165 Lilly Rd NE, Suite B, Olympia • 360.455-8014

scapular pain

Why are you giving me Shoulder Blade exercises if I have Shoulder pain–Part 3 Olympia WA

The video demonstrated below, by an orthopedic surgeon, shows the mechanics of why shoulder impingement happens with the tendons.

See the small space between the ball acromium? That is where the impingement happens. Making sure the supraspinatus tendon, which pushes the ball down as the arm bone is lifted by the deltoid, is working well is a big part of the picture of shoulder healthy function. BUT….if you raise the shoulder blade UP by STRENGTHENING the muscles which lift it up, (such as serratus anterior) and STRETCH muscles which PULL it down (such as latissimus dorsi) you can gain more space, which puts less pressure and pinch on the supraspinatus tendon.

serratus muscle upwardly rotates the shoulder blade

serratus muscle upwardly rotates the shoulder blade

latissimus dorsi pulls shoulder blade down

latissimus dorsi pulls shoulder blade down

http://comstockpt.com/2011/11/22/neck-pain-stretches-out-olympia-wa/ This link will show you some latissimus stretches, and if you refer to Part 1 in this series of blog posts, with the man leaning against the wall you can see how to strengthen the serratus anterior

Exercise and Muscle of the Week: Serratus Anterior

The serratus anterior muscle is THE core muscle of the shoulder and arm. It lifts and supports the shoulder blade and arm from below and underneath. This muscle is key to good posture.

During the day at work, school, and chores and sports, to remind the serratus anterior to contract and help you have good posture and reduce pain, here is a video:

 

If you are interested in research on the serratus anterior and shoulder pain, here is a link to an article: http://www.aott.org.tr/index.php/aott/article/view/4897/2610

Weak Scapular Muscles make P90X Shoulder Workout Hard

Is your arm or pushup P90X workout difficult? Did you order your P90X to come to Olympia, Lacey or Tumwater, only to find out you are having problems?   Are you struggling but not sure why?  Do you have shoulder blade or middle back pain?   You might have weak shoulder blade muscles that make your shoulder wobbly on your ribs.  Here is what this looks like (the left side is the weak side) when you lift your arms up overhead :

 

 

 

Here is what it looks like when you try to do a push up:

 

 

 

Tune in the next few days to see a couple of exercises to fix this!

 

Comstock
Physical Therapy

165 Lilly Rd. NE, Suite B
Olympia, Washington 98506

360.455.8014

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6 days ago

Comstock Physical Therapy

We have a rebounder at Comstock PT

Enjoy the video below. Funny ending! :)

5 Tool Sport
UPPER EXTREMITY PLYOMETRICS (wait til the end 😂)
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Plyos are a mainstay exercise for athletes in the mid-to-late stages of rehab for upper or lower extremity injuries (or can also be used for prevention)😏. They begin to prepare the affected structures and tissues to tolerate forces and stress more closely related to sport. For the #thrower 🥎⚾️, we like to use these as a precursor before interval throwing programs.
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There are many ways of accomplishing this, but here we show how to use a rebounder/trampoline to achieve dynamic shoulder plyos.
1️⃣ Chest pass
2️⃣ Diagonals
3️⃣ Overhead chop
4️⃣ 0° IR
5️⃣ 90° IR
6️⃣ 0° ER
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All incorporate a controlled concentric to eccentric phase and have the added bonus of adjusting to an external object. What others do you like??
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🔹Swanik et al. The effect of shoulder plyometric training on amortization time and upper extremity kinematics. JSR. 2016.
🔹 Wright, et al. Exercise prescription for overhead athletes with shoulder pathology: a systematic review with best evidence synthesis. BJSM. 2018.





#shoulder #upperextremity #plyometrics #overheadathlete #baseball #softball #baseballrehab #throwingrehab #sports #sportsrehab #sportsrehabilitation #sportsperformance #physicaltherapy #physicaltherapist #physiotherapy #DPT #studentphysicaltherapist #physio #sportsphysicaltherapist #sportsphysio #sportsphysicaltherapy #athletictrainer #athletictraining #ATC #sportsmedicine #rehabilitation #continuingeducation #exercise #strength
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6 days ago

Comstock Physical Therapy
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