow flexion, and when I am at rest (in bed) it is the worst and gets a throbbing quality to it. When the pain occurs, so does a very eerie weakness in both my grip, brachialis and elbow extension/flexion. I take 10g fish oil daily as well as 2g cissus. I rode motorcycles for 14 years and have trained for about the same time. This most recent insult involved taking an atlas stone from ground to shoulder.

    Any ideas or advice?

    Regards
    OK, a lot of this sounds like over-use syndrome. My best advice without being there to do a few muscle tests, etc. is for you to get some serious deep tissue massage, mainly in the flexors & extensors of your forearm, Brachioradialis being one of those muscles. Also there is the whole warm it up with heat before lifting and icing it down after to control the inflammatory response.

    Bezoe being the master PT guy may have some other alternatives as well, but if you were to come into my office. After some muscle testing & palpation of the affected area, as well as a few orthopedic tests, and x-rays, to make sure nothing more serious was going on, I would start treatment as such... Apply heat for 15-20mins... then deep tissue work on the flexors, extensors and rotator muscles in the forearm to break up an muscle adhesions and scar tissue that may have formed, then I would manipulate the joints in your wrist and elbow, then end it with some ice for 15-20mins. As your treatment progressed, I would add in some wrist and elbow exercises to strengthen & stretch those areas.
    Dr. Albert Scott Representative for FINAFLEX
    www.finaflex.com
    Redefine Yourself..... REDEFINE EVERYTHING!

  23. Quote Originally Posted by JohnBrinks View Post
    Going back to what Scott said about inflamation, Ive tried taking 50mg of Diclofenac sodium a few days in a row and it seems to have no effect.

    - Is it both elbows?

    It is, they both have the same symptoms but my right is worse.

    - Any particular time of day it happens the most?

    Nah, but deffinately after Ive been leaning on them at a desk, as I straighten them theres an almighty crack and a little disscomfort in both, if my palms are facing eachother theyre too crunchy to grind through, I have to pronate my hands to smoothen it out.

    - Have you traumatized your elbows at all? (car wreck, sports injury, fall etc.)

    I broke my right elbow, 6 years ago.

    But I also bashed both of them about a bit doing Thai boxing, and needless to say... throwing heavy weights arround, shamefully my form was sloppy for years before I bothered to take care (until I started having problems).

    - Do you have trouble with any other joints?

    well my left knee points inwards a little sometimes, Ive been told to walk and jog like so: from the heel down frist placing the weight on the outer edge and then evening it back round towards the ball of the foot as I follow through the stride (if that makes any sense to you): told to me by my Dad who learnt it in the South African Army back in his day. And I do hamstring stretches and ballance exercises with my foot turned out to 10 'O clock.

    Every morning when I get out of bed theres a pain in my shoulders just under my calvicles seemingly just above my caracoid process. For a while I thougth it was my pectoralis minor, I stretched and strenghtened it, then I thought it was my anterior delts, then I thought it was my traps, then I thought it was my subclavicular muscles, nothing seems to help, but it doesnt bother me anymore after about 5mins out of bed and it doesnt bother me during excercise so I just ignore it :S.

    - When did it start?

    it started about 3 years ago but its only got bad enough to think stop lifting about 6 months ago.

    If I dont make absolute sure my elbows and and wrists are lined up nicely during bench press and shoulder press I cant fully straighten them, thats when it gets a little sore if I try to push it to full lockout.
    Man, I'm feeling ya Bro! Still all in all it still sounds like what we call in the profession DJD (degenerative joint disease) or Osteoarthritis, which is a natural occurrence with guys like us, but usually later in life due to all the heavy lifting and injuries, etc.

    It is funny, but Prolotherapy http://en.wikipedia.org/wiki/Prolotherapy was mentioned on another one of my injury threads and from everything I have read about it and researched it looks promising and may be an alternative for you to follow up with, especially if it starts to become painful! Just a thought, I know your background, so research it, dig around a little, here are a few more links to look at....

    http://www.prolotherapy.org/

    http://www.dailystrength.org/treatments/Prolotherapy

    http://www.ncbi.nlm.nih.gov/pubmed/16162983
    Dr. Albert Scott Representative for FINAFLEX
    www.finaflex.com
    Redefine Yourself..... REDEFINE EVERYTHING!

  24. subb'd for info!
    DISCLAIMER: Anything that I post on this forum should not be taken as medical advice. Consult your doctor before starting new diets, supplements, training protocols, and/or if you have any concerns about your health.

  25. Quote Originally Posted by ScottyDoc View Post
    Man, I'm feeling ya Bro! Still all in all it still sounds like what we call in the profession DJD (degenerative joint disease) or Osteoarthritis, which is a natural occurrence with guys like us, but usually later in life due to all the heavy lifting and injuries, etc.

    It is funny, but Prolotherapy http://en.wikipedia.org/wiki/Prolotherapy was mentioned on another one of my injury threads and from everything I have read about it and researched it looks promising and may be an alternative for you to follow up with, especially if it starts to become painful! Just a thought, I know your background, so research it, dig around a little, here are a few more links to look at....

    http://www.prolotherapy.org/

    http://www.dailystrength.org/treatments/Prolotherapy

    http://www.ncbi.nlm.nih.gov/pubmed/16162983
    Im on it Bra!!
    I was raised on meat&potatoes, played in the dirt, got smacked when I missbehaved, School started in assembly(Drill), adressed teachers as Sir/Mr & Maam/Mrs/Miss, didnt knw wtf a Happy Meal was or reliable public transport-and I truned out just fine
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