Shoulders, Elbows, Wrists

Pain and Performance Issues of theses extremities usually can be attributed to three things.

A direct injury. Example falling, car accident, work injuries, blunt trauma, or sports accidents(jpegs)

Direct ongoing micro traumas or ongoing overuse injuries. Example Computers, Manual Labor, Sports, or the incomplete rehabilitation of an injury. (jpegs)

Indirect micro traumas that occur from the excess stress placed on a joint due to the instability of the muscle, spine and pelvis. Example Loss of curvature of the spine leads to excessive load on the body and can shorten or lengthen various muscles and connective tissue altering their ability to operate in an efficient manner.

Example:

Nolan Ryan holds the record for an amazing 27 years in the major leagues as a hard throwing right hander. He wasn't just all talent, he worked hard to make sure his pitch was "efficient". Efficient is the ability to maximize velocity and control over his pitches with the lease amount of stress to his muscles and joints. This not only increased his accuracy but also increased his longevity.

He was one of the first along with his pitching coach Tom House who realized that core stability of the muscles of the back played a significant role in how a pitch was delivered. At the time most exercises were focused primarily on the shoulder. They also looked at the rest of body and his postural muscles and alignment and made sure he had strong balance and motor skills.

So it is impossible to protect the shoulder, elbows and wrists from injury without having proper core stabilizing muscles throughout the body and spine. The forward positioning of the head can significantly decrease the back and neck muscles ability to stabilize while being over worked from poor posture. This not only leads to micro trauma type injuries but can make direct injuries worse and impossible to correct.

So how do we treat these injuries?

We start with a movement analysis of all functional movements of the body.

We take necessary diagnostics such as X-Rays, MRI or Ultrasound.

A combination of joint mobility techniques, muscle therapy and pain reducing modalities such as kinesio tape, electric stimulation etc... Once we have restored motion and reduced the pain we look to strengthen the are with a formula of stretches and exercises that will be added to your current exercise program.

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