Shaw Chiropractic & Sports Injury Center Blog

Hip Extension and Low Back Pain

When a patient presents with low back pain we also need to understand the relationship that the lumbar spine has with the other joints in the body, particularly the hip. The hip is unique in that is it designed to be a mobile joint but also depends on muscles to provide stability and movement. The faulty hip movement will require the spine to move more than normal in an effort to compensate. Excessive stress on the spinal joints can result in low back pain, but the problem at the hip may the underlying cause.

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Shoulder Pain and Sleep Position

For those suffering from shoulder pain your sleep position is extremely important. Although sleeping is rarely the cause of your pain, it should be a focus as it definitely can aggravate and slow its rehab progress. Here are a few things to consider:

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The Problem With Upright Rows

If the upright row is one of your go-to exercises at the gym, it may be time to find a new one or modify how you perform this lift. The reason for this is that the upright row puts the shoulder at a mechanical disadvantage and puts a lot of stress and strain on the shoulder joint, especially in the front. Remember impingement syndrome?

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Thoracic Mobility To Prevent Shoulder Pain

Over the years there’s been a rise in desk work-related jobs along with more time spent on cell phones and other mobile devices. Sitting for long periods at a time or frequently looking down at our cell phones can lead to issues in the shoulder, neck, and back as time goes on. One example of this is Tech Neck, which I’m sure you’ve heard of! Most often these issues arise from repetitive postures and positions we develop over months to years rather than something that may have happened yesterday or two days ago.

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Importance Of The Shoulder Blade For Shoulder Function

Remember shoulder impingement from last week? Well, the scapula (shoulder blade) has a HUGE influence on how the shoulder functions and moves. The scapula is stabilized by four main muscle groups on the thoracic (rib) cage. From there, all four rotator cuff muscles come off the scapula to stabilize the shoulder joint so the shoulder can move and function without pain. If one or more of the muscles that stabilize the scapula isn’t doing its job, scapular winging can occur and lead to things like shoulder impingement and pain over time.   

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Evaluation For Shoulder Pain

As we talked about last week (read here), shoulder pain is all too common, especially with repetitive overhead activity and reaching behind the back. It’s typically seen in overhead sports like swimming, volleyball, tennis, and baseball pitchers along with professions such as carpenters, painters, and electricians. These repetitive movements often lead to a condition known as shoulder impingement syndrome where there’s reduced space between the acromion (top of the shoulder blade) and humerus (upper arm) which creates “pinching” on the surrounding tissues.

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